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Brown Box Tees LLC

Brown Box Tees LLC

Company Details

Name:	Brown Box Tees LLC
Jurisdiction:	Minnesota
Legal type:	Limited Liability Company (Domestic)
Status:	Inactive
Date formed:	30 Oct 2014 (10 years ago)
Company Number:	e4625c5c-4460-e411-ae63-001ec94ffe7f
File Number:	791112800029
Registered Office Address:	308 Elm St, Farmington, MN 55024, USA
Principal Executive Office Address:	17374 Ithaca Ct, Lakeville, Minnesota 55044, United States
Mailing Address:	13596 Findlay Ave, Apple Valley, MN 55124, United States
ZIP code:	55024
County:	Dakota County
Place of Formation:	Minnesota

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BROWN BOX TEES 401(K) PLAN

2022

472204819

2023-05-27

BROWN BOX TEES

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	448110
Sponsor’s telephone number	3104647924
Plan sponsor’s address	5708 UPPER 147TH STREET WEST, STE 104, APPLE VALLEY, MN, 55124

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2023-05-27
Name of individual signing	CHRISTINE RIMER
Valid signature	Filed with authorized/valid electronic signature

BROWN BOX TEES 401(K) PLAN

2022

472204819

2023-11-06

BROWN BOX TEES

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	448110
Sponsor’s telephone number	3104647924
Plan sponsor’s address	5708 UPPER 147TH STREET WEST, STE 104, APPLE VALLEY, MN, 55124

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2023-11-06
Name of individual signing	CHRISTINE RIMER
Valid signature	Filed with authorized/valid electronic signature

BROWN BOX TEES 401(K) PLAN

2021

472204819

2022-06-02

BROWN BOX TEES

0

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	448110
Sponsor’s telephone number	3104647924
Plan sponsor’s address	5708 UPPER 147TH STREET WEST, STE 104, APPLE VALLEY, MN, 55124

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2022-06-02
Name of individual signing	CHRISTINE RIMER
Valid signature	Filed with authorized/valid electronic signature

Manager

Name	Role	Address
Michael R Fornicoia, IV	Manager	17374 Ithaca Ct, Lakeville, MN 55044, USA

Filing

Filing Name	Filing date
Administrative Termination - Limited Liability Company (Domestic)	2024-02-27
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic)	2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Brown Box Tees LLC)	2014-10-30

Date of last update: 23 Jan 2025

Sources: Minnesota's Official State Website