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Ray Smith Insurance Agency, Inc.

Headquarter

Company Details

Name: Ray Smith Insurance Agency, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 03 Nov 1980 (44 years ago)
Company Number: 3953090c-a2d4-e011-a886-001ec94ffe7f
File Number: 3T-660
Registered Office Address: 6900 Wedgwood Road No, Suite 302, Maple Grove, MN 55311, USA
Principal Executive Office Address: 6900 WEDGWOOD RD N STE 302, MAPLE GROVE, MN 55311–3509, USA
ZIP code: 55311
County: Hennepin County
Place of Formation: Minnesota

Links between entities

Type Company Name Company Number State
Headquarter of Ray Smith Insurance Agency, Inc., NEW YORK 3002943 NEW YORK

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RAY SMITH INSURANCE AGENCY, INC. 401(K) PLAN 2023 411389486 2024-07-10 RAY SMITH INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-04-01
Business code 524210
Sponsor’s telephone number 7632590101
Plan sponsor’s address 6900 WEDGWOOD ROAD N, STE 302, MAPLE GROVE, MN, 55311

Signature of

Role Plan administrator
Date 2024-07-10
Name of individual signing MAC GORDON
Valid signature Filed with authorized/valid electronic signature
RAY SMITH INSURANCE AGENCY, INC. 401(K) PLAN 2022 411389486 2023-07-21 RAY SMITH INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-04-01
Business code 524210
Sponsor’s telephone number 7632590101
Plan sponsor’s address 6900 WEDGWOOD ROAD N, STE 302, MAPLE GROVE, MN, 55311

Signature of

Role Plan administrator
Date 2023-07-21
Name of individual signing STEVE HOLMQUIST
Valid signature Filed with authorized/valid electronic signature
RAY SMITH INSURANCE AGENCY, INC. 401K PLAN 2021 411389486 2022-08-05 RAY SMITH INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-04-01
Business code 524210
Sponsor’s telephone number 7632590101
Plan sponsor’s address 6900 WEDGWOOD ROAD N, STE 302, MAPLE GROVE, MN, 55311

Signature of

Role Plan administrator
Date 2022-08-05
Name of individual signing STEVE HOLMQUIST
Valid signature Filed with authorized/valid electronic signature
RAY SMITH INSURANCE AGENCY, INC. 401K PLAN 2020 411389486 2021-08-05 RAY SMITH INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-04-01
Business code 524210
Sponsor’s telephone number 7632590101
Plan sponsor’s address 6900 WEDGWOOD ROAD N, STE 302, MAPLE GROVE, MN, 55311

Signature of

Role Plan administrator
Date 2021-08-05
Name of individual signing STEVE HOLMQUIST
Valid signature Filed with authorized/valid electronic signature
RAY SMITH INSURANCE AGENCY, INC. 401K PLAN 2019 411389486 2020-08-12 RAY SMITH INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-04-01
Business code 524210
Sponsor’s telephone number 7632590101
Plan sponsor’s address 6900 WEDGWOOD ROAD N, STE 302, MAPLE GROVE, MN, 55311

Signature of

Role Plan administrator
Date 2020-08-12
Name of individual signing STEVE HOLMQUIST
Valid signature Filed with authorized/valid electronic signature
RAY SMITH INSURANCE AGENCY, INC. 401K PLAN 2018 411389486 2019-09-13 RAY SMITH INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-04-01
Business code 524210
Sponsor’s telephone number 7632590101
Plan sponsor’s address 6900 WEDGWOOD ROAD N, STE 302, MAPLE GROVE, MN, 55311

Signature of

Role Plan administrator
Date 2019-09-13
Name of individual signing JEFF SMITH
Valid signature Filed with authorized/valid electronic signature
RAY SMITH INSURANCE AGENCY, INC. 401K PLAN 2017 411389486 2018-09-07 RAY SMITH INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-04-01
Business code 524210
Sponsor’s telephone number 7632590101
Plan sponsor’s address 6900 WEDGWOOD ROAD N, STE 302, MAPLE GROVE, MN, 55311

Signature of

Role Plan administrator
Date 2018-09-07
Name of individual signing JEFF SMITH
Valid signature Filed with authorized/valid electronic signature
RAY SMITH INSURANCE AGENCY, INC. 401K PLAN 2016 411389486 2017-08-23 RAY SMITH INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-04-01
Business code 524210
Sponsor’s telephone number 7632590101
Plan sponsor’s address 6900 WEDGWOOD ROAD N, STE 302, MAPLE GROVE, MN, 55311

Signature of

Role Plan administrator
Date 2017-08-23
Name of individual signing JEFF SMITH
Valid signature Filed with authorized/valid electronic signature
RAY SMITH INSURANCE AGENCY, INC. 401K PLAN 2015 411389486 2016-07-11 RAY SMITH INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-04-01
Business code 524210
Sponsor’s telephone number 7632590101
Plan sponsor’s address 6900 WEDGWOOD ROAD N, STE 302, MAPLE GROVE, MN, 55311

Signature of

Role Plan administrator
Date 2016-07-11
Name of individual signing JEFFREY SMITH
Valid signature Filed with authorized/valid electronic signature
RAY SMITH INSURANCE AGENCY, INC. 401K PLAN 2014 411389486 2015-07-02 RAY SMITH INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-04-01
Business code 524210
Sponsor’s telephone number 7632590101
Plan sponsor’s address 6900 WEDGWOOD ROAD N, STE 302, MAPLE GROVE, MN, 55311

Signature of

Role Plan administrator
Date 2015-07-02
Name of individual signing JEFF SMITH
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
MacAdam T Gordon Chief Executive Officer 6900 WEDGWOOD RD N STE 302, MAPLE GROVE, MN 55311–3509, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1987-05-06
Business Corporation (Domestic) Restated Articles 1982-08-11
Business Corporation (Domestic) Business Name (Business Name: Ray Smith Insurance Agency, Inc.) 1982-08-11
Original Filing - Business Corporation (Domestic) 1980-11-03
Business Corporation (Domestic) Business Name (Business Name: Ray Smith Agency, Inc.) 1980-11-03

Date of last update: 22 Feb 2025

Sources: Minnesota's Official State Website