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  5. LAKE CITY GLASS COMPANY

LAKE CITY GLASS COMPANY

Company Details

Name: LAKE CITY GLASS COMPANY
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 07 Sep 2005 (20 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 492669
Place of Formation: IDAHO
File Number: 492669
ZIP code: 83814
County: Kootenai County
Mailing Address: 4302 W SELTICE WAY COEUR D ALENE, ID 83814-8917

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE CITY GLASS COMPANY 401(K) PROFIT SHARING PLAN 2014 203414223 2015-02-16 LAKE CITY GLASS COMPANY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 238900
Sponsor’s telephone number 2086648163
Plan sponsor’s address 4302 W. SELTICE WAY, COEUR D ALENE, ID, 83814
LAKE CITY GLASS COMPANY 401(K) PROFIT SHARING PLAN 2013 203414223 2014-08-27 LAKE CITY GLASS COMPANY 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 238900
Sponsor’s telephone number 2086648163
Plan sponsor’s address 4302 W. SELTICE WAY, COEUR D ALENE, ID, 83814
LAKE CITY GLASS COMPANY 401(K) PROFIT SHARING PLAN 2012 203414223 2013-10-15 LAKE CITY GLASS COMPANY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 238900
Sponsor’s telephone number 2086648163
Plan sponsor’s address 4302 W SELTICE WAY, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing RAYMOND M JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing RAYMOND M JENSEN
Valid signature Filed with authorized/valid electronic signature
LAKE CITY GLASS COMPANY 401(K) PROFIT SHARING PLAN 2011 203414223 2012-10-11 LAKE CITY GLASS COMPANY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 238900
Sponsor’s telephone number 2086648163
Plan sponsor’s address 4302 W. SELTICE WAY, COEUR D ALENE, ID, 83814

Plan administrator’s name and address
Administrator’s EIN 203414223
Plan administrator’s name LAKE CITY GLASS COMPANY
Plan administrator’s address 4302 W. SELTICE WAY, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086648163

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing LINDA JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing LINDA JENSEN
Valid signature Filed with authorized/valid electronic signature
LAKE CITY GLASS COMPANY 401(K) PROFIT SHARING PLAN 2010 203414223 2011-07-19 LAKE CITY GLASS COMPANY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 238900
Sponsor’s telephone number 2086648163
Plan sponsor’s address 4302 W SELTICE WAY, COEUR D ALENE, ID, 83814

Plan administrator’s name and address
Administrator’s EIN 203414223
Plan administrator’s name LAKE CITY GLASS COMPANY
Plan administrator’s address 4302 W SELTICE WAY, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086648163

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing LINDA JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing LINDA JENSEN
Valid signature Filed with authorized/valid electronic signature
LAKE CITY GLASS COMPANY 401(K) PROFIT SHARING PLAN 2009 203414223 2010-10-11 LAKE CITY GLASS COMPANY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 238900
Sponsor’s telephone number 2086648163
Plan sponsor’s address 4302 W. SELTICE WAY, COEUR D ALENE, ID, 83814

Plan administrator’s name and address
Administrator’s EIN 203414223
Plan administrator’s name LAKE CITY GLASS COMPANY
Plan administrator’s address 4302 W. SELTICE WAY, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086648163

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing LINDA JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing LINDA JENSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RAYMOND M JENSEN Agent 4302 W SELTICE WAY, COEUR D'ALENE, ID 83814

President

Name Role Address Appointed On
Ray M Jensen President 4302 W. SELTICE WAY, COEUR D'ALENE, ID 83814 2020-12-29

Filing

Filing Name Filing Number Filing date
Annual Report 0005840269 2024-08-05
Annual Report 0005411667 2023-09-26
Annual Report 0004870673 2022-08-26
Annual Report 0004459587 2021-10-25
Application for Reinstatement 0004109855 2020-12-29
Dissolution/Revocation - Administrative 0004093563 2020-12-08
Annual Report 0003638763 2019-10-03
Annual Report 0003041060 2018-09-21
Annual Report 0003041057 2017-07-27
Annual Report 0003041055 2016-08-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7508727709 2020-05-01 1094 PPP 4302 SELTICE WAY W, COEUR D ALENE, ID, 83814
Loan Status Date 2020-12-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 93947.5
Loan Approval Amount (current) 93947.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 53803
Servicing Lender Name U.S. Bank, National Association
Servicing Lender Address 425 Walnut St, CINCINNATI, OH, 45202-3956
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address COEUR D ALENE, KOOTENAI, ID, 83814-0001
Project Congressional District ID-01
Number of Employees 11
NAICS code 423390
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 53803
Originating Lender Name U.S. Bank, National Association
Originating Lender Address CINCINNATI, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 94482.48
Forgiveness Paid Date 2020-11-27

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Date of last update: 09 Apr 2025

Sources: Idaho Secretary of State

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