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  5. National Insurance Brokers, Inc.

National Insurance Brokers, Inc.

Headquarter

Company Details

Name: National Insurance Brokers, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 20 Mar 1995 (30 years ago)
Company Number: 914d3e19-a8d4-e011-a886-001ec94ffe7f
File Number: 8P-976
Registered Office Address: 25 Lake Street North, Suite 100, Forest Lake, MN 55025, USA
Principal Executive Office Address: 25 Lake Street North, Suite 100, Forst Lake, MN 55025, USA
ZIP code: 55025
County: Anoka County
Place of Formation: Minnesota

Links between entities

Type Company Name Company Number State
Headquarter of National Insurance Brokers, Inc., NEW YORK 6703168 NEW YORK

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NATIONAL INSURANCE BROKERS, INC 401K RETIREMENT SAVINGS PLAN 2023 411807859 2024-08-19 NATIONAL INSURANCE BROKERS, INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 7632918177
Plan sponsor’s address 25 LAKE STREET N, SUITE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2024-08-19
Name of individual signing SAMANTHA BARRON
Valid signature Filed with authorized/valid electronic signature
NATIONAL INSURANCE BROKERS, INC 401K RETIREMENT SAVINGS PLAN 2022 411807859 2023-11-01 NATIONAL INSURANCE BROKERS, INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 6129637631
Plan sponsor’s address 25 LAKE STREET N, SUITE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2023-11-01
Name of individual signing PETER FOLLESE
Valid signature Filed with authorized/valid electronic signature
NATIONAL INSURANCE BROKERS, INC 401K RETIREMENT SAVINGS PLAN 2021 411807859 2022-06-01 NATIONAL INSURANCE BROKERS, INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 7633984024
Plan sponsor’s address 25 LAKE STREET N, SUITE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing JANE MILLER
Valid signature Filed with authorized/valid electronic signature
NATIONAL INSURANCE BROKERS, INC 401K RETIREMENT SAVINGS PLAN 2020 411807859 2021-07-29 NATIONAL INSURANCE BROKERS, INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 7633984024
Plan sponsor’s address 25 LAKE STREET N, SUITE 100, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing JANE MILLER
Valid signature Filed with authorized/valid electronic signature
NATIONAL INSURANCE BROKERS, INC 401K RETIREMENT SAVINGS PLAN 2019 411807859 2020-07-30 NATIONAL INSURANCE BROKERS, INC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 7633984024
Plan sponsor’s address 20 LAKE STREET NORTH, SUITE 105, FOREST LAK, MN, 55025

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing JANE MILLER
Valid signature Filed with authorized/valid electronic signature
NATIONAL INSURANCE BROKERS, INC RETIREMENT SAVINGS PLAN 2018 411807859 2019-06-20 NATIONAL INSURANCE BROKERS, INC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 7633984024
Plan sponsor’s address 15020 27TH AVE N, PLYMOUTH, MN, 55447

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing JANE MILLER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jason C. Richmond Chief Executive Officer 20 Lake Street North, Suite 100, Forest Lake, MN 55025, USA

Agent

Name Role
Jason Carl Richmond Agent

Filing

Filing Name Filing date
Converted to Limited Liability Company (Domestic) 2023-03-31
Amendment - Business Corporation (Domestic) 2019-08-15
Amendment - Business Corporation (Domestic) (Business Name: National Insurance Brokers, Inc.) 2018-08-17
Registered Office and/or Agent - Business Corporation (Domestic) 1998-01-16
Original Filing - Business Corporation (Domestic) 1995-03-20
Business Corporation (Domestic) Business Name (Business Name: Insurance Advisors, Inc.) 1995-03-20

Related by officers

Jason C. Richmond

Richmond Investments, Inc. RICHMOND INVESTMENTS, LLC Forest Lake Properties LLC NuCorp Ltd.

Jason Carl Richmond

NuCorp Ltd.

Related by address

No related companies by address

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website

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