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  5. MOSAIC, INC.

MOSAIC, INC.

Company Details

Entity Name: MOSAIC, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 07 Dec 1988
Date of Dissolution: 10 May 2019
Company Number: CORP_55321442
File Number: 55321442
Type of Business: All Inclusive Purpose
Date Status Change: 10 May 2019
Address 505 N LAKE SHORE DR 20TH 2015, CHICAGO, IL, 60611
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOSAIC INC 401 K PROFIT SHARING PLAN TRUST 2014 363625476 2015-05-19 MOSAIC INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541600
Sponsor’s telephone number 3128361273
Plan sponsor’s address 505 N LAKE SHORE DR APT 2015, CHICAGO, IL, 606116413

Signature of
Role Plan administrator
Date 2015-05-19
Name of individual signing PETER B WILSON
Valid signature Filed with authorized/valid electronic signature
MOSAIC INC 401 K PROFIT SHARING PLAN TRUST 2014 363625476 2015-09-29 MOSAIC INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541600
Sponsor’s telephone number 3128361273
Plan sponsor’s address 505 N LAKE SHORE DR APT 2015, CHICAGO, IL, 606116413

Signature of
Role Plan administrator
Date 2015-09-29
Name of individual signing PETER B WILSON
Valid signature Filed with authorized/valid electronic signature
MOSAIC INC 401 K PROFIT SHARING PLAN TRUST 2013 363625476 2014-05-05 MOSAIC INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541600
Sponsor’s telephone number 3128361273
Plan sponsor’s address 505 N LAKE SHORE DR APT 2015, CHICAGO, IL, 606116413

Signature of
Role Plan administrator
Date 2014-05-05
Name of individual signing PETER B WILSON
Valid signature Filed with authorized/valid electronic signature
MOSAIC INC 401 K PROFIT SHARING PLAN TRUST 2012 363625476 2013-06-12 MOSAIC INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541600
Sponsor’s telephone number 3128361273
Plan sponsor’s address 505 N LAKE SHORE DR APT 2015, CHICAGO, IL, 606116413

Signature of
Role Plan administrator
Date 2013-06-12
Name of individual signing MOSAIC INC
Valid signature Filed with authorized/valid electronic signature
MOSAIC INC 401 K PROFIT SHARING PLAN TRUST 2011 363625476 2012-06-20 MOSAIC INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541600
Sponsor’s telephone number 3128361273
Plan sponsor’s address 505 N LAKE SHORE DR., SUITE 222, CHICAGO, IL, 60611

Plan administrator’s name and address
Administrator’s EIN 363625476
Plan administrator’s name MOSAIC INC
Plan administrator’s address 505 N LAKE SHORE DR., SUITE 222, CHICAGO, IL, 60611
Administrator’s telephone number 3128361273

Signature of
Role Plan administrator
Date 2012-06-20
Name of individual signing MOSAIC INC
Valid signature Filed with authorized/valid electronic signature
MOSAIC INC 401 K PROFIT SHARING PLAN TRUST 2010 363625476 2011-07-07 MOSAIC INC 11
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541600
Sponsor’s telephone number 3128192222
Plan sponsor’s address 205 N MICHIGAN AVE, SUITE 2211, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 363625476
Plan administrator’s name MOSAIC INC
Plan administrator’s address 205 N MICHIGAN AVE, SUITE 2211, CHICAGO, IL, 60601
Administrator’s telephone number 3128192222

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing MOSAIC INC
Valid signature Filed with incorrect/unrecognized electronic signature
MOSAIC INC 401 K PROFIT SHARING PLAN TRUST 2010 363625476 2011-07-07 MOSAIC INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541600
Sponsor’s telephone number 3128192222
Plan sponsor’s address 205 N MICHIGAN AVE, SUITE 2211, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 363625476
Plan administrator’s name MOSAIC INC
Plan administrator’s address 205 N MICHIGAN AVE, SUITE 2211, CHICAGO, IL, 60601
Administrator’s telephone number 3128192222

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing MOSAIC INC
Valid signature Filed with authorized/valid electronic signature
MOSAIC INC 401 K PROFIT SHARING PLAN TRUST 2010 363625476 2011-07-06 MOSAIC INC 11
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541600
Sponsor’s telephone number 3128192222
Plan sponsor’s address 205 N MICHIGAN AVE, SUITE 2211, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 363625476
Plan administrator’s name MOSAIC INC
Plan administrator’s address 205 N MICHIGAN AVE, SUITE 2211, CHICAGO, IL, 60601
Administrator’s telephone number 3128192222

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing MOSAIC INC
Valid signature Filed with incorrect/unrecognized electronic signature
MOSAIC INC 2009 363625476 2010-07-08 MOSAIC INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 541600
Sponsor’s telephone number 3128192222
Plan sponsor’s address 205 N MICHIGAN AVE, SUITE 2211, CHICAGO, IL, 60601

Plan administrator’s name and address
Administrator’s EIN 363625476
Plan administrator’s name MOSAIC INC
Plan administrator’s address 205 N MICHIGAN AVE, SUITE 2211, CHICAGO, IL, 60601
Administrator’s telephone number 3128192222

Signature of
Role Plan administrator
Date 2010-07-08
Name of individual signing MOSAIC INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARY AGRELIA FITZPATRICK, 4N701 SCHOOL RD, ST CHARLES, 60175, KANE Agent 2001-01-12

President

Name and Address Role Account Number
SANDRA L WILSON, 505 N LAKE SHORE DR #2015, CHICAGO, 60611 President No data
SANDRA WILSON President 287655

Secretary

Name and Address Role Account Number
PETER B. WILSON Secretary 287655

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2179474 Cancelled 1010 Limited Business License No data 2018-08-21 2018-09-16 2020-09-15
BUSINESS LICENSE 1576711 Cancelled 1010 Limited Business License No data 2010-08-19 2010-09-16 2012-09-15

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 No data

Related by officers

SANDRA WILSON

SKL UNIQUE INVESTMENTS CO.

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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