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Jake Miesen Insurance Agency, Inc.

Jake Miesen Insurance Agency, Inc.

Company Details

Name:	Jake Miesen Insurance Agency, Inc.
Jurisdiction:	Minnesota
Legal type:	Business Corporation (Domestic)
Status:	Inactive
Date formed:	17 Oct 2012 (12 years ago)
Company Number:	0193d2ac-7218-e211-bc43-001ec94ffe7f
File Number:	622759100025
Registered Office Address:	11160 Anderson Lakes Parkway #204, Eden Prairie, MN 55344, USA
Principal Executive Office Address:	6274 ginger dr, Eden Prairie, MN 55346, USA
ZIP code:	55344
County:	Hennepin County
Place of Formation:	Minnesota

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

JAKE MIESEN INSURANCE AGENCY 401K PROFIT SHARING PLAN TRUST

2021

461224266

2022-03-23

JAKE MIESEN INSURANCE AGENCY

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	524210
Sponsor’s telephone number	6127595639
Plan sponsor’s address	6274 GINGER DR, EDEN PRAIRIE, MN, 55346

JAKE MIESEN INSURANCE AGENCY 401K PROFIT SHARING PLAN TRUST

2020

461224266

2021-07-13

JAKE MIESEN INSURANCE AGENCY

16

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	524210
Sponsor’s telephone number	6127595639
Plan sponsor’s address	6274 GINGER DR, EDEN PRAIRIE, MN, 55346

JAKE MIESEN INSURANCE AGENCY 401K PROFIT SHARING PLAN TRUST

2019

461224266

2020-07-23

JAKE MIESEN INSURANCE AGENCY

17

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	524210
Sponsor’s telephone number	6127595639
Plan sponsor’s address	8977 AZTEC DRIVE, EDEN PRAIRIE, MN, 553471916

JAKE MIESEN INSURANCE AGENCY 401K PROFIT SHARING PLAN TRUST

2018

461224266

2019-07-23

JAKE MIESEN INSURANCE AGENCY

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	524210
Sponsor’s telephone number	6127595639
Plan sponsor’s address	8977 AZTEC DRIVE, EDEN PRAIRIE, MN, 553471916

JAKE MIESEN INSURANCE AGENCY 401K PROFIT SHARING PLAN TRUST

2017

461224266

2018-06-12

JAKE MIESEN INSURANCE AGENCY

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	524210
Sponsor’s telephone number	6127595639
Plan sponsor’s address	8977 AZTEC DRIVE, EDEN PRAIRIE, MN, 553471916

JAKE MIESEN INSURANCE AGENCY 401K PROFIT SHARING PLAN TRUST

2016

461224266

2017-07-10

JAKE MIESEN INSURANCE AGENCY

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	524210
Sponsor’s telephone number	6127595639
Plan sponsor’s address	8977 AZTEC DRIVE, EDEN PRAIRIE, MN, 553471916

Chief Executive Officer

Name	Role	Address
Jacob Miesen	Chief Executive Officer	8977 Aztec dr, Eden Prairie, MN 55347, USA

Agent

Name	Role
Jacob Robert Miesen	Agent

Filing

Filing Name	Filing date
Annual Reinstatement - Business Corporation (Domestic)	2017-04-27
Administrative Dissolution - Business Corporation (Domestic)	2017-02-27
Original Filing - Business Corporation (Domestic) (Business Name: Jake Miesen Insurance Agency, Inc.)	2012-10-17

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website