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  5. Professional Liability Underwriting Society

Professional Liability Underwriting Society

Company Details

Name: Professional Liability Underwriting Society
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 02 Jun 1997 (28 years ago)
Company Number: 5cce995f-b3d4-e011-a886-001ec94ffe7f
File Number: 1P-824
Registered Office Address: 5353 Wayzata Blvd #600, Mpls, MN 55416, USA
ZIP code: 55416
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLUS EMPLOYEE RETIREMENT PLAN 2023 411605606 2024-02-06 PROFESSIONAL LIABILITY UNDERWRITING SOCIETY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 813000
Sponsor’s telephone number 9527462580
Plan sponsor’s address 5353 WAYZATA BLVD STE 306, MINNEAPOLIS, MN, 554161335

Signature of
Role Plan administrator
Date 2024-02-06
Name of individual signing SHELIA BOURGOYNE
Valid signature Filed with authorized/valid electronic signature
PLUS EMPLOYEE RETIREMENT PLAN 2022 411605606 2023-02-21 PROFESSIONAL LIABILITY UNDERWRITING SOCIETY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 813000
Sponsor’s telephone number 9527462580
Plan sponsor’s address 5353 WAYZATA BLVD STE 306, MINNEAPOLIS, MN, 554161335

Signature of
Role Plan administrator
Date 2023-02-21
Name of individual signing SHELIA BOURGOYNE
Valid signature Filed with authorized/valid electronic signature
PLUS EMPLOYEE RETIREMENT PLAN 2021 411605606 2022-09-28 PROFESSIONAL LIABILITY UNDERWRITING SOCIETY 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 813000
Sponsor’s telephone number 9527462580
Plan sponsor’s address 5353 WAYZATA BLVD STE 306, MINNEAPOLIS, MN, 554161335

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing SHELIA BOURGOYNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-28
Name of individual signing SHELIA BOURGOYNE
Valid signature Filed with authorized/valid electronic signature
PLUS EMPLOYEE RETIREMENT PLAN 2020 411605606 2021-10-19 PROFESSIONAL LIABILITY UNDERWRITING SOCIETY 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 813000
Sponsor’s telephone number 9527462580
Plan sponsor’s address 5353 WAYZATA BLVD STE 600, MINNEAPOLIS, MN, 554161335

Signature of
Role Plan administrator
Date 2021-10-19
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-19
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
PLUS EMPLOYEE RETIREMENT PLAN 2019 411605606 2020-10-13 PROFESSIONAL LIABILITY UNDERWRITING SOCIETY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 813000
Sponsor’s telephone number 9527462580
Plan sponsor’s address 5353 WAYZATA BLVD STE 600, MINNEAPOLIS, MN, 554161335

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
PLUS EMPLOYEE RETIREMENT PLAN 2018 411605606 2019-10-14 PROFESSIONAL LIABILITY UNDERWRITING SOCIETY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 813000
Sponsor’s telephone number 9527462580
Plan sponsor’s address 5353 WAYZATA BLVD STE 600, MINNEAPOLIS, MN, 554161335

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
PLUS EMPLOYEE RETIREMENT PLAN 2017 411605606 2018-08-15 PROFESSIONAL LIABILITY UNDERWRITING SOCIETY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 813000
Sponsor’s telephone number 9527462580
Plan sponsor’s address 5353 WAYZATA BLVD STE 600, MINNEAPOLIS, MN, 554161335

Signature of
Role Plan administrator
Date 2018-08-15
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-15
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
PLUS EMPLOYEE RETIREMENT PLAN 2016 411605606 2018-08-15 PROFESSIONAL LIABILITY UNDERWRITING SOCIETY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 813000
Sponsor’s telephone number 9527462580
Plan sponsor’s address 5353 WAYZATA BLVD STE 600, MINNEAPOLIS, MN, 554161335

Signature of
Role Plan administrator
Date 2018-08-15
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-15
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
PLUS EMPLOYEE RETIREMENT PLAN 2015 411605606 2018-08-15 PROFESSIONAL LIABILITY UNDERWRITING SOCIETY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 813000
Sponsor’s telephone number 9527462580
Plan sponsor’s address 5353 WAYZATA BLVD STE 600, MINNEAPOLIS, MN, 554161335

Signature of
Role Plan administrator
Date 2018-08-15
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-15
Name of individual signing SCOTT BILLEY
Valid signature Filed with authorized/valid electronic signature
PLUS EMPLOYEE RETIREMENT PLAN 2014 411605606 2015-06-26 PROFESSIONAL LIABILITY UNDERWRITING SOCIETY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-05-01
Business code 813000
Sponsor’s telephone number 9527462580
Plan sponsor’s address 5353 WAYZATA BLVD STE 600, MINNEAPOLIS, MN, 554161335

Signature of
Role Plan administrator
Date 2015-06-26
Name of individual signing DEREK HAZELTINE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-26
Name of individual signing DEREK HAZELTINE
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Jay Karp President 5353 WAYZATA BLVD STE 306, MINNEAPOLIS, MN 55416–1317, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 2003-05-22
Original Filing - Nonprofit Corporation (Domestic) 1997-06-02
Nonprofit Corporation (Domestic) Business Name (Business Name: Professional Liability Underwriting Society) 1997-06-02

Related by officers

No related officers

Related by address

5353 Wayzata Blvd #600, Mpls, MN 55416, USA

PLUS Foundation Apple & Apple, P.A.

Date of last update: 30 Dec 2024

Sources: Minnesota's Official State Website

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