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  5. Foam Industries, Inc.

Foam Industries, Inc.

Company Details

Name: Foam Industries, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 05 Jun 2001 (24 years ago)
Company Number: ee57808e-b2d4-e011-a886-001ec94ffe7f
File Number: 11R-459
Registered Office Address: 16400 82nd Pl N, Maple Grove, MN 55311, USA
Principal Executive Office Address: 12424 Ironwood Circle, Rogers, MN 55374, USA
ZIP code: 55311
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOAM INDUSTRIES, INC. 401K 2023 412008088 2024-04-16 FOAM INDUSTRIES, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 321900
Sponsor’s telephone number 7635039265
Plan sponsor’s address 12424 IRONWOOD CIRCLE, SUITE 101, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2024-04-16
Name of individual signing CHRISTINE NELSON
Valid signature Filed with authorized/valid electronic signature
FOAM INDUSTRIES, INC. 401K 2022 412008088 2023-06-02 FOAM INDUSTRIES, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 321900
Sponsor’s telephone number 7635039265
Plan sponsor’s address 12424 IRONWOOD CIRCLE, SUITE 101, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2023-06-02
Name of individual signing CHRISTINE NELSON
Valid signature Filed with authorized/valid electronic signature
FOAM INDUSTRIES, INC. 401K 2021 412008088 2022-05-01 FOAM INDUSTRIES, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 321900
Sponsor’s telephone number 7635039265
Plan sponsor’s address 12424 IRONWOOD CIRCLE, SUITE 101, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2022-05-01
Name of individual signing CHRISTINE NELSON
Valid signature Filed with authorized/valid electronic signature
FOAM INDUSTRIES, INC. 401K 2020 412008088 2021-03-29 FOAM INDUSTRIES, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 321900
Sponsor’s telephone number 7635039265
Plan sponsor’s address 12424 IRONWOOD CIRCLE, SUITE 101, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2021-03-29
Name of individual signing CHRISTINE NELSON
Valid signature Filed with authorized/valid electronic signature
FOAM INDUSTRIES, INC. 401K 2019 412008088 2020-04-09 FOAM INDUSTRIES, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 321900
Sponsor’s telephone number 7635039265
Plan sponsor’s address 12424 IRONWOOD CIRCLE, SUITE 101, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2020-04-09
Name of individual signing CHRISTINE NELSON
Valid signature Filed with authorized/valid electronic signature
FOAM INDUSTRIES, INC. 401K 2018 412008088 2019-02-28 FOAM INDUSTRIES, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 321900
Sponsor’s telephone number 7635039265
Plan sponsor’s address 12424 IRONWOOD CIRCLE, SUITE 101, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2019-02-28
Name of individual signing CHRISTINE NELSON
Valid signature Filed with authorized/valid electronic signature
FOAM INDUSTRIES, INC. 401K 2017 412008088 2018-03-19 FOAM INDUSTRIES, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 321900
Sponsor’s telephone number 7635039265
Plan sponsor’s address 8600 109TH AVENUE NO., SUITE 100, CHAMPLIN, MN, 55316

Signature of
Role Plan administrator
Date 2018-03-19
Name of individual signing CHRISTINE NELSON
Valid signature Filed with authorized/valid electronic signature
FOAM INDUSTRIES, INC. 401K 2016 412008088 2017-09-12 FOAM INDUSTRIES, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 321900
Sponsor’s telephone number 7635039265
Plan sponsor’s address 8600 109TH AVENUE NO., SUITE 100, CHAMPLIN, MN, 55316

Signature of
Role Plan administrator
Date 2017-09-12
Name of individual signing CHRISTINE NELSON
Valid signature Filed with authorized/valid electronic signature
FOAM INDUSTRIES, INC. 401K 2016 412008088 2017-02-17 FOAM INDUSTRIES, INC. 35
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 321900
Sponsor’s telephone number 7635039265
Plan sponsor’s address 8600 109TH AVENUE NO., SUITE 100, CHAMPLIN, MN, 55316

Signature of
Role Plan administrator
Date 2017-02-17
Name of individual signing CHRISTINE NELSON
Valid signature Filed with authorized/valid electronic signature
FOAM INDUSTRIES, INC. 401K 2015 412008088 2016-07-15 FOAM INDUSTRIES, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 321900
Sponsor’s telephone number 7635039265
Plan sponsor’s address 8600 109TH AVENUE NO., SUITE 100, CHAMPLIN, MN, 55316

Chief Executive Officer

Name Role Address
Christine Nelson Chief Executive Officer 12424 Ironwood Circle, Rogers, MN 55374, USA

Agent

Name Role
Scott G Nelson Agent

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: Foam Industries, Inc.) 2001-06-05

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Related by address

16400 82nd Pl N, Maple Grove, MN 55311, USA

GWG, LLC Nelson Brokerage, LLC Nelson Brokerage, Inc.

12424 Ironwood Circle, Rogers, MN 55374, USA

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Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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