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POLY-TEX INC.

Company Details

Name: POLY-TEX INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 18 Jul 1983 (42 years ago)
Company Number: d665cb81-abd4-e011-a886-001ec94ffe7f
File Number: 4K-486
Registered Office Address: 311 South Water Street, Northfield, MN 55057, USA
Principal Executive Office Address: STE 100, 1750 126TH ST W, BURNSVILLE, MN 55337–1614, United States
ZIP code: 55057
County: Rice County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POLY-TEX, INC. 401(K) PROFIT SHARING PLAN 2023 411458478 2024-10-08 POLY-TEX, INC 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 326100
Sponsor’s telephone number 6514636951
Plan sponsor’s address 1750 126TH ST W, SUITE 100, BURNSVILLE, MN, 55337

Signature of

Role Plan administrator
Date 2024-10-08
Name of individual signing JAY JOHNSON
Valid signature Filed with authorized/valid electronic signature
POLY-TEX, INC. 401(K) PROFIT SHARING PLAN 2022 411458478 2023-07-18 POLY-TEX, INC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 326100
Sponsor’s telephone number 6514636951
Plan sponsor’s address 1750 126TH ST W, SUITE 100, BURNSVILLE, MN, 55337

Signature of

Role Plan administrator
Date 2023-07-18
Name of individual signing JAY JOHNSON
Valid signature Filed with authorized/valid electronic signature
POLY-TEX, INC 401(K) PROFIT SHARING PLAN 2021 411458478 2022-10-06 POLY-TEX, INC. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 326100
Sponsor’s telephone number 6514636951
Plan sponsor’s address 27725 DANVILLE AVENUE, P.O. BOX 458, CASTLE ROCK, MN, 55010

Signature of

Role Plan administrator
Date 2022-10-06
Name of individual signing JAY M JOHNSON
Valid signature Filed with authorized/valid electronic signature
POLY-TEX, INC 401(K) PROFIT SHARING PLAN 2020 411458478 2021-10-07 POLY-TEX, INC. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 326100
Sponsor’s telephone number 6514636951
Plan sponsor’s address 27725 DANVILLE AVENUE, P.O. BOX 458, CASTLE ROCK, MN, 55010

Signature of

Role Plan administrator
Date 2021-10-07
Name of individual signing JAY M JOHNSON
Valid signature Filed with authorized/valid electronic signature
POLY-TEX, INC 401(K) PROFIT SHARING PLAN 2019 411458478 2020-10-12 POLY-TEX, INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 326100
Sponsor’s telephone number 6514636951
Plan sponsor’s address 27725 DANVILLE AVENUE, P.O. BOX 458, CASTLE ROCK, MN, 55010

Signature of

Role Plan administrator
Date 2020-08-18
Name of individual signing JAY JOHNSON
Valid signature Filed with authorized/valid electronic signature
POLY-TEX, INC 401(K) PROFIT SHARING PLAN 2018 411458478 2019-07-31 POLY-TEX, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 326100
Sponsor’s telephone number 6514636951
Plan sponsor’s address 27725 DANVILLE AVENUE, P.O. BOX 458, CASTLE ROCK, MN, 55010

Signature of

Role Plan administrator
Date 2019-07-15
Name of individual signing JAY JOHNSON
Valid signature Filed with authorized/valid electronic signature
POLY-TEX, INC 401(K) PROFIT SHARING PLAN 2017 411458478 2018-10-10 POLY-TEX, INC. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 326100
Sponsor’s telephone number 6514636951
Plan sponsor’s address 27725 DANVILLE AVENUE, P.O. BOX 458, CASTLE ROCK, MN, 55010

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing JAY JOHNSON
Valid signature Filed with authorized/valid electronic signature
POLY-TEX, INC 401(K) PROFIT SHARING PLAN 2016 411458478 2017-08-01 POLY-TEX, INC 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 326100
Sponsor’s telephone number 6514636951
Plan sponsor’s address 27725 DANVILLE AVENUE, P.O. BOX 458, CASTLE ROCK, MN, 55010

Signature of

Role Plan administrator
Date 2017-08-01
Name of individual signing JAY JOHNSON
Valid signature Filed with authorized/valid electronic signature
POLY-TEX, INC 401(K) PROFIT SHARING PLAN 2015 411458478 2016-08-19 POLY-TEX, INC 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 326100
Sponsor’s telephone number 6514636951
Plan sponsor’s address 27725 DANVILLE AVENUE, P.O. BOX 458, CASTLE ROCK, MN, 55010

Signature of

Role Plan administrator
Date 2016-08-19
Name of individual signing JAY JOHNSON
Valid signature Filed with authorized/valid electronic signature
POLY-TEX, INC 401(K) PROFIT SHARING PLAN 2014 411458478 2015-07-13 POLY-TEX, INC 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 326100
Sponsor’s telephone number 6514636951
Plan sponsor’s address 27725 DANVILLE AVENUE, P.O. BOX 458, CASTLE ROCK, MN, 55010

Signature of

Role Plan administrator
Date 2015-07-13
Name of individual signing JAY JOHNSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jerry Grabowski Chief Executive Officer STE 100, 1750 126TH ST W, BURNSVILLE, MN 55337–1614, USA

Agent

Name Role
Ronald L. Moersch, Attorney at Law Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2022-09-19
Registered Office and/or Agent - Business Corporation (Domestic) 1989-11-16
Consent to Use of Name - Business Corporation (Domestic) 1985-10-03
Original Filing - Business Corporation (Domestic) 1983-07-18
Business Corporation (Domestic) Business Name (Business Name: POLY-TEX INC.) 1983-07-18

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website