Business Registration

Business Information

Business Name	48Forty Solutions Inc
Business Street Address (Including Unit or Suite, if applicable)	---
Business Phone	+18158005120
Business Fax	---
Email Address	---
Would you like to sign up for the Village E-Blast for current events and information?	---
Website Address	---

Business Owner Information

Business Owner(s) Name	---
Business Owner(s) Home Address	---
Business Owner(s) Phone Number (Home or Cellphone)	---
Building's Landlord (if Different from Owner)	---
Landlord Address (Incl. City, State, Zip Code)	---
Landlord Phone Number	---
Property Management (If Applicable)	---

Is This A New Business?

Is This A New Business?

Yes, this a new business.

Other Important Information

Illinois Sales and Use Tax and/or Retailers Occupation Tax	---
Operating Days	Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Operating Hours	5am-11pm
Number of Shifts	2
Number of Employees	130
Nature of Business	pallets & mulch

Fueling Stations

Does your business have fueling stations on site?

Yes

Hoses

Number of gas hoses

1

Police Required Information

Burglar Alarm	No
Fire Alarm	Yes
Hazardous Materials	Yes

Fire Alarm Information

Please Describe Alarm Box Location	---
Monitoring Agency	---
Monitoring Agency Telephone Number	---
Alarm Type	---

Hazardous Materials

Provide Detail Information

---

Emergency Contacts: Please provide 3 names/phone numbers of key holders who are available 24 hours in case of an emergency.

1) Name	Paula Gardner
1) Phone Number	+16159711650
2) Name	Daren Konecy
2) Phone Number	+18154030088
3) Name	Jim Korpan
3) Phone Number	+18155299649

Late Fees

Was this submitted after May 22?

No

Prorated Fees

Was this submitted between August 1 - October 31?	No
Was this submitted between November 1 - January 31?	No
Was this submitted After February 1?	No

Certification Number

Certificate No

---