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  5. Carlson-LaVine, Inc.

Carlson-LaVine, Inc.

Company Details

Name: Carlson-LaVine, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 22 Dec 1994 (30 years ago)
Company Number: 76fa3173-9dd4-e011-a886-001ec94ffe7f
File Number: 8M-641
Registered Office Address: 2965 Partridge Rd, Roseville, MN 55113, USA
Principal Executive Office Address: 2965 Partridge Road, Roseville, MN 55113, Ramsey
ZIP code: 55113
County: Ramsey County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
F3QWNTL5ARX5 2021-03-31 2965 PARTRIDGE RD, SAINT PAUL, MN, 55113, 1119, USA 2965 PARTRIDGE ROAD, SAINT PAUL, MN, 55113, USA

Business Information
Congressional District 04
State/Country of Incorporation MN, USA
Activation Date 2020-04-15
Initial Registration Date 2020-03-31
Entity Start Date 1941-01-01
Fiscal Year End Close Date Nov 30

Service Classifications
NAICS Codes 236210, 236220, 238130, 238140, 238310, 238350

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DAVID CARR
Role VICE PRESIDENT
Address 2965 PARTRIDGE ROAD, SAINT PAUL, MN, 55113, USA
Government Business
Title PRIMARY POC
Name DAVID CARR
Role VICE PRESIDENT
Address 2965 PARTRIDGE ROAD, SAINT PAUL, MN, 55113, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARLSON-LAVINE, INC. PROFIT SHARING PLAN 2023 411800715 2024-06-27 CARLSON-LAVINE, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 236200
Sponsor’s telephone number 6516389600
Plan sponsor’s address 2965 PARTRIDGE ROAD, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2024-06-25
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-25
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
CARLSON-LAVINE, INC. PROFIT SHARING PLAN 2022 411800715 2023-02-14 CARLSON-LAVINE, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 236200
Sponsor’s telephone number 6516389600
Plan sponsor’s address 2965 PARTRIDGE ROAD, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2023-02-14
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-14
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
CARLSON-LAVINE, INC. PROFIT SHARING PLAN 2021 411800715 2022-07-29 CARLSON-LAVINE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 236200
Sponsor’s telephone number 6516389600
Plan sponsor’s address 2965 PARTRIDGE ROAD, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2022-07-29
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-29
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
CARLSON-LAVINE, INC. PROFIT SHARING PLAN 2020 411800715 2021-02-02 CARLSON-LAVINE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 236200
Sponsor’s telephone number 6516389600
Plan sponsor’s address 2965 PARTRIDGE ROAD, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2021-02-02
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-02
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
CARLSON-LAVINE, INC. PROFIT SHARING PLAN 2019 411800715 2020-01-30 CARLSON-LAVINE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 236200
Sponsor’s telephone number 6516389600
Plan sponsor’s address 2965 PARTRIDGE ROAD, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2020-01-30
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-30
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
CARLSON-LAVINE, INC. PROFIT SHARING PLAN 2018 411800715 2019-07-23 CARLSON-LAVINE, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 236200
Sponsor’s telephone number 6516389600
Plan sponsor’s address 2965 PARTRIDGE ROAD, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing TOM SHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-23
Name of individual signing TOM SHAMP
Valid signature Filed with authorized/valid electronic signature
CARLSON-LAVINE, INC. PROFIT SHARING PLAN 2017 411800715 2018-11-20 CARLSON-LAVINE, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 236200
Sponsor’s telephone number 6516389600
Plan sponsor’s address 2965 PARTRIDGE ROAD, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2018-11-20
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-11-20
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
CARLSON-LAVINE, INC. PROFIT SHARING PLAN 2017 411800715 2018-07-02 CARLSON-LAVINE, INC. 11
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 236200
Sponsor’s telephone number 6516389600
Plan sponsor’s address 2965 PARTRIDGE ROAD, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-02
Name of individual signing THOMAS SHAMP
Valid signature Filed with authorized/valid electronic signature
CARLSON-LAVINE, INC. PROFIT SHARING PLAN 2016 411800715 2017-03-30 CARLSON-LAVINE, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 236200
Sponsor’s telephone number 6516389600
Plan sponsor’s address 2965 PARTRIDGE ROAD, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2017-03-30
Name of individual signing TOM SHAMP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-30
Name of individual signing TOM SHAMP
Valid signature Filed with authorized/valid electronic signature
CARLSON-LAVINE, INC. PROFIT SHARING PLAN 2015 411800715 2016-04-28 CARLSON-LAVINE, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 236200
Sponsor’s telephone number 6516389600
Plan sponsor’s address 2965 PARTRIDGE ROAD, ROSEVILLE, MN, 55113

Signature of
Role Plan administrator
Date 2016-04-27
Name of individual signing LORI BAERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-27
Name of individual signing LORI BAERG
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Thomas Shamp Chief Executive Officer 2965 Partridge Road, Roseville, MN 55113, Ramsey

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2002-02-20
Business Corporation (Domestic) Business Name (Business Name: Carlson-LaVine, Inc.) 1995-03-27
Original Filing - Business Corporation (Domestic) 1994-12-22
Business Corporation (Domestic) Business Name (Business Name: Shamp Construction, Inc.) 1994-12-22

Related by officers

Thomas Shamp

Carlson-LaVine Development Co., LLC

Related by address

2965 Partridge Rd, Roseville, MN 55113, USA

Carlson-LaVine Development Co., LLC

Date of last update: 23 Sep 2024

Sources: Minnesota's Official State Website

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