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  5. Breitenfeldt Group

Breitenfeldt Group

Company Details

Name: Breitenfeldt Group
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 26 Oct 2016 (8 years ago)
Company Number: 09128c2f-af9b-e611-816f-00155d01c56d
File Number: 911925100027
Principal Place of Business Address: 720 Commerce Road, Long Prairie, MN 56347, USA
ZIP code: 56347
County: Todd County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BREITENFELDT GROUP 401(K) PLAN 2018 200602701 2020-10-06 BREITENFELDT GROUP 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3207326216
Plan sponsor’s address 720 COMMERCE ROAD, LONG PRAIRIE, MN, 56347

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing AMBER ZIMMER
Valid signature Filed with authorized/valid electronic signature
BREITENFELDT GROUP 401(K) PLAN 2018 200602701 2019-07-16 BREITENFELDT GROUP 58
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3207326216
Plan sponsor’s address 720 COMMERCE ROAD, LONG PRAIRIE, MN, 56347

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing CAROL E BAHL
Valid signature Filed with authorized/valid electronic signature
BREITENFELDT GROUP 401(K) PLAN 2017 200602701 2018-07-31 BREITENFELDT GROUP 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3207326216
Plan sponsor’s address 720 COMMERCE ROAD, LONG PRAIRIE, MN, 56347

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing CAROL E BAHL
Valid signature Filed with authorized/valid electronic signature
BREITENFELDT GROUP 401(K) PLAN 2016 200602701 2017-07-18 BREITENFELDT GROUP 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3207326216
Plan sponsor’s address 720 COMMERCE ROAD, LONG PRAIRIE, MN, 56347

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing CAROL BAHL
Valid signature Filed with authorized/valid electronic signature
BREITENFELDT GROUP 401(K) PLAN 2015 200602701 2016-05-23 BREITENFELDT GROUP 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3207326216
Plan sponsor’s address 720 COMMERCE ROAD, LONG PRAIRIE, MN, 56347

Signature of
Role Plan administrator
Date 2016-05-23
Name of individual signing LEANN BURGAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-23
Name of individual signing LEANN BURGAU
Valid signature Filed with authorized/valid electronic signature
BREITENFELDT GROUP 401(K) PLAN 2014 200602701 2015-07-20 BREITENFELDT GROUP 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3207326216
Plan sponsor’s address 720 COMMERCE ROAD, LONG PRAIRIE, MN, 56347

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing LEANN BURGAU
Valid signature Filed with authorized/valid electronic signature
BREITENFELDT GROUP 401(K) PLAN 2013 200602701 2014-06-18 BREITENFELDT GROUP 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3207326216
Plan sponsor’s address 720 COMMERCE ROAD, LONG PRAIRIE, MN, 56347

Signature of
Role Plan administrator
Date 2014-06-18
Name of individual signing LEANN BURGAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-18
Name of individual signing LEANN BURGAU
Valid signature Filed with authorized/valid electronic signature
BREITENFELDT GROUP 401(K) PLAN 2012 200602701 2013-07-25 BREITENFELDT GROUP 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3207326216
Plan sponsor’s address 720 COMMERCE ROAD, LONG PRAIRIE, MN, 56347

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing LEANN BURGAU
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
DENNIS BREITENFELDT HEALTH INSURANCE SERVICES LLC Aplicant 720 Commerce Rd, Long Prairie, MN 56347

Filing

Filing Name Filing date
Amendment - Assumed Name 2017-02-17
Original Filing - Assumed Name (Business Name: Breitenfeldt Group) 2016-10-26

Related by officers

No related officers

Related by address

720 Commerce Road, Long Prairie, MN 56347, USA

Dennis Breitenfeldt Health Insurance JD 2021, LLC

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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