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  5. First American Insurance Services, Inc.

First American Insurance Services, Inc.

Company Details

Name: First American Insurance Services, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 06 Jan 1992 (33 years ago)
Company Number: 7e881b3d-bad4-e011-a886-001ec94ffe7f
File Number: 7G-845
Registered Office Address: 423 S Main Str, Stewartville, MN 55976, USA
Principal Executive Office Address: 423 MAIN ST S, STEWARTVILLE, MN 55976–1697, United States
ZIP code: 55976
County: Olmsted County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIRST AMERICAN INSURANCE 401(K) PLAN 2023 411709886 2024-02-26 FIRST AMERICAN INSURANCE SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 5075334486
Plan sponsor’s address 423 SOUTH MAIN STREET, STEWARTVILLE, MN, 55976

Signature of
Role Plan administrator
Date 2024-02-26
Name of individual signing ALISHA NELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-02-26
Name of individual signing ALISHA NELSON
Valid signature Filed with authorized/valid electronic signature
FIRST AMERICAN INSURANCE 401(K) PLAN 2022 411709886 2023-04-12 FIRST AMERICAN INSURANCE SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 5075334486
Plan sponsor’s address 423 SOUTH MAIN STREET, STEWARTVILLE, MN, 55976

Signature of
Role Plan administrator
Date 2023-04-11
Name of individual signing ALISHA NELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-11
Name of individual signing ALISHA NELSON
Valid signature Filed with authorized/valid electronic signature
FIRST AMERICAN INSURANCE 401(K) PLAN 2021 411709886 2022-05-16 FIRST AMERICAN INSURANCE SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 5075334486
Plan sponsor’s address 423 SOUTH MAIN STREET, STEWARTVILLE, MN, 55976

Signature of
Role Plan administrator
Date 2022-05-16
Name of individual signing ALISHA NELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-16
Name of individual signing ALISHA NELSON
Valid signature Filed with authorized/valid electronic signature
FIRST AMERICAN INSURANCE 401(K) PLAN 2020 411709886 2021-05-11 FIRST AMERICAN INSURANCE SERVICES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 5075334486
Plan sponsor’s address 423 SOUTH MAIN STREET, STEWARTVILLE, MN, 55976

Signature of
Role Plan administrator
Date 2021-05-11
Name of individual signing ALISHA NELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-11
Name of individual signing ALISHA NELSON
Valid signature Filed with authorized/valid electronic signature
FIRST AMERICAN INSURANCE 401(K) PLAN 2019 411709886 2020-09-09 FIRST AMERICAN INSURANCE SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 5075334486
Plan sponsor’s address 423 SOUTH MAIN STREET, STEWARTVILLE, MN, 55976

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing ALISHA NELSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-09
Name of individual signing ALISHA NELSON
Valid signature Filed with authorized/valid electronic signature
FIRST AMERICAN INSURANCE 401(K) PLAN 2018 411709886 2019-06-24 FIRST AMERICAN INSURANCE SERVICES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 5075334486
Plan sponsor’s address 423 SOUTH MAIN STREET, STEWARTVILLE, MN, 559761365

Signature of
Role Plan administrator
Date 2019-06-24
Name of individual signing CHRIS STAFFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-24
Name of individual signing CHRIS STAFFORD
Valid signature Filed with authorized/valid electronic signature
FIRST AMERICAN INSURANCE 401(K) PLAN 2017 411709886 2018-06-01 FIRST AMERICAN INSURANCE SERVICES, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 5075334486
Plan sponsor’s address 423 SOUTH MAIN STREET, STEWARTVILLE, MN, 559761365

Signature of
Role Plan administrator
Date 2018-06-01
Name of individual signing CHRIS STAFFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-01
Name of individual signing CHRIS STAFFORD
Valid signature Filed with authorized/valid electronic signature
FIRST AMERICAN INSURANCE 401(K) PLAN 2016 411709886 2017-05-23 FIRST AMERICAN INSURANCE SERVICES, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 5075334486
Plan sponsor’s address 423 SOUTH MAIN STREET, STEWARTVILLE, MN, 559761365

Signature of
Role Plan administrator
Date 2017-05-23
Name of individual signing CHRIS STAFFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-23
Name of individual signing CHRIS STAFFORD
Valid signature Filed with authorized/valid electronic signature
FIRST AMERICAN INSURANCE 401(K) PLAN 2015 411709886 2016-06-08 FIRST AMERICAN INSURANCE SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 5075334486
Plan sponsor’s address 423 SOUTH MAIN STREET, STEWARTVILLE, MN, 559761365

Signature of
Role Plan administrator
Date 2016-06-08
Name of individual signing CHRIS STAFFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-08
Name of individual signing CHRIS STAFFORD
Valid signature Filed with authorized/valid electronic signature
FIRST AMERICAN INSURANCE 401(K) PLAN 2014 411709886 2015-07-16 FIRST AMERICAN INSURANCE SERVICES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 5075334486
Plan sponsor’s address 423 SOUTH MAIN STREET, STEWARTVILLE, MN, 559761365

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing CHRIS STAFFORD
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Alisha Nelson Chief Executive Officer 423 MAIN ST S, STEWARTVILLE, MN 55976–1697, USA

Agent

Name Role
Alisha Nelson Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2008-04-17
Original Filing - Business Corporation (Domestic) 1992-01-06
Business Corporation (Domestic) Business Name (Business Name: First American Insurance Services, Inc.) 1992-01-06

Related by officers

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Related by address

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Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website

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