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Custom Business Forms, Inc.

Company Details

Name: Custom Business Forms, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 11 Mar 1969 (56 years ago)
Company Number: 83e160ae-aed4-e011-a886-001ec94ffe7f
File Number: 1R-277
Registered Office Address: 210 Edge Pl NE, Mpls, MN 55418, USA
Principal Executive Office Address: 210 Edge Place NE, Minneapolis, MN 55418, USA
ZIP code: 55418
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUSTOM BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN & TRUST 2021 410950866 2022-08-03 CUSTOM BUSINESS FORMS INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-05-01
Business code 323100
Sponsor’s telephone number 6128896713
Plan sponsor’s address 18812 BURNS PARKWAY, ANOKA, MN, 553039620

Signature of

Role Plan administrator
Date 2022-08-03
Name of individual signing ARTHUR GILLES
Valid signature Filed with authorized/valid electronic signature
CUSTOM BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN & TRUST 2021 410950866 2022-04-11 CUSTOM BUSINESS FORMS INC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-05-01
Business code 323100
Sponsor’s telephone number 6127890002
Plan sponsor’s address 18812 BURNS PARKWAY, ANOKA, MN, 55303

Signature of

Role Plan administrator
Date 2022-04-11
Name of individual signing ARTHUR D. GILLES
Valid signature Filed with authorized/valid electronic signature
CUSTOM BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN & TRUST 2020 410950866 2021-04-22 CUSTOM BUSINESS FORMS INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-05-01
Business code 323100
Sponsor’s telephone number 6127890002
Plan sponsor’s address 210 EDGE PLACE NE, MINNEAPOLIS, MN, 55418

Signature of

Role Plan administrator
Date 2021-04-22
Name of individual signing ARTHUR GILLES
Valid signature Filed with authorized/valid electronic signature
CUSTOM BUSINESS FORMS INC 401(K) PROFIT SHARING PLAN & TRUST 2019 410950866 2020-04-29 CUSTOM BUSINESS FORMS INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-05-01
Business code 323100
Sponsor’s telephone number 6127890002
Plan sponsor’s address 210 EDGE PLACE NE, MINNEAPOLIS, MN, 55418

Signature of

Role Plan administrator
Date 2020-04-29
Name of individual signing ARTHUR GILLES
Valid signature Filed with authorized/valid electronic signature
CUSTOM BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2018 410950866 2019-03-20 CUSTOM BUSINESS FORMS INC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-05-01
Business code 323100
Sponsor’s telephone number 6127890002
Plan sponsor’s address 210 EDGE PLACE NE, MINNEAPOLIS, MN, 55418

Signature of

Role Plan administrator
Date 2019-03-20
Name of individual signing ARTHUR D. GILLES
Valid signature Filed with authorized/valid electronic signature
CUSTOM BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2017 410950866 2018-05-15 CUSTOM BUSINESS FORMS INC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-05-01
Business code 323100
Sponsor’s telephone number 6127890002
Plan sponsor’s address 210 EDGE PLACE NE, MINNEAPOLIS, MN, 55418

Signature of

Role Plan administrator
Date 2018-05-15
Name of individual signing ARTHUR D. GILLES
Valid signature Filed with authorized/valid electronic signature
CUSTOM BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2016 410950866 2017-05-15 CUSTOM BUSINESS FORMS INC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-05-01
Business code 323100
Sponsor’s telephone number 6127890002
Plan sponsor’s address 210 EDGE PLACE NE, MINNEAPOLIS, MN, 55418

Signature of

Role Plan administrator
Date 2017-05-15
Name of individual signing DON GILLES
Valid signature Filed with authorized/valid electronic signature
CUSTOM BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2015 410950866 2016-06-07 CUSTOM BUSINESS FORMS INC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-05-01
Business code 323100
Sponsor’s telephone number 6127890002
Plan sponsor’s address 210 EDGE PLACE NE, MINNEAPOLIS, MN, 55418

Signature of

Role Plan administrator
Date 2016-06-07
Name of individual signing DON GILLES
Valid signature Filed with authorized/valid electronic signature
CUSTOM BUSINESS FORMS INC 401 K PROFIT SHARING PLAN TRUST 2014 410950866 2015-07-27 CUSTOM BUSINESS FORMS INC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-05-01
Business code 323100
Sponsor’s telephone number 6127890002
Plan sponsor’s address 210 EDGE PLACE NE, MINNEAPOLIS, MN, 55418

Signature of

Role Plan administrator
Date 2015-07-27
Name of individual signing DON GILLES
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Frank A Miske Jr. Chief Executive Officer 210 Edge Place NE, Minneapolis, MN 55418, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2023-01-26
Business Corporation (Domestic) Active Status Report 1979-08-13
Registered Office and/or Agent - Business Corporation (Domestic) 1974-06-03
Original Filing - Business Corporation (Domestic) 1969-03-11
Business Corporation (Domestic) Business Name (Business Name: Custom Business Forms, Inc.) 1969-03-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5050227100 2020-04-13 0508 PPP 210 EDGE PL NE, MINNEAPOLIS, MN, 55418-1138
Loan Status Date 2020-12-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 194800
Loan Approval Amount (current) 194800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 38406
Servicing Lender Name Northeast Bank
Servicing Lender Address 77 Broadway St NE, MINNEAPOLIS, MN, 55413-1811
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MINNEAPOLIS, HENNEPIN, MN, 55418-1138
Project Congressional District MN-05
Number of Employees 24
NAICS code 323111
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 38406
Originating Lender Name Northeast Bank
Originating Lender Address MINNEAPOLIS, MN
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 195846.05
Forgiveness Paid Date 2020-11-03

Date of last update: 05 Jan 2025

Sources: Minnesota's Official State Website