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HAZEL TECHNOLOGIES, INC.

HAZEL TECHNOLOGIES, INC.

Company Details

Entity Name:	HAZEL TECHNOLOGIES, INC.
Jurisdiction:	Illinois
Entity Type:	Corporation - Foreign BCA
Status:	Goodstanding
Date Formed:	31 Mar 2017
Company Number:	CORP_71103242
File Number:	71103242
Type of Business:	All Inclusive Purpose
Date Status Change:	10 Jun 2024
Place of Formation:	DELAWARE

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

HAZEL TECHNOLOGIES, INC. 401(K) PLAN

2023

820687139

2024-06-27

HAZEL TECHNOLOGIES, INC.

106

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	325300
Sponsor’s telephone number	8722703791
Plan sponsor’s address	320 N. SANGAMON ST, 4TH FLOOR, CHICAGO, IL, 60607

Signature of

Role	Plan administrator
Date	2024-06-27
Name of individual signing	KYLIE NAGLE
Valid signature	Filed with authorized/valid electronic signature

HAZEL TECHNOLOGIES, INC. 401(K) PLAN

2022

820687139

2023-08-04

HAZEL TECHNOLOGIES, INC.

78

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	325300
Sponsor’s telephone number	8722703791
Plan sponsor’s address	320 N. SANGAMON ST, 4TH FLOOR, CHICAGO, IL, 60607

Signature of

Role	Plan administrator
Date	2023-08-04
Name of individual signing	KYLIE NAGLE
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2023-08-04
Name of individual signing	KYLIE NAGLE
Valid signature	Filed with authorized/valid electronic signature

HAZEL TECHNOLOGIES, INC. 401(K) PLAN

2021

820687139

2022-06-29

HAZEL TECHNOLOGIES, INC.

27

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	325300
Sponsor’s telephone number	3312340074
Plan sponsor’s address	320 N. SANGAMON ST, 4TH FLOOR, CHICAGO, IL, 60607

Signature of

Role	Plan administrator
Date	2022-06-29
Name of individual signing	MICHAEL LONGARO
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2022-06-29
Name of individual signing	MICHAEL LONGARO
Valid signature	Filed with authorized/valid electronic signature

HAZEL TECHNOLOGIES, INC. 401(K) PLAN

2020

820687139

2021-10-06

HAZEL TECHNOLOGIES, INC.

14

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	325300
Sponsor’s telephone number	3312340074
Plan sponsor’s address	3440 S DEARBORN, UNIT 112S, CHICAGO, IL, 60616

Signature of

Role	Plan administrator
Date	2021-10-06
Name of individual signing	MICHAEL LONGARO
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
AIDAN MOUAT, 320 N, SANGAMON ST, STE 400, CHICAGO, 60607, COOK-NOT IN CITY OF CHICAGO	Agent	2022-05-10

President

Name and Address	Role
PARKER R BOOTH 320 N SANGAMON ST CHICAGO IL 60607	President

Shares

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	10159779	859017000	0.0001
PREFERRED	SEED	No Voting Rights	258664	241798000	0.0001
PREFERRED	SERIES A	No Voting Rights	463757	463757000	0.0001
PREFERRED	SERIES B	No Voting Rights	967069	967069000	0.0001
PREFERRED	SERIES C	No Voting Rights	1680363	1680363000	0.0001
PREF	D	No Voting Rights	3757441	1234586000	0.0001

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State