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Custom Automation, Inc.

Company Details

Name: Custom Automation, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 28 Jun 1993 (32 years ago)
Company Number: 75c80f78-9ad4-e011-a886-001ec94ffe7f
File Number: 7W-215
Registered Office Address: 9220 Isanti Str NE, Blaine, MN 55449, USA
Principal Executive Office Address: 9220 ISANTI ST NE, BLAINE, MN 55449–4360, USA
ZIP code: 55449
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUSTOM AUTOMATION INC. 401(K) PLAN 2023 411754708 2024-06-24 CUSTOM AUTOMATION, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 333200
Sponsor’s telephone number 7637929434
Plan sponsor’s address 9220 ISANTI STREET NORTHEAST, BLAINE, MN, 55449
CUSTOM AUTOMATION INC. 401(K) PLAN 2022 411754708 2023-06-28 CUSTOM AUTOMATION, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 333200
Sponsor’s telephone number 7637929434
Plan sponsor’s address 9220 ISANTI STREET NORTHEAST, BLAINE, MN, 55449
CUSTOM AUTOMATION, INC. 401(K) PROFIT SHARING PLAN 2021 411754708 2022-04-30 CUSTOM AUTOMATION, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 333200
Sponsor’s telephone number 7637929434
Plan sponsor’s address 9220 ISANTI STREET NE, BLAINE, MN, 55449

Signature of

Role Plan administrator
Date 2022-04-30
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-30
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
CUSTOM AUTOMATION, INC. 401(K) PROFIT SHARING PLAN 2020 411754708 2021-07-06 CUSTOM AUTOMATION, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 333200
Sponsor’s telephone number 7637929434
Plan sponsor’s address 9220 ISANTI STREET NE, BLAINE, MN, 55449

Signature of

Role Plan administrator
Date 2021-07-06
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-06
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
CUSTOM AUTOMATION, INC. 401(K) PROFIT SHARING PLAN 2019 411754708 2020-03-11 CUSTOM AUTOMATION, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 333200
Sponsor’s telephone number 7637929434
Plan sponsor’s address 9220 ISANTI STREET NE, BLAINE, MN, 55449

Signature of

Role Plan administrator
Date 2020-03-11
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-11
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
CUSTOM AUTOMATION, INC. 401(K) PROFIT SHARING PLAN 2018 411754708 2019-02-01 CUSTOM AUTOMATION, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 333200
Sponsor’s telephone number 7637929434
Plan sponsor’s address 9220 ISANTI STREET NE, BLAINE, MN, 55449

Signature of

Role Plan administrator
Date 2019-02-01
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-01
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
CUSTOM AUTOMATION, INC. 401(K) PROFIT SHARING PLAN 2017 411754708 2018-07-24 CUSTOM AUTOMATION, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 333200
Sponsor’s telephone number 7637929434
Plan sponsor’s address 9220 ISANTI STREET NE, BLAINE, MN, 55449

Signature of

Role Plan administrator
Date 2018-07-24
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-24
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
CUSTOM AUTOMATION, INC. 401(K) PROFIT SHARING PLAN 2016 411754708 2017-02-07 CUSTOM AUTOMATION, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 333200
Sponsor’s telephone number 7637929434
Plan sponsor’s address 9220 ISANTI STREET NE, BLAINE, MN, 55449

Signature of

Role Plan administrator
Date 2017-02-07
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
CUSTOM AUTOMATION, INC. 401(K) PROFIT SHARING PLAN 2015 411754708 2016-03-08 CUSTOM AUTOMATION, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 333200
Sponsor’s telephone number 7637929434
Plan sponsor’s address 9220 ISANTI STREET NE, BLAINE, MN, 55449

Signature of

Role Plan administrator
Date 2016-03-08
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-08
Name of individual signing CUSTOM AUTOMATION INC.
Valid signature Filed with authorized/valid electronic signature
CUSTOM AUTOMATION, INC. 401(K) PROFIT SHARING PLA 2014 411754708 2015-06-01 CUSTOM AUTOMATION, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-01
Business code 333200
Sponsor’s telephone number 7637929434
Plan sponsor’s address 9220 ISANTI STREET NE, BLAINE, MN, 55449

Signature of

Role Plan administrator
Date 2015-06-01
Name of individual signing ANDREW LARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-01
Name of individual signing CUSTOM AUTOMATION INC.
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Andrew A Larson Chief Executive Officer 9220 ISANTI ST NE, BLAINE, MN 55449–4360, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1996-02-20
Original Filing - Business Corporation (Domestic) 1993-06-28
Business Corporation (Domestic) Business Name (Business Name: Custom Automation, Inc.) 1993-06-28

Date of last update: 21 Jan 2025

Sources: Minnesota's Official State Website