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Black Bear Performance, Inc.

Company Details

Name: Black Bear Performance, Inc.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 09 Jan 2019 (6 years ago)
Financial Date End: 31 Jan 2025
Entity Number: 3390634
Place of Formation: IDAHO
File Number: 649756
ZIP code: 83815
County: Kootenai County
Mailing Address: 6125 N GOVERNMENT WAY COEUR D ALENE, ID 83815-9213

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLACK BEAR PERFORMANCE INC 401(K) P/S PLAN 2018 800331600 2019-06-05 BLACK BEAR PERFORMANCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-11-01
Business code 811190
Sponsor’s telephone number 7032361864
Plan sponsor’s address 10739 N GOVERNMENT WAY, HAYDEN, ID, 83835

Signature of

Role Plan administrator
Date 2019-06-04
Name of individual signing JUSTIN GADBERRY
Valid signature Filed with authorized/valid electronic signature
BLACK BEAR PERFORMANCE INC 401(K) P/S PLAN 2018 800331600 2019-03-06 BLACK BEAR PERFORMANCE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-11-01
Business code 811190
Sponsor’s telephone number 5303049934
Plan sponsor’s address 10739 N GOVERNMENT WAY, HAYDEN, ID, 83835

Plan administrator’s name and address

Administrator’s EIN 800331600
Plan administrator’s name BLACK BEAR PERFORMANCE INC
Plan administrator’s address 10739 N GOVERNMENT WAY, HAYDEN, ID, 83835
Administrator’s telephone number 5303049934

Signature of

Role Plan administrator
Date 2019-03-06
Name of individual signing JUSTIN GADBERRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Justin Gadberry Agent 6125 N GOVERNMENT WAY, COEUR D'ALENE, ID 83815

President

Name Role Address Appointed On
Justin Gadberry President 6125 N GOVERNMENT WAY, COEUR D'ALENE, ID 83815 2021-04-06

Director

Name Role Address Appointed On
Jarrad Farsetta Director 6125 N GOVERNMENT WAY, COEUR D'ALENE, ID 83815 2024-02-05

Filing

Filing Name Filing Number Filing date
Annual Report 0005585395 2024-02-05
Annual Report 0005017454 2022-12-07
Annual Report 0004515440 2021-12-03
Annual Report 0004236457 2021-04-06
Application for Reinstatement 0003842655 2020-04-10
Dissolution/Revocation - Administrative 0003839694 2020-04-08
Initial Filing 0003390634 2019-01-09

Date of last update: 30 Dec 2024

Sources: Idaho Secretary of State