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  5. Kyle Casey Insurance Agency Inc

Kyle Casey Insurance Agency Inc

Company Details

Name: Kyle Casey Insurance Agency Inc
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 29 Apr 2019 (6 years ago)
Company Number: 6b3ef578-576b-e911-9173-00155d01b32c
File Number: 1082540700058
Registered Office Address: 799 S Pokegama Ave, Grand Rapids, MN 55744, USA
ZIP code: 55744
County: Itasca County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KYLE CASEY INSURANCE AGENCY 401(K) P/S PLAN 2023 473660621 2024-05-22 KYLE CASEY INSURANCE AGENCY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2182569099
Plan sponsor’s address 799 S POKEGAMA AVE, GRAND RAPIDS, MN, 55744

Signature of
Role Plan administrator
Date 2024-05-22
Name of individual signing KYLE CASEY
Valid signature Filed with authorized/valid electronic signature
KYLE CASEY INSURANCE AGENCY 401(K) P/S PLAN 2022 473660621 2023-06-21 KYLE CASEY INSURANCE AGENCY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2182569099
Plan sponsor’s address 799 S POKEGAMA AVE, GRAND RAPIDS, MN, 55744

Plan administrator’s name and address
Administrator’s EIN 473660621
Plan administrator’s name KYLE CASEY INSURANCE AGENCY
Plan administrator’s address 799 S POKEGAMA AVE, GRAND RAPIDS, MN, 55744
Administrator’s telephone number 2182569099

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing KYLE CASEY
Valid signature Filed with authorized/valid electronic signature
KYLE CASEY INSURANCE AGENCY 401(K) P/S PLAN 2021 473660621 2022-05-06 KYLE CASEY INSURANCE AGENCY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2182569099
Plan sponsor’s address 799 S POKEGAMA AVE, GRAND RAPIDS, MN, 55744

Plan administrator’s name and address
Administrator’s EIN 473660621
Plan administrator’s name KYLE CASEY INSURANCE AGENCY
Plan administrator’s address 799 S POKEGAMA AVE, GRAND RAPIDS, MN, 55744
Administrator’s telephone number 2182569099

Signature of
Role Plan administrator
Date 2022-05-06
Name of individual signing KYLE CASEY
Valid signature Filed with authorized/valid electronic signature
KYLE CASEY INSURANCE AGENCY 401(K) P/S PLAN 2020 473660621 2021-04-05 KYLE CASEY INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2182569099
Plan sponsor’s address 799 S POKEGAMA AVE, GRAND RAPIDS, MN, 55744

Plan administrator’s name and address
Administrator’s EIN 473660621
Plan administrator’s name KYLE CASEY INSURANCE AGENCY
Plan administrator’s address 799 S POKEGAMA AVE, GRAND RAPIDS, MN, 55744
Administrator’s telephone number 2182569099

Signature of
Role Plan administrator
Date 2021-04-05
Name of individual signing KYLE CASEY
Valid signature Filed with authorized/valid electronic signature
KYLE CASEY INSURANCE AGENCY 401(K) P/S PLAN 2019 473660621 2020-05-20 KYLE CASEY INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2182569099
Plan sponsor’s address 799 S POKEGAMA AVE, GRAND RAPIDS, MN, 55744

Plan administrator’s name and address
Administrator’s EIN 473660621
Plan administrator’s name KYLE CASEY INSURANCE AGENCY
Plan administrator’s address 799 S POKEGAMA AVE, GRAND RAPIDS, MN, 55744
Administrator’s telephone number 2182569099

Signature of
Role Plan administrator
Date 2020-05-20
Name of individual signing KYLE CASEY
Valid signature Filed with authorized/valid electronic signature
KYLE CASEY INSURANCE AGENCY 401(K) P/S PLAN 2018 473660621 2019-02-26 KYLE CASEY INSURANCE AGENCY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2182569099
Plan sponsor’s address 799 S POKEGAMA AVE, GRAND RAPIDS, MN, 55744

Plan administrator’s name and address
Administrator’s EIN 473660621
Plan administrator’s name KYLE CASEY INSURANCE AGENCY
Plan administrator’s address 799 S POKEGAMA AVE, GRAND RAPIDS, MN, 55744
Administrator’s telephone number 2182569099

Signature of
Role Plan administrator
Date 2019-02-26
Name of individual signing KYLE CASEY INSURANCE AGENCY
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Kyle B Casey Chief Executive Officer 799 S Pokegama Ave, Grand Rapids, mn 55744, USA

Agent

Name Role
Kyle Casey Agent

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: Kyle Casey Insurance Agency Inc) 2019-04-29

Related by officers

Kyle Casey

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Related by address

799 S Pokegama Ave, Grand Rapids, MN 55744, USA

Kyle Casey Insurance Agency L. L. C.

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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