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  5. POTENTIA ANALYTICS, INC.

POTENTIA ANALYTICS, INC.

Company Details

Entity Name: POTENTIA ANALYTICS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Goodstanding
Date Formed: 24 Aug 2017
Company Number: CORP_71334988
File Number: 71334988
Type of Business: Business Corporations
Place of Formation: WASHINGTON

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POTENTIA ANALYTICS 401(K) P/S PLAN 2023 821149694 2024-09-12 POTENTIA ANALYTICS, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541511
Sponsor’s telephone number 6183034153
Plan sponsor’s address 1840 INNOVATION DR STE 108, CARBONDALE, IL, 62903

Signature of
Role Plan administrator
Date 2024-09-12
Name of individual signing SHAHRAM RAHIMI
Valid signature Filed with authorized/valid electronic signature
POTENTIA ANALYTICS 401(K) P/S PLAN 2022 821149694 2023-05-26 POTENTIA ANALYTICS, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541511
Sponsor’s telephone number 6183034153
Plan sponsor’s address 1840 INNOVATION DR STE 108, CARBONDALE, IL, 62903

Plan administrator’s name and address
Administrator’s EIN 821149694
Plan administrator’s name POTENTIA ANALYTICS, INC.
Plan administrator’s address 1840 INNOVATION DR STE 108, CARBONDALE, IL, 62903
Administrator’s telephone number 6183034153

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing SHAHRAM RAHIMI
Valid signature Filed with authorized/valid electronic signature
POTENTIA ANALYTICS 401(K) P/S PLAN 2021 821149694 2022-09-12 POTENTIA ANALYTICS, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541511
Sponsor’s telephone number 6183034153
Plan sponsor’s address 1840 INNOVATION DR STE 108, CARBONDALE, IL, 62903

Plan administrator’s name and address
Administrator’s EIN 821149694
Plan administrator’s name POTENTIA ANALYTICS, INC.
Plan administrator’s address 1840 INNOVATION DR STE 108, CARBONDALE, IL, 62903
Administrator’s telephone number 6183034153

Signature of
Role Plan administrator
Date 2022-09-12
Name of individual signing SHAHRAM RAHIMI
Valid signature Filed with authorized/valid electronic signature
POTENTIA ANALYTICS 401(K) P/S PLAN 2020 821149694 2021-06-17 POTENTIA ANALYTICS, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541511
Sponsor’s telephone number 6183034153
Plan sponsor’s address 1840 INNOVATION DR STE 108, CARBONDALE, IL, 62903

Plan administrator’s name and address
Administrator’s EIN 821149694
Plan administrator’s name POTENTIA ANALYTICS, INC.
Plan administrator’s address 1840 INNOVATION DR STE 108, CARBONDALE, IL, 62903
Administrator’s telephone number 6183034153

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing SHAHRAM RAHIMI
Valid signature Filed with authorized/valid electronic signature
POTENTIA ANALYTICS 401(K) P/S PLAN 2019 821149694 2020-06-30 POTENTIA ANALYTICS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541511
Sponsor’s telephone number 6183034153
Plan sponsor’s address 1840 INNOVATION DR STE 108, CARBONDALE, IL, 62903

Plan administrator’s name and address
Administrator’s EIN 821149694
Plan administrator’s name POTENTIA ANALYTICS, INC.
Plan administrator’s address 1840 INNOVATION DR STE 108, CARBONDALE, IL, 62903
Administrator’s telephone number 6183034153

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing SHAHRAM RAHIMI
Valid signature Filed with authorized/valid electronic signature
POTENTIA ANALYTICS 401(K) P/S PLAN 2018 821149694 2019-08-29 POTENTIA ANALYTICS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541511
Sponsor’s telephone number 6183034153
Plan sponsor’s address 1840 INNOVATION DR STE 108, CARBONDALE, IL, 62903

Plan administrator’s name and address
Administrator’s EIN 821149694
Plan administrator’s name POTENTIA ANALYTICS, INC.
Plan administrator’s address 1840 INNOVATION DR STE 108, CARBONDALE, IL, 62903
Administrator’s telephone number 6183034153

Signature of
Role Plan administrator
Date 2019-08-29
Name of individual signing SHAHRAM RAHIMI
Valid signature Filed with authorized/valid electronic signature
POTENTIA ANALYTICS 401(K) P/S PLAN 2017 821149694 2018-06-21 POTENTIA ANALYTICS, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541511
Sponsor’s telephone number 6183034153
Plan sponsor’s address 1740 INNOVATION DR, CARBONDALE, IL, 62903

Plan administrator’s name and address
Administrator’s EIN 821149694
Plan administrator’s name POTENTIA ANALYTICS, INC.
Plan administrator’s address 1740 INNOVATION DR, CARBONDALE, IL, 62903
Administrator’s telephone number 6183034153

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing SHAHRAM RAHIMI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SHAHRAM RAHIMI, 1840 INNOVATION DR #108, CARBONDALE, 62903, JACKSON Agent 2017-08-24

President

Name and Address Role
SHARIAR BOZORGZADEH, 1840 INNOVATION DR #108 CARBONDALE IL President

Secretary

Name and Address Role
JERRY CARDWELL 1840 INNOVATIONDR #108 CARBONDALE IL 62903 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000000 8000000000 No data

Related by officers

No related officers

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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