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  5. PARAGON FORMS, INC.

PARAGON FORMS, INC.

Company Details

Name: PARAGON FORMS, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 06 Sep 1985 (39 years ago)
Company Number: 2f7537b5-a2d4-e011-a886-001ec94ffe7f
File Number: 5A-413
Registered Office Address: 6820 Shingle Creek Parkway, Brooklyn Center, MN 55430, USA
Principal Executive Office Address: 6820 Shingle Creek Pkwy, Brooklyn Center, MN 55430, USA
ZIP code: 55430
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARAGON FORMS, INC. , PROFIT SHARING PLAN 2015 411542419 2016-05-23 PARAGON FORMS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 323100
Sponsor’s telephone number 7635608044
Plan sponsor’s address 6820 SHINGLE CREEK PARKWAY, BROOKLYN CENTER, MN, 55430

Signature of
Role Plan administrator
Date 2016-05-23
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-23
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
PARAGON FORMS, INC. PROFIT SHARING PLAN 2015 411542419 2016-05-20 PARAGON FORMS, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 323100
Sponsor’s telephone number 7635608044
Plan sponsor’s address 6820 SHINGLE CREEK PARKWAY, BROOKLYN CENTER, MN, 55430

Signature of
Role Plan administrator
Date 2016-05-20
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-20
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
PARAGON FORMS, INC. PROFIT SHARING PLAN 2014 411542419 2015-05-18 PARAGON FORMS, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 323100
Sponsor’s telephone number 7635608044
Plan sponsor’s address 6820 SHINGLE CREEK PARKWAY, BROOKLYN CENTER, MN, 55430

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-18
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
PARAGON FORMS, INC. PROFIT SHARING PLAN 2013 411542419 2014-04-07 PARAGON FORMS, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 323100
Sponsor’s telephone number 7635608044
Plan sponsor’s address 6820 SHINGLE CREEK PARKWAY, BROOKLYN CENTER, MN, 55430

Signature of
Role Plan administrator
Date 2014-04-07
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-07
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
PARAGON FORMS, INC. PROFIT SHARING PLAN 2012 411542419 2013-05-02 PARAGON FORMS, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 323100
Sponsor’s telephone number 7635608044
Plan sponsor’s address 6820 SHINGLE CREEK PARKWAY, BROOKLYN CENTER, MN, 55430

Signature of
Role Plan administrator
Date 2013-05-02
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-02
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
PARAGON FORMS, INC. PROFIT SHARING PLAN 2011 411542419 2012-03-28 PARAGON FORMS, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 323100
Sponsor’s telephone number 7635608044
Plan sponsor’s address 6820 SHINGLE CREEK PARKWAY, BROOKLYN CENTER, MN, 55430

Plan administrator’s name and address
Administrator’s EIN 411542419
Plan administrator’s name PARAGON FORMS, INC.
Plan administrator’s address 6820 SHINGLE CREEK PARKWAY, BROOKLYN CENTER, MN, 55430
Administrator’s telephone number 7635608044

Signature of
Role Plan administrator
Date 2012-03-28
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-28
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
PARAGON FORMS, INC. PROFIT SHARING PLAN 2010 411542419 2011-04-07 PARAGON FORMS, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 323100
Sponsor’s telephone number 7635608044
Plan sponsor’s address 6820 SHINGLE CREEK PARKWAY, BROOKLYN CENTER, MN, 55430

Plan administrator’s name and address
Administrator’s EIN 411542419
Plan administrator’s name PARAGON FORMS, INC.
Plan administrator’s address 6820 SHINGLE CREEK PARKWAY, BROOKLYN CENTER, MN, 55430
Administrator’s telephone number 7635608044

Signature of
Role Plan administrator
Date 2011-04-07
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-07
Name of individual signing JAMES KOCH
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Warren Anderson Chief Executive Officer 6820 Shingle Creek Pkwy, Brooklyn Center, MN 55430, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2018-03-13
Registered Office and/or Agent - Business Corporation (Domestic) 1988-09-01
Original Filing - Business Corporation (Domestic) 1985-09-06
Business Corporation (Domestic) Business Name (Business Name: PARAGON FORMS, INC.) 1985-09-06

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Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website

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