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BREAK SHOT LLC

Company Details

Entity Name: BREAK SHOT LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 02 Sep 2020
Company Number: LLC_09226311
File Number: 09226311
Type of Management: Manager Managed
Date Status Change: 05 Dec 2024
Address 4102-A FIELDSTONE RD., CHAMPAIGN, 61820, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BREAK SHOT LLC 401(K) PLAN 2023 853898476 2024-08-15 BREAK SHOT, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 531310
Sponsor’s telephone number 2176935603
Plan sponsor’s address 4102A FIELDSTONE ROAD, CHAMPAIGN, IL, 61822

Signature of

Role Plan administrator
Date 2024-08-15
Name of individual signing TODD ATKINS
Valid signature Filed with authorized/valid electronic signature
BREAK SHOT LLC 401(K) PLAN 2022 853898476 2023-07-06 BREAK SHOT, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 531310
Sponsor’s telephone number 6176935613
Plan sponsor’s address 4102 A FIELDSTONE RD, CHAMPAIGN, IL, 61822

Signature of

Role Plan administrator
Date 2023-07-06
Name of individual signing TODD ATKINS
Valid signature Filed with authorized/valid electronic signature
BREAK SHOT LLC 401(K) PLAN 2021 853898476 2022-10-04 BREAK SHOT, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 531310
Sponsor’s telephone number 2173672121
Plan sponsor’s address 4102 A FIELDSTONE RD, CHAMPAIGN, IL, 61822

Signature of

Role Plan administrator
Date 2022-10-04
Name of individual signing TODD ATKINS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MEYER CAPEL, A PROFESSIONAL CORPORATION, 306 W CHURCH ST STE JHP, CHAMPAIGN, 61820 Agent 2022-05-23

Manager

Name and Address Role Appointment Date
ATKINS, C. TODD, 4102 A FIELDSTONE ROAD, CHAMPAIGN, IL, 61820 Manager 2024-12-05

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State