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SBS Blacktop Service, Inc.

Company Details

Name: SBS Blacktop Service, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 15 Jan 2016 (9 years ago)
Company Number: 491d1092-9cbb-e511-8163-00155d01c56d
File Number: 867258800029
Registered Office Address: 11656 Townline Road, Hibbing, MN 55746, USA
Principal Executive Office Address: 11656 TOWN LINE RD, HIBBING, MN 55746–8145, USA
ZIP code: 55746
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SBS BLACKTOP SERVICE, INC. 401(K) PLAN 2023 811209196 2024-03-01 SBS BLACKTOP SERVICE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812930
Sponsor’s telephone number 2182623769
Plan sponsor’s address 11656 TOWNLINE ROAD, HIBBING, MN, 55746

Signature of

Role Plan administrator
Date 2024-03-01
Name of individual signing ANTHONY NOVAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-01
Name of individual signing ANTHONY NOVAK
Valid signature Filed with authorized/valid electronic signature
SBS BLACKTOP SERVICE, INC. 401(K) PLAN 2022 811209196 2023-07-24 SBS BLACKTOP SERVICE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812930
Sponsor’s telephone number 2182623769
Plan sponsor’s address 11656 TOWNLINE ROAD, HIBBING, MN, 55746

Signature of

Role Plan administrator
Date 2023-07-20
Name of individual signing ANTHONY NOVAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-20
Name of individual signing ANTHONY NOVAK
Valid signature Filed with authorized/valid electronic signature
SBS BLACKTOP SERVICE, INC. 401(K) PLAN 2021 811209196 2022-07-28 SBS BLACKTOP SERVICE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812930
Sponsor’s telephone number 2182623769
Plan sponsor’s address 11656 TOWNLINE ROAD, HIBBING, MN, 55746

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing TONY NOVAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-27
Name of individual signing TONY NOVAK
Valid signature Filed with authorized/valid electronic signature
SBS BLACKTOP SERVICE, INC. 401(K) PLAN 2020 811209196 2021-08-31 SBS BLACKTOP SERVICE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812930
Sponsor’s telephone number 2182623769
Plan sponsor’s address 11656 TOWNLINE ROAD, HIBBING, MN, 55746

Signature of

Role Plan administrator
Date 2021-08-30
Name of individual signing TONY NOVAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-30
Name of individual signing TONY NOVAK
Valid signature Filed with authorized/valid electronic signature
SBS BLACKTOP SERVICE, INC. 401(K) PLAN 2019 811209196 2020-06-04 SBS BLACKTOP SERVICE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812930
Sponsor’s telephone number 2182623769
Plan sponsor’s address 11656 TOWNLINE ROAD, HIBBING, MN, 55746

Signature of

Role Plan administrator
Date 2020-06-03
Name of individual signing ANTHONY NOVAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-03
Name of individual signing ANTHONY NOVAK
Valid signature Filed with authorized/valid electronic signature
SBS BLACKTOP SERVICE, INC. 401(K) PLAN 2018 811209196 2019-07-16 SBS BLACKTOP SERVICE, INC. 3
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812930
Sponsor’s telephone number 2182623769
Plan sponsor’s address 11656 TOWNLINE ROAD, HIBBING, MN, 55746

Signature of

Role Plan administrator
Date 2019-07-16
Name of individual signing ANTHONY NOVAK
Valid signature Filed with authorized/valid electronic signature
SBS BLACKTOP SERVICE, INC. 401(K) PLAN 2018 811209196 2020-04-16 SBS BLACKTOP SERVICE, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812930
Sponsor’s telephone number 2182623769
Plan sponsor’s address 11656 TOWNLINE ROAD, HIBBING, MN, 55746

Signature of

Role Plan administrator
Date 2020-04-16
Name of individual signing ANTHONY NOVAK
Valid signature Filed with authorized/valid electronic signature
SBS BLACKTOP SERVICE, INC. 401(K) PLAN 2017 811209196 2018-07-19 SBS BLACKTOP SERVICE, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812930
Sponsor’s telephone number 2182623769
Plan sponsor’s address 11656 TOWNLINE ROAD, HIBBING, MN, 55746

Signature of

Role Plan administrator
Date 2018-07-19
Name of individual signing ANTHONY NOVAK
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Derik Sabin Chief Executive Officer 11656 TOWN LINE RD, HIBBING, MN 55746–8145, USA

Agent

Name Role
Derik Sabin Agent

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: SBS Blacktop Service, Inc.) 2016-01-15

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website