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Hal Tiffany Agency, Inc.

Company Details

Name: Hal Tiffany Agency, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 20 Sep 1990 (34 years ago)
Company Number: 89b0a06f-b1d4-e011-a886-001ec94ffe7f
File Number: 6U-578
Registered Office Address: 2573B Hamline Ave N, Roseville, MN 55113, USA
Principal Executive Office Address: 2573 HAMLINE AVE N STE B, ROSEVILLE, MN 55113–3183, USA
ZIP code: 55113
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAL TIFFANY AGENCY INC. 401(K) PLAN 2023 411674621 2024-05-06 HAL TIFFANY AGENCY, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 6514844002
Plan sponsor’s address 2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113

Signature of

Role Plan administrator
Date 2024-05-06
Name of individual signing ERIC TIFFANY
Valid signature Filed with authorized/valid electronic signature
HAL TIFFANY AGENCY INC. 401(K) PLAN 2022 411674621 2023-06-13 HAL TIFFANY AGENCY, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 6514844002
Plan sponsor’s address 2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113

Signature of

Role Plan administrator
Date 2023-06-13
Name of individual signing HAL TIFFANY
Valid signature Filed with authorized/valid electronic signature
HAL TIFFANY AGENCY INC. 401(K) PLAN 2021 411674621 2022-05-24 HAL TIFFANY AGENCY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 6514844002
Plan sponsor’s address 2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113

Signature of

Role Plan administrator
Date 2022-05-24
Name of individual signing HAL TIFFANY
Valid signature Filed with authorized/valid electronic signature
HAL TIFFANY AGENCY INC. 401(K) PLAN 2020 411674621 2021-06-10 HAL TIFFANY AGENCY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 6514844002
Plan sponsor’s address 2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113

Signature of

Role Plan administrator
Date 2021-06-10
Name of individual signing HAL TIFFANY
Valid signature Filed with authorized/valid electronic signature
HAL TIFFANY AGENCY INC. 401(K) PLAN 2019 411674621 2020-05-29 HAL TIFFANY AGENCY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 6514844002
Plan sponsor’s address 2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113

Signature of

Role Plan administrator
Date 2020-05-29
Name of individual signing HAL TIFFANY
Valid signature Filed with authorized/valid electronic signature
HAL TIFFANY AGENCY INC. 401(K) PLAN 2018 411674621 2019-08-07 HAL TIFFANY AGENCY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 6514844002
Plan sponsor’s address 2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113

Signature of

Role Plan administrator
Date 2019-08-07
Name of individual signing HAL TIFFANY JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-07
Name of individual signing HAL TIFFANY, JR.
Valid signature Filed with authorized/valid electronic signature
HAL TIFFANY AGENCY INC. 401(K) PLAN 2017 411674621 2018-10-09 HAL TIFFANY AGENCY, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 6514844002
Plan sponsor’s address 2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113

Signature of

Role Plan administrator
Date 2018-10-09
Name of individual signing HAL TIFFANY JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing HAL TIFFANY JR
Valid signature Filed with authorized/valid electronic signature
HAL TIFFANY AGENCY INC. 401(K) PLAN 2016 411674621 2017-08-02 HAL TIFFANY AGENCY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 6514844002
Plan sponsor’s address 2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113

Signature of

Role Plan administrator
Date 2017-08-02
Name of individual signing HAL TIFFANY JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-02
Name of individual signing HAL TIFFANY JR
Valid signature Filed with authorized/valid electronic signature
HAL TIFFANY AGENCY INC. 401(K) PLAN 2015 411674621 2016-08-24 HAL TIFFANY AGENCY, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 6514844002
Plan sponsor’s address 2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113

Signature of

Role Plan administrator
Date 2016-08-24
Name of individual signing HAL TIFFANY JR
Valid signature Filed with authorized/valid electronic signature
HAL TIFFANY AGENCY INC. 401(K) PLAN 2014 411674621 2015-07-20 HAL TIFFANY AGENCY, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 6514844002
Plan sponsor’s address 2573 B HAMLINE AVENUE NORTH, ROSEVILLE, MN, 55113

Signature of

Role Plan administrator
Date 2015-07-20
Name of individual signing HAL TIFFANY JR
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Hal Tiffany Jr Chief Executive Officer 2573 HAMLINE AVE N STE B, ROSEVILLE, MN 55113–3183, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic)Change of Shares 2018-07-23
Annual Reinstatement - Business Corporation (Domestic) 2010-08-09
Administrative Dissolution - Business Corporation (Domestic) 2009-01-07
Registered Office and/or Agent - Business Corporation (Domestic) 1996-02-06
Original Filing - Business Corporation (Domestic) 1990-09-20
Business Corporation (Domestic) Business Name (Business Name: Hal Tiffany Agency, Inc.) 1990-09-20

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website