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  5. MODERN SURVEY, INC.

MODERN SURVEY, INC.

Company Details

Name: MODERN SURVEY, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 29 Jul 1999 (25 years ago)
Company Number: 1b03fd5c-aad4-e011-a886-001ec94ffe7f
File Number: 10T-925
Principal Executive Office Address: 200 E RANDOLPH ST, 8TH FLOOR, CHICAGO, IL 60601, USA
Registered Office Address: 2780 Snelling Avenue N, Suite 101, Roseville, MN 55113, USA
ZIP code: 55113
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MODERN SURVEY, INC. 401(K) P/S PLAN 2015 411946663 2016-09-12 MODERN SURVEY, INC. 34
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541511
Sponsor’s telephone number 6123993837
Plan sponsor’s address 1209 TYLER ST NE STE 170, MINNEAPOLIS, MN, 55413

Signature of
Role Employer/plan sponsor
Date 2016-09-12
Name of individual signing LARA PETERSON
Valid signature Filed with authorized/valid electronic signature
MODERN SURVEY, INC. 401(K) P/S PLAN 2015 411946663 2016-09-14 MODERN SURVEY, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541511
Sponsor’s telephone number 6123993837
Plan sponsor’s address 1209 TYLER ST NE STE 170, MINNEAPOLIS, MN, 55413

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing LARA PETERSON
Valid signature Filed with authorized/valid electronic signature
MODERN SURVEY, INC. 401(K) P/S PLAN 2015 411946663 2016-09-12 MODERN SURVEY, INC. 34
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541511
Sponsor’s telephone number 6123993837
Plan sponsor’s address 1209 TYLER ST NE STE 170, MINNEAPOLIS, MN, 55413

Signature of
Role Employer/plan sponsor
Date 2016-09-12
Name of individual signing LARA PETERSON
Valid signature Filed with authorized/valid electronic signature
MODERN SURVEY, INC. 401(K) P/S PLAN 2015 411946663 2016-05-17 MODERN SURVEY, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541511
Sponsor’s telephone number 6123993837
Plan sponsor’s address 1209 TYLER ST NE STE 170, MINNEAPOLIS, MN, 55413

Plan administrator’s name and address
Administrator’s EIN 411946663
Plan administrator’s name MODERN SURVEY, INC.
Plan administrator’s address 1209 TYLER ST NE STE 170, MINNEAPOLIS, MN, 55413
Administrator’s telephone number 6123993837

Signature of
Role Plan administrator
Date 2016-05-17
Name of individual signing LARA PETERSON
Valid signature Filed with authorized/valid electronic signature
MODERN SURVEY, INC. 401(K) P/S PLAN 2014 411946663 2015-04-21 MODERN SURVEY, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541511
Sponsor’s telephone number 6123993837
Plan sponsor’s address 1209 TYLER ST NE STE 170, MINNEAPOLIS, MN, 55413

Plan administrator’s name and address
Administrator’s EIN 411946663
Plan administrator’s name MODERN SURVEY, INC.
Plan administrator’s address 1209 TYLER ST NE STE 170, MINNEAPOLIS, MN, 55413
Administrator’s telephone number 6123993837

Signature of
Role Plan administrator
Date 2015-04-21
Name of individual signing LARA PETERSON
Valid signature Filed with authorized/valid electronic signature
MODERN SURVEY, INC. 401(K) P/S PLAN 2013 411946663 2014-05-06 MODERN SURVEY, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541511
Sponsor’s telephone number 6123993837
Plan sponsor’s address 1209 TYLER ST NE STE 170, MINNEAPOLIS, MN, 55413

Plan administrator’s name and address
Administrator’s EIN 411946663
Plan administrator’s name MODERN SURVEY, INC.
Plan administrator’s address 1209 TYLER ST NE STE 170, MINNEAPOLIS, MN, 55413
Administrator’s telephone number 6123993837

Signature of
Role Plan administrator
Date 2014-05-06
Name of individual signing LARA PETERSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
PAUL A HAGY Chief Executive Officer 200 E RANDOLPH ST, 8TH FLOOR, CHICAGO, IL 60601, USA

Agent

Name Role
Corporation Service Company Agent

Filing

Filing Name Filing date
Global Registered Office and/or Agent - Business Corporation (Domestic) 2024-10-02
Registered Office and/or Agent - Business Corporation (Domestic) 2014-02-25
Annual Reinstatement - Business Corporation (Domestic) 2013-04-04
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Original Filing - Business Corporation (Domestic) (Business Name: MODERN SURVEY, INC.) 1999-07-29

Related by officers

PAUL A HAGY

Allied North America Insurance Brokerage of Los Angeles, LLC Corporate Investigative Solutions, Inc. Allied North America Insurance Brokerage of Minnesota, LLC AIS INSURANCE AGENCY, INC. BENFIELD ADVISORY INC. INTERNATIONAL RISK MANAGEMENT (AMERICAS), INC. Wexford Underwriting Managers, Inc. Muirfield Underwriters, Ltd. Minet Re North America, Inc.

Corporation Service Company

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Related by address

200 E RANDOLPH ST, 8TH FLOOR, CHICAGO, IL 60601, USA

STROZ FRIEDBERG, LLC

2780 Snelling Avenue N, Suite 101, Roseville, MN 55113, USA

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Date of last update: 12 Jan 2025

Sources: Minnesota's Official State Website

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