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FORMACOAT, LLC

Company Details

Name: FORMACOAT, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 15 Oct 2002 (22 years ago)
Company Number: 3fa80a19-aed4-e011-a886-001ec94ffe7f
File Number: 34825-LLC
Registered Office Address: 2960 Chaska Blvd., Chaska, MN 55318–2285, USA
Principal Executive Office Address: 2960 Chaska Blvd., Chaska, MN 55318, USA
ZIP code: 55318
County: Carver County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FORMACOAT LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 830342872 2024-07-30 FORMACOAT LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 9529053684
Plan sponsor’s address 2960 CHASKA BLVD, CHASKA, MN, 553182285

Signature of

Role Plan administrator
Date 2024-07-30
Name of individual signing KATHERYN JENDERSEE
Valid signature Filed with authorized/valid electronic signature
FORMACOAT LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 830342872 2023-07-31 FORMACOAT LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 9529053684
Plan sponsor’s address 2960 CHASKA BLVD, CHASKA, MN, 553182285

Signature of

Role Plan administrator
Date 2023-07-31
Name of individual signing KATHERYN JENDERSEE
Valid signature Filed with authorized/valid electronic signature
FORMACOAT LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 830342872 2022-07-26 FORMACOAT LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 9529053684
Plan sponsor’s address 2960 CHASKA BLVD, CHASKA, MN, 553182285

Signature of

Role Plan administrator
Date 2022-07-26
Name of individual signing KATHERYN JENDERSEE
Valid signature Filed with authorized/valid electronic signature
FORMACOAT LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 830342872 2021-07-20 FORMACOAT LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 9529053684
Plan sponsor’s address 2960 CHASKA BLVD, CHASKA, MN, 553182285

Signature of

Role Plan administrator
Date 2021-07-20
Name of individual signing TONYA NOVAK
Valid signature Filed with authorized/valid electronic signature
FORMACOAT LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 830342872 2020-07-14 FORMACOAT LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 9529053684
Plan sponsor’s address 12500 ZINRAN AVENUE, SAVAGE, MN, 55378

Signature of

Role Plan administrator
Date 2020-07-14
Name of individual signing TONYA NOVAK
Valid signature Filed with authorized/valid electronic signature
FORMACOAT LLC 401 K PROFIT SHARING PLAN TRUST 2018 830342872 2019-07-18 FORMACOAT LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 9529053684
Plan sponsor’s address 12500 ZINRAN AVENUE, SAVAGE, MN, 55378

Signature of

Role Plan administrator
Date 2019-07-18
Name of individual signing TONYA NOVAK
Valid signature Filed with authorized/valid electronic signature
FORMACOAT LLC 401 K PROFIT SHARING PLAN TRUST 2017 830342872 2018-07-19 FORMACOAT LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 9529053684
Plan sponsor’s address 12500 ZINRAN AVENUE, SAVAGE, MN, 55378

Signature of

Role Plan administrator
Date 2018-07-19
Name of individual signing TONYA NOVAK
Valid signature Filed with authorized/valid electronic signature
FORMACOAT LLC 401 K PROFIT SHARING PLAN TRUST 2016 830342872 2017-07-12 FORMACOAT LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 9529053684
Plan sponsor’s address 12500 ZINRAN AVENUE, SAVAGE, MN, 55378

Signature of

Role Plan administrator
Date 2017-07-12
Name of individual signing TONYA NOVAK
Valid signature Filed with authorized/valid electronic signature
FORMACOAT LLC 401 K PROFIT SHARING PLAN TRUST 2015 830342872 2016-07-13 FORMACOAT LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 9529053684
Plan sponsor’s address 12500 ZINRAN AVENUE, SAVAGE, MN, 55378

Signature of

Role Plan administrator
Date 2016-07-13
Name of individual signing TONYA NOVAK
Valid signature Filed with authorized/valid electronic signature
FORMACOAT LLC 401 K PROFIT SHARING PLAN TRUST 2014 830342872 2015-06-22 FORMACOAT LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 339110
Sponsor’s telephone number 9529053684
Plan sponsor’s address 12500 ZINRAN AVENUE, SAVAGE, MN, 55378

Signature of

Role Plan administrator
Date 2015-06-22
Name of individual signing NATALIE EIDEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-22
Name of individual signing MARK GROSS
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Mark C Gross Manager 2960 Chaska Blvd., Chaska, MN 55318, USA

Agent

Name Role
Mark C Gross Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Limited Liability Company (Domestic) 2020-10-14
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Annual Reinstatement - Limited Liability Company (Domestic) 2013-07-03
Administrative Termination - Limited Liability Company (Domestic) 2013-02-26
Original Filing - Limited Liability Company (Domestic) 2002-10-15
Limited Liability Company (Domestic) Business Name (Business Name: FORMACOAT, LLC) 2002-10-15

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website