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  5. BLACK FOREST, LTD.

BLACK FOREST, LTD.

Company Details

Name: BLACK FOREST, LTD.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 17 Sep 1984 (40 years ago)
Company Number: 8f74a0d4-b4d4-e011-a886-001ec94ffe7f
File Number: 4T-3
Registered Office Address: 1205 12th Avenue NW, Owatonna, MN 55060, USA
Principal Executive Office Address: 1205 12TH AVE NW, OWATONNA, MN 55060–1103, USA
ZIP code: 55060
County: Steele County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLACK FOREST 401(K) PLAN 2023 411499893 2024-07-12 BLACK FOREST LTD 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 339900
Sponsor’s telephone number 5074464340
Plan sponsor’s address 1205 12TH AVE NW, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2024-07-12
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
BLACK FOREST 401(K) PLAN 2022 411499893 2023-06-24 BLACK FOREST LTD 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 332810
Sponsor’s telephone number 5074464340
Plan sponsor’s address 1205 12TH AVE NW, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2023-06-24
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
BLACK FOREST 401(K) PLAN 2021 411499893 2022-08-25 BLACK FOREST LTD. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 332810
Sponsor’s telephone number 5074516525
Plan sponsor’s address 1205 12TH AVENUE NORTHWEST, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2022-08-25
Name of individual signing JOSEPH EFFERTZ
Valid signature Filed with authorized/valid electronic signature
BLACK FOREST 401(K) PLAN 2020 411499893 2021-05-03 BLACK FOREST LTD. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 332810
Sponsor’s telephone number 5074516525
Plan sponsor’s address 1205 12TH AVENUE NORTHWEST, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2021-05-03
Name of individual signing JOSEPH EFFERTZ
Valid signature Filed with authorized/valid electronic signature
BLACK FOREST 401(K) PLAN 2019 411499893 2020-05-20 BLACK FOREST LTD. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 332810
Sponsor’s telephone number 5074516525
Plan sponsor’s address 1205 12TH AVENUE NORTHWEST, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2020-05-20
Name of individual signing JOSEPH EFFERTZ
Valid signature Filed with authorized/valid electronic signature
BLACK FOREST 401(K) PLAN 2018 411499893 2019-07-08 BLACK FOREST LTD. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 332810
Sponsor’s telephone number 5074516525
Plan sponsor’s address 1205 12TH AVENUE NORTHWEST, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing JOSEPH EFFERTZ
Valid signature Filed with authorized/valid electronic signature
BLACK FOREST 401(K) PLAN 2017 411499893 2018-06-19 BLACK FOREST LTD. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 332810
Sponsor’s telephone number 5074516525
Plan sponsor’s address 1205 12TH AVENUE NORTHWEST, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing CHERYL HERMANSTORFER
Valid signature Filed with authorized/valid electronic signature
BLACK FOREST 401(K) PLAN 2016 411499893 2017-06-27 BLACK FOREST LTD. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 332810
Sponsor’s telephone number 5074516525
Plan sponsor’s address 1205 12TH AVENUE NORTHWEST, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2017-06-27
Name of individual signing CHERYL HERMANSTORFER
Valid signature Filed with authorized/valid electronic signature
BLACK FOREST 401(K) PLAN 2015 411499893 2016-07-26 BLACK FOREST LTD. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 332810
Sponsor’s telephone number 5074516525
Plan sponsor’s address 1205 12TH AVENUE NORTHWEST, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing CHERYL HERMANSTORFER
Valid signature Filed with authorized/valid electronic signature
BLACK FOREST 401(K) PLAN 2014 411499893 2015-07-14 BLACK FOREST, LTD 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 332810
Sponsor’s telephone number 5074516525
Plan sponsor’s address 1205 12TH AVE NW, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing CHERYL HERMANSTORFER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Joseph Effertz Chief Executive Officer 1205 12TH AVE NW, OWATONNA, MN 55060–1103, USA

Agent

Name Role
Joseph Effertz Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1993-10-06
Original Filing - Business Corporation (Domestic) 1984-09-17
Business Corporation (Domestic) Business Name (Business Name: BLACK FOREST, LTD.) 1984-09-17

Related by officers

No related officers

Related by address

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Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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