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Teresa Holwerda Insurance Agency, Inc.

Company Details

Name: Teresa Holwerda Insurance Agency, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 10 May 1996 (29 years ago)
Company Number: 7b488b62-a3d4-e011-a886-001ec94ffe7f
File Number: 9E-350
Registered Office Address: 801 S 1st Str, Willmar, MN 56201, USA
Principal Executive Office Address: 801 1ST ST S, WILLMAR, MN 56201–3505, USA
ZIP code: 56201
County: Kandiyohi County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TERESA HOLWERDA INSURANCE AGENCY, INC 401(K) PLAN 2023 411841852 2024-04-25 TERESA HOLWERDA INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3202312746
Plan sponsor’s address 801 S. 1ST STREET, WILLMAR, MN, 56201

Signature of

Role Plan administrator
Date 2024-04-25
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-25
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
TERESA HOLWERDA INSURANCE AGENCY, INC 401(K) PLAN 2022 411841852 2023-05-25 TERESA HOLWERDA INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3202312746
Plan sponsor’s address 801 S. 1ST STREET, WILLMAR, MN, 56201

Signature of

Role Plan administrator
Date 2023-05-25
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-25
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
TERESA HOLWERDA INSURANCE AGENCY, INC 401(K) PLAN 2021 411841852 2022-05-12 TERESA HOLWERDA INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3202312746
Plan sponsor’s address 801 S. 1ST STREET, WILLMAR, MN, 56201

Signature of

Role Plan administrator
Date 2022-05-12
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-12
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
TERESA HOLWERDA INSURANCE AGENCY, INC 401(K) PLAN 2020 411841852 2021-04-29 TERESA HOLWERDA INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3202312746
Plan sponsor’s address 801 S. 1ST STREET, WILLMAR, MN, 56201

Signature of

Role Plan administrator
Date 2021-04-29
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-29
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
TERESA HOLWERDA INSURANCE AGENCY, INC 401(K) PLAN 2019 411841852 2020-05-28 TERESA HOLWERDA INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3202312746
Plan sponsor’s address 801 S. 1ST STREET, WILLMAR, MN, 56201

Signature of

Role Plan administrator
Date 2020-05-28
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-28
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
TERESA HOLWERDA INSURANCE AGENCY, INC 401(K) PLAN 2018 411841852 2019-05-10 TERESA HOLWERDA INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3202312746
Plan sponsor’s address 801 S. 1ST STREET, WILLMAR, MN, 56201

Signature of

Role Plan administrator
Date 2019-05-10
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-10
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
TERESA HOLWERDA INSURANCE AGENCY, INC 401(K) PLAN 2017 411841852 2018-05-14 TERESA HOLWERDA INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3202312746
Plan sponsor’s address 801 S. 1ST STREET, WILLMAR, MN, 56201

Signature of

Role Plan administrator
Date 2018-05-14
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-14
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
TERESA HOLWERDA INSURANCE AGENCY, INC 401(K) PLAN 2016 411841852 2017-05-25 TERESA HOLWERDA INSURANCE AGENCY, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3202312746
Plan sponsor’s address 801 S. 1ST STREET, WILLMAR, MN, 56201

Signature of

Role Plan administrator
Date 2017-05-25
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-25
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
TERESA HOLWERDA INSURANCE AGENCY, INC 401(K) PLAN 2015 411841852 2016-05-20 TERESA HOLWERDA INSURANCE AGENCY, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3202312746
Plan sponsor’s address 801 S. 1ST STREET, WILLMAR, MN, 56201

Signature of

Role Plan administrator
Date 2016-05-20
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-20
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
TERESA HOLWERDA INSURANCE AGENCY, INC. 401(K) PLAN 2014 411841852 2015-01-19 TERESA HOLWERDA INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3202312746
Plan sponsor’s address 801 S. 1ST ST., WILLMAR, MN, 56201

Signature of

Role Plan administrator
Date 2015-01-19
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-19
Name of individual signing TERESA HOLWERDA
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Teresa Holwerda Chief Executive Officer 801 1ST ST S, WILLMAR, MN 56201–3505, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2005-03-24
Original Filing - Business Corporation (Domestic) 1996-05-10
Business Corporation (Domestic) Business Name (Business Name: Teresa Holwerda Insurance Agency, Inc.) 1996-05-10

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website