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  5. LAKELAND GENERAL STORE, INC.

LAKELAND GENERAL STORE, INC.

Company Details

Name: LAKELAND GENERAL STORE, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 26 Dec 1995 (29 years ago)
Company Number: 653acb7c-acd4-e011-a886-001ec94ffe7f
File Number: 8Y-996
Registered Office Address: 25034 Labrador Beach Trail, Pelican Rapids, MN 56572, USA
Principal Executive Office Address: 25034 LABRADOR BEACH TRL, PELICAN RAPIDS, MN 56572–7268, USA
ZIP code: 56572
County: Otter Tail County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKELAND GENERAL STORE, INC. 401(K) PLAN 2017 411827474 2018-07-02 LAKELAND GENERAL STORE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 444130
Sponsor’s telephone number 2188635703
Plan sponsor’s address 22438 OLD 59 ROAD, PELICAN RAPIDS, MN, 56572

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing CARLA A JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-02
Name of individual signing CARLA A JOHNSON
Valid signature Filed with authorized/valid electronic signature
LAKELAND GENERAL STORE 401K PLAN 2016 411827474 2017-06-26 LAKELAND GENERAL STORE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 444130
Sponsor’s telephone number 2188635703
Plan sponsor’s address 22438 OLD 59 RD, PELICAN RAPIDS, MN, 56572

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing CARLA JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-26
Name of individual signing CARLA JOHNSON
Valid signature Filed with authorized/valid electronic signature
LAKELAND GENERAL STORE 401K PLAN 2015 411827474 2016-09-08 LAKELAND GENERAL STORE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 444130
Sponsor’s telephone number 2188635703
Plan sponsor’s address 22438 OLD 59 RD, PELICAN RAPIDS, MN, 56572

Signature of
Role Plan administrator
Date 2016-09-08
Name of individual signing CARLA JOHNSON
Valid signature Filed with authorized/valid electronic signature
LAKELAND GENERAL STORE, INC. 401(K) 2014 411827474 2015-06-11 LAKELAND GENERAL STORE INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 444130
Sponsor’s telephone number 2188635703
Plan sponsor’s address 22438 OLD 59 RD, PELICAN RAPIDS, MN, 56572

Signature of
Role Plan administrator
Date 2015-06-11
Name of individual signing CARLA A. JOHNSON
Valid signature Filed with authorized/valid electronic signature
LAKELAND GENERAL STORE, INC. 401(K) 2013 411827474 2014-07-11 LAKELAND GENERAL STORE INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 444130
Sponsor’s telephone number 2188635703
Plan sponsor’s address 22438 OLD 59 RD, PELICAN RAPIDS, MN, 56572

Signature of
Role Plan administrator
Date 2014-07-11
Name of individual signing CARLA JOHNSON
Valid signature Filed with authorized/valid electronic signature
LAKELAND GENERAL STORE, INC. 401(K) 2012 411827474 2013-06-10 LAKELAND GENERAL STORE INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 444130
Sponsor’s telephone number 2188635703
Plan sponsor’s address 22438 OLD 59 RD, PELICAN RAPIDS, MN, 56572

Signature of
Role Plan administrator
Date 2013-06-10
Name of individual signing CARLA A. JOHNSON
Valid signature Filed with authorized/valid electronic signature
LAKELAND GENERAL STORE, INC. 401(K) 2011 411827474 2012-06-13 LAKELAND GENERAL STORE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 444130
Sponsor’s telephone number 2188635703
Plan sponsor’s address 22438 OLD 59 RD, PELICAN RAPIDS, MN, 56572

Plan administrator’s name and address
Administrator’s EIN 411827474
Plan administrator’s name LAKELAND GENERAL STORE INC
Plan administrator’s address 22438 OLD 59 RD, PELICAN RAPIDS, MN, 56572
Administrator’s telephone number 2188635703

Signature of
Role Plan administrator
Date 2012-06-13
Name of individual signing CARLA JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-13
Name of individual signing LAKELAND GENERAL STORE INC.
Valid signature Filed with authorized/valid electronic signature
LAKELAND GENERAL STORE, INC. 401(K) 2010 411827474 2011-05-22 LAKELAND GENERAL STORE INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 444130
Sponsor’s telephone number 2188635703
Plan sponsor’s address 22438 OLD 59 RD, PELICAN RAPIDS, MN, 56572

Plan administrator’s name and address
Administrator’s EIN 411827474
Plan administrator’s name LAKELAND GENERAL STORE INC
Plan administrator’s address 22438 OLD 59 RD, PELICAN RAPIDS, MN, 56572
Administrator’s telephone number 2188635703

Signature of
Role Plan administrator
Date 2011-05-17
Name of individual signing CARLA JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-17
Name of individual signing CARLA JOHNSON
Valid signature Filed with authorized/valid electronic signature
LAKELAND GENERAL STORE, INC. 401(K) 2009 411827474 2010-10-14 LAKELAND GENERAL STORE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 444130
Sponsor’s telephone number 2188635703
Plan sponsor’s address 22438 OLD 59 RD, PELICAN RAPIDS, MN, 56572

Plan administrator’s name and address
Administrator’s EIN 411827474
Plan administrator’s name LAKELAND GENERAL STORE INC
Plan administrator’s address 22438 OLD 59 RD, PELICAN RAPIDS, MN, 56572
Administrator’s telephone number 2188635703

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing CARLA JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing CARLA JOHNSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Robin Dale Johnson Chief Executive Officer 25034 Labrador Beach Trail, Pelican Rapids, MN 56572, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2021-04-12
Registered Office and/or Agent - Business Corporation (Domestic) 2002-01-23
Original Filing - Business Corporation (Domestic) 1995-12-26
Business Corporation (Domestic) Business Name (Business Name: LAKELAND GENERAL STORE, INC.) 1995-12-26

Related by officers

No related officers

Related by address

25034 Labrador Beach Trail, Pelican Rapids, MN 56572, USA

Dunvilla Storage & Rental, LLC

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website

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