| Entity Name: | TALL GRASS PRAIRIE GROVE, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Revoked |
| Date Formed: | 22 Dec 2005 |
| Company Number: | LLC_01718487 |
| File Number: | 01718487 |
| Type of Management: | Manager Managed |
| Date Status Change: | 11 Jun 2010 |
| Address | 160 GREENTREE DR. STE 101, DOVER, 19904, DE |
| Place of Formation: | DELAWARE |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| METROMIX LLC 401(K) RETIREMENT PLAN | 2011 | 261214751 | 2013-04-11 | METROMIX LLC | 41 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 261214751 |
| Plan administrator’s name | METROMIX LLC |
| Plan administrator’s address | 225 N MICHIGAN AVE STE 1600, CHICAGO, IL, 606017668 |
| Administrator’s telephone number | 3122223391 |
Signature of
| Role | Plan administrator |
| Date | 2013-04-11 |
| Name of individual signing | KEVIN LORD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-04-11 |
| Name of individual signing | KEVIN LORD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-05-01 |
| Business code | 519100 |
| Sponsor’s telephone number | 3122223391 |
| Plan sponsor’s address | 225 N MICHIGAN AVE STE 1600, CHICAGO, IL, 606017668 |
Plan administrator’s name and address
| Administrator’s EIN | 261214751 |
| Plan administrator’s name | METROMIX LLC |
| Plan administrator’s address | 225 N MICHIGAN AVE STE 1600, CHICAGO, IL, 606017668 |
| Administrator’s telephone number | 3122223391 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-08 |
| Name of individual signing | SAMIA SHWAIKI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-08 |
| Name of individual signing | SAMIA SHWAIKI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-05-01 |
| Business code | 519100 |
| Sponsor’s telephone number | 3122223391 |
| Plan sponsor’s address | 225 N MICHIGAN AVE STE 1600, CHICAGO, IL, 606017668 |
Plan administrator’s name and address
| Administrator’s EIN | 261214751 |
| Plan administrator’s name | METROMIX LLC |
| Plan administrator’s address | 225 N MICHIGAN AVE STE 1600, CHICAGO, IL, 606017668 |
| Administrator’s telephone number | 3122223391 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-16 |
| Name of individual signing | SAMIA SHWAIKI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-06-16 |
| Name of individual signing | SAMIA SHWAIKI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| THOMAS A. KLYM, 920 S. WAUKEGAN ROAD, LAKE FOREST, 60045, LAKE | Agent | 2005-12-22 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| PRAIRIE GROVE-TALL GRASS LLC 0129 409 1, 920 S WAUKEGAN RD, LAKE FOREST, IL, 60045 | Manager | 2006-12-26 |
Date of last update: 16 Jan 2025
