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  5. KELYNIAM GLOBAL, INC.

KELYNIAM GLOBAL, INC.

Company Details

Entity Name: KELYNIAM GLOBAL, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Foreign
Status: Active
Sub status: Annual report due
Date Formed: 08 Jul 2008
Business ALEI: 0943642
Annual report due: 08 Jul 2025
NAICS code: 339112 - Surgical and Medical Instrument Manufacturing
Business address: 97 RIVER ROAD STE 1, CANTON, CT, 06019, United States
Mailing address: 97 RIVER ROAD STE 1, CANTON, CT, United States, 06019
ZIP code: 06019
County: Hartford
Place of Formation: NEVADA
E-Mail: tkurtenbach@kelyniam.com

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6K9J4 Active U.S./Canada Manufacturer 2011-10-12 2024-03-09 2027-03-01 2023-03-27

Contact Information
POC CHRIS J. BREAULT
Phone +1 800-280-8192
Fax +1 501-641-2000
Address 97 RIVER RD STE A, CANTON, CT, 06019 3246, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KELYNIAM GLOBAL 401K PLAN 2023 204130012 2024-07-08 KELYNIAM GLOBAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541330
Sponsor’s telephone number 8603525811
Plan sponsor’s address 97 RIVER ROAD SUITE A, CANTON, CT, 06019

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing TERRY KURTENBACH
Valid signature Filed with authorized/valid electronic signature
KELYNIAM GLOBAL 401K PLAN 2022 204130012 2023-06-22 KELYNIAM GLOBAL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541330
Sponsor’s telephone number 8603525811
Plan sponsor’s address 97 RIVER ROAD SUITE A, CANTON, CT, 06019

Signature of
Role Plan administrator
Date 2023-06-22
Name of individual signing TERRY KURTENBACH
Valid signature Filed with authorized/valid electronic signature
KELYNIAM GLOBAL 401K PLAN 2021 204130012 2022-07-14 KELYNIAM GLOBAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541330
Sponsor’s telephone number 8603525811
Plan sponsor’s address 97 RIVER ROAD SUITE A, CANTON, CT, 06019

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing TERRY KURTENBACH
Valid signature Filed with authorized/valid electronic signature
KELYNIAM GLOBAL 401K PLAN 2020 204130012 2021-06-11 KELYNIAM GLOBAL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541330
Sponsor’s telephone number 8603525811
Plan sponsor’s address 97 RIVER ROAD SUITE A, CANTON, CT, 06019

Signature of
Role Plan administrator
Date 2021-06-11
Name of individual signing TERRY KURTENBACH
Valid signature Filed with authorized/valid electronic signature
KELYNIAM GLOBAL 401K PLAN 2019 204130012 2020-07-30 KELYNIAM GLOBAL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541330
Sponsor’s telephone number 8603525811
Plan sponsor’s address 97 RIVER ROAD SUITE A, CANTON, CT, 06019

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing CHRIS BREAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-27
Name of individual signing LEE CHASSE
Valid signature Filed with authorized/valid electronic signature
KELYNIAM GLOBAL 401K PLAN 2018 204130012 2019-07-18 KELYNIAM GLOBAL 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541330
Sponsor’s telephone number 8603525811
Plan sponsor’s address 97 RIVER ROAD SUITE A, CANTON, CT, 06019

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing CHRIS BREAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-19
Name of individual signing LEE CHASSE
Valid signature Filed with authorized/valid electronic signature
KELYNIAM GLOBAL 401K PLAN 2017 204130012 2018-06-11 KELYNIAM GLOBAL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541330
Sponsor’s telephone number 8603525811
Plan sponsor’s address 97 RIVER ROAD SUITE A, CANTON, CT, 06019

Signature of
Role Plan administrator
Date 2018-06-11
Name of individual signing CHRIS BREAULT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-01
Name of individual signing LEE CHASSE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
Elise Bozzuto Agent 97 RIVER ROAD STE 1, CANTON, CT, 06019, United States +1 860-670-1374 ebozzuto@kelyniam.com 97 RIVER ROAD STE 1, CANTON, CT, 06019, United States

Officer

Name Role Business address Residence address
ROSS BJELLA Officer 97 RIVER RD, STE 1, CANTON, CT, 06019, United States 906 E CIRCLE DR, WHITEFISH BAY, CT, 53217, United States
Desiree Webb Officer 100 NW 69th Cir, Boca Raton, FL, 33487-2367, United States 100 NW 69th Cir, Boca Raton, FL, 33487-2367, United States
TERRY KURTENBACH Officer 1101 N MARKET ST., SUITE 2M, MILWAUKEE, WI, 53202, United States 1101 N MARKET ST., SUITE 2M, MILWAUKEE, WI, 53202, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
SE.1077226 Securities - Exemptions ACTIVE ACTIVE No data 2013-09-13 No data

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012305249 2024-07-09 No data Annual Report Annual Report No data
BF-0011288685 2023-06-27 No data Annual Report Annual Report No data
BF-0010347157 2022-06-14 No data Annual Report Annual Report 2022
BF-0009759579 2021-06-24 No data Annual Report Annual Report No data
0007254964 2021-03-23 No data Annual Report Annual Report 2020
0007254957 2021-03-23 No data Annual Report Annual Report 2019
0006267835 2018-10-29 No data Annual Report Annual Report 2017
0006267830 2018-10-29 No data Annual Report Annual Report 2012
0006267834 2018-10-29 No data Annual Report Annual Report 2016
0006267832 2018-10-29 No data Annual Report Annual Report 2014

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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