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  5. Hedstrom Insurance Agency, Inc.

Hedstrom Insurance Agency, Inc.

Company Details

Name: Hedstrom Insurance Agency, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 11 Aug 1989 (35 years ago)
Company Number: 543e5c12-a7d4-e011-a886-001ec94ffe7f
File Number: 6K-11
Registered Office Address: 680 Riverwood Dr. S.W., Owatonna, MN 55060, USA
Principal Executive Office Address: 680 Riverwood Dr SW, Owatonna, MN 55060, USA
ZIP code: 55060
County: Steele County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEDSTROM INSURANCE AGENCY INC 401K PROFIT SHARIN G PLAN 2016 411645976 2017-08-21 HEDSTROM INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5074519001
Plan sponsor’s address 140 E. ROSE ST. - BOX 646, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2017-08-21
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-21
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
HEDSTROM INSURANCE AGENCY INC 401K PROFIT SHARIN G PLAN 2015 411645976 2016-07-14 HEDSTROM INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5074519001
Plan sponsor’s address 140 E. ROSE ST. - BOX 646, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-14
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
HEDSTROM INSURANCE AGENCY INC 401K PROFIT SHARIN G PLAN 2014 411645976 2015-07-15 HEDSTROM INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5074519001
Plan sponsor’s address 140 E. ROSE ST. - BOX 646, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
HEDSTROM INSURANCE AGENCY, INC. 401K PROFIT SHARI G PLAN 2013 411645976 2014-07-18 HEDSTROM INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5074519001
Plan sponsor’s address 140 E. ROSE ST. - BOX 646, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2014-07-18
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-18
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
HEDSTROM INSURANCE AGENCY, INC. 401K PROFIT SHARI G PLAN 2012 411645976 2013-07-24 HEDSTROM INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5074519001
Plan sponsor’s address 140 E. ROSE ST. - BOX 646, OWATONNA, MN, 55060

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-24
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
HEDSTROM INSURANCE AGENCY, INC. 401K PROFIT SHARI G PLAN 2011 411645976 2012-07-23 HEDSTROM INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5074519001
Plan sponsor’s address 140 E. ROSE ST. - BOX 646, OWATONNA, MN, 55060

Plan administrator’s name and address
Administrator’s EIN 411645976
Plan administrator’s name HEDSTROM INSURANCE AGENCY, INC.
Plan administrator’s address 140 E. ROSE ST. - BOX 646, OWATONNA, MN, 55060
Administrator’s telephone number 5074519001

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-23
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
HEDSTROM INSURANCE AGENCY, INC. 401K PROFIT SHARI G PLAN 2010 411645976 2011-07-25 HEDSTROM INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5074519001
Plan sponsor’s address 140 E. ROSE ST. - BOX 646, OWATONNA, MN, 55060

Plan administrator’s name and address
Administrator’s EIN 411645976
Plan administrator’s name HEDSTROM INSURANCE AGENCY, INC.
Plan administrator’s address 140 E. ROSE ST. - BOX 646, OWATONNA, MN, 55060
Administrator’s telephone number 5074519001

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-25
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
HEDSTROM INSURANCE AGENCY, INC. 401K PROFIT SHARI G PLAN 2009 411645976 2010-07-30 HEDSTROM INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5074519001
Plan sponsor’s address 140 E. ROSE ST. - BOX 646, OWATONNA, MN, 55060

Plan administrator’s name and address
Administrator’s EIN 411645976
Plan administrator’s name HEDSTROM INSURANCE AGENCY, INC.
Plan administrator’s address 140 E. ROSE ST. - BOX 646, OWATONNA, MN, 55060
Administrator’s telephone number 5074519001

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing GARY HEDSTROM
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Gary W Hedstrom Chief Executive Officer 680 Riverwood Dr SW, Owatonna, MN 55060, USA

Agent

Name Role
Gary W Hedstrom Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2018-11-06
Original Filing - Business Corporation (Domestic) (Business Name: Hedstrom Insurance Agency, Inc.) 1989-08-11

Related by officers

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Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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