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  5. PreferredOne Administrative Services, Inc.

PreferredOne Administrative Services, Inc.

Headquarter

Company Details

Name: PreferredOne Administrative Services, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 06 Jun 1996 (29 years ago)
Company Number: 1c0bb254-b4d4-e011-a886-001ec94ffe7f
File Number: 9F-245
Registered Office Address: 1010 Dale Street, St. Paul, MN 55117, USA
Principal Executive Office Address: 9700 Health Care Lane, Minnetonka, MN 55343, United States
ZIP code: 55117
County: Ramsey County
Place of Formation: Minnesota

Links between entities

Type Company Name Company Number State
Headquarter of PreferredOne Administrative Services, Inc., FLORIDA F17000003809 FLORIDA
Headquarter of PreferredOne Administrative Services, Inc., ALABAMA 000-517-194 ALABAMA
Headquarter of PreferredOne Administrative Services, Inc., NEW YORK 5367292 NEW YORK
Headquarter of PreferredOne Administrative Services, Inc., KENTUCKY 1066465 KENTUCKY
Headquarter of PreferredOne Administrative Services, Inc., COLORADO 20181456682 COLORADO
Headquarter of PreferredOne Administrative Services, Inc., CONNECTICUT 1321844 CONNECTICUT
Headquarter of PreferredOne Administrative Services, Inc., IDAHO 3532612 IDAHO
Headquarter of PreferredOne Administrative Services, Inc., ILLINOIS CORP_71535304 ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREFERREDONE ADMINISTRATIVE SERVICES, INC. PROFIT SHARING AND SAVINGS PLAN 2012 411846481 2013-09-24 PREFERREDONE ADMINISTRATIVE SERVICES, INC. 353
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 524140
Sponsor’s telephone number 8004527289
Plan sponsor’s mailing address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Plan sponsor’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 411846481
Plan administrator’s name PREFERREDONE ADMINISTRATIVE SERVICES, INC.
Plan administrator’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Administrator’s telephone number 8004527289

Number of participants as of the end of the plan year
Active participants 312
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 43
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 350
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of
Role Plan administrator
Date 2013-09-24
Name of individual signing THOMAS JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-24
Name of individual signing MIKE UMLAND
Valid signature Filed with authorized/valid electronic signature
PREFERREDONE ADMINISTRATIVE SERVICES, INC. PROFIT SHARING AND SAVINGS PLAN 2011 411846481 2012-09-17 PREFERREDONE ADMINISTRATIVE SERVICES, INC. 343
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 524140
Sponsor’s telephone number 8004527289
Plan sponsor’s mailing address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Plan sponsor’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 411846481
Plan administrator’s name PREFERREDONE ADMINISTRATIVE SERVICES, INC.
Plan administrator’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Administrator’s telephone number 8004527289

Number of participants as of the end of the plan year
Active participants 304
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 46
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants with account balances as of the end of the plan year 338
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 6

Signature of
Role Plan administrator
Date 2012-09-17
Name of individual signing THOMAS JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-17
Name of individual signing MIKE UMLAND
Valid signature Filed with authorized/valid electronic signature
PREFERREDONE ADMINISTRATIVE SERVICES, INC. PROFIT SHARING AND SAVINGS PLAN 2010 411846481 2011-08-02 PREFERREDONE ADMINISTRATIVE SERVICES, INC. 346
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 524140
Sponsor’s telephone number 8004527289
Plan sponsor’s mailing address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Plan sponsor’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 411846481
Plan administrator’s name PREFERREDONE ADMINISTRATIVE SERVICES, INC.
Plan administrator’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Administrator’s telephone number 8004527289

Number of participants as of the end of the plan year
Active participants 288
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 52
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants with account balances as of the end of the plan year 333
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 9

Signature of
Role Plan administrator
Date 2011-08-02
Name of individual signing THOMAS JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-02
Name of individual signing MIKE UMLAND
Valid signature Filed with authorized/valid electronic signature
PREFERREDONE RETIREMENT PLAN 2010 411846481 2011-12-28 PREFERREDONE ADMINISTRATIVE SERVICES, INC. 78
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 551112
Sponsor’s telephone number 7638473200
Plan sponsor’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 554373837

Plan administrator’s name and address
Administrator’s EIN 411846481
Plan administrator’s name PREFERREDONE ADMINISTRATIVE SERVICES, INC.
Plan administrator’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 554373837
Administrator’s telephone number 7638473200

Signature of
Role Plan administrator
Date 2011-12-28
Name of individual signing THOMAS S JOHNSON
Valid signature Filed with authorized/valid electronic signature
PREFERREDONE RETIREMENT PLAN 2010 411846481 2011-06-10 PREFERREDONE ADMINISTRATIVE SERVICES, INC. 82
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 551112
Sponsor’s telephone number 7638473200
Plan sponsor’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 554373837

Plan administrator’s name and address
Administrator’s EIN 411846481
Plan administrator’s name PREFERREDONE ADMINISTRATIVE SERVICES, INC.
Plan administrator’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 554373837
Administrator’s telephone number 7638473200

Signature of
Role Plan administrator
Date 2011-06-10
Name of individual signing THOMAS S. JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-10
Name of individual signing MICHAEL UMLAND
Valid signature Filed with authorized/valid electronic signature
PREFERREDONE ADMINISTRATIVE SERVICES, INC. PROFIT SHARING AND SAVINGS PLAN 2009 411846481 2010-09-13 PREFERREDONE ADMINISTRATIVE SERVICES, INC. 343
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 524140
Sponsor’s telephone number 8004527289
Plan sponsor’s mailing address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Plan sponsor’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 411846481
Plan administrator’s name PREFERREDONE ADMINISTRATIVE SERVICES, INC.
Plan administrator’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Administrator’s telephone number 8004527289

Number of participants as of the end of the plan year
Active participants 291
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 50
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 5
Number of participants with account balances as of the end of the plan year 335
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of
Role Plan administrator
Date 2010-09-13
Name of individual signing THOMAS JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-13
Name of individual signing MIKE UMLAND
Valid signature Filed with authorized/valid electronic signature
PREFERREDONE ADMINISTRATIVE SERVICES, INC. PROFIT SHARING AND SAVINGS PLAN 2009 411846481 2010-09-17 PREFERREDONE ADMINISTRATIVE SERVICES, INC. 343
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 524140
Sponsor’s telephone number 8004527289
Plan sponsor’s mailing address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Plan sponsor’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 411846481
Plan administrator’s name PREFERREDONE ADMINISTRATIVE SERVICES, INC.
Plan administrator’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Administrator’s telephone number 8004527289

Number of participants as of the end of the plan year
Active participants 291
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 50
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 5
Number of participants with account balances as of the end of the plan year 335
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of
Role Plan administrator
Date 2010-09-17
Name of individual signing THOMAS JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-17
Name of individual signing MIKE UMLAND
Valid signature Filed with authorized/valid electronic signature
PREFERREDONE ADMINISTRATIVE SERVICES, INC. PROFIT SHARING AND SAVINGS PLAN 2009 411846481 2010-09-15 PREFERREDONE ADMINISTRATIVE SERVICES, INC. 343
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 524140
Sponsor’s telephone number 8004527289
Plan sponsor’s mailing address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Plan sponsor’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416

Plan administrator’s name and address
Administrator’s EIN 411846481
Plan administrator’s name PREFERREDONE ADMINISTRATIVE SERVICES, INC.
Plan administrator’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 55416
Administrator’s telephone number 8004527289

Number of participants as of the end of the plan year
Active participants 291
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 50
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 5
Number of participants with account balances as of the end of the plan year 335
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of
Role Employer/plan sponsor
Date 2010-09-15
Name of individual signing MIKE UMLAND
Valid signature Filed with authorized/valid electronic signature
PREFERREDONE RETIREMENT PLAN 2009 411846481 2010-09-15 PREFERREDONE ADMINISTRATIVE SERVICES, INC. 77
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 551112
Sponsor’s telephone number 7638473200
Plan sponsor’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 554373837

Plan administrator’s name and address
Administrator’s EIN 411846481
Plan administrator’s name PREFERREDONE ADMINISTRATIVE SERVICES, INC.
Plan administrator’s address 6105 GOLDEN HILLS DRIVE, GOLDEN VALLEY, MN, 554373837
Administrator’s telephone number 7638473200

Signature of
Role Plan administrator
Date 2010-09-15
Name of individual signing THOMAS S. JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-15
Name of individual signing MICHAEL UMLAND
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Brett Eric Edelson Chief Executive Officer 9700 Health Care Lane, Minnetonka, MN 55343, United States

Agent

Name Role
C T Corporation System Inc. Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2016-01-15
Registered Office and/or Agent - Business Corporation (Domestic) 2000-02-14
Merger - Business Corporation (Domestic) 1999-12-06
Business Corporation (Domestic) Business Name (Business Name: PreferredOne Administrative Services, Inc.) 1999-10-04
Business Corporation (Domestic) Business Name (Business Name: Peak Administrative Services, Inc.) 1997-01-23
Original Filing - Business Corporation (Domestic) 1996-06-06
Business Corporation (Domestic) Business Name (Business Name: PreferredOne TPA Company) 1996-06-06

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Date of last update: 15 Jan 2025

Sources: Minnesota's Official State Website

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