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ARLAN ANDERSON AGENCY, INC.

Company Details

Name: ARLAN ANDERSON AGENCY, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 06 Feb 1997 (28 years ago)
Company Number: 95ac4521-aad4-e011-a886-001ec94ffe7f
File Number: 9N-361
Registered Office Address: 1023 Jefferson Court Box 7, Argyle, MN 56713, USA
Principal Executive Office Address: 105 S Division Str, Warren, MN 56762, USA
ZIP code: 56713
County: Marshall County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ARLAN ANDERSON AGENCY, INC. 401(K) PLAN 2023 411866206 2024-07-01 ARLAN ANDERSON AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 524210
Sponsor’s telephone number 2187454631
Plan sponsor’s address 105 S. DIVISION ST, WARREN, MN, 56762
ARLAN ANDERSON AGENCY, INC. 401(K) PLAN 2022 411866206 2023-05-08 ARLAN ANDERSON AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 524210
Sponsor’s telephone number 2187454631
Plan sponsor’s address 105 S. DIVISION ST, WARREN, MN, 56762

Signature of

Role Plan administrator
Date 2023-05-08
Name of individual signing SHAWN ANDERSON
Valid signature Filed with authorized/valid electronic signature
ARLAN ANDERSON AGENCY, INC. 401(K) PLAN 2021 411866206 2022-11-14 ARLAN ANDERSON AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 524210
Sponsor’s telephone number 2187454631
Plan sponsor’s address 105 SOUTH DIVISION STREET, WARREN, MN, 56762

Signature of

Role Plan administrator
Date 2022-11-14
Name of individual signing SHAWN ANDERSON
Valid signature Filed with authorized/valid electronic signature
ARLAN ANDERSON AGENCY, INC. 401(K) PLAN 2020 411866206 2021-10-13 ARLAN ANDERSON AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 524210
Sponsor’s telephone number 2187454631
Plan sponsor’s address 105 S DIVISION STREET, WARREN, MN, 56762

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing SHAWN ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing SHAWN ANDERSON
Valid signature Filed with authorized/valid electronic signature
ARLAN ANDERSON AGENCY, INC. 401(K) PLAN 2019 411866206 2020-09-08 ARLAN ANDERSON AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 524210
Sponsor’s telephone number 2187454631
Plan sponsor’s address 105 S DIVISION ST, WARREN, MN, 56762

Signature of

Role Plan administrator
Date 2020-09-08
Name of individual signing SHAWN ANDERSON
Valid signature Filed with authorized/valid electronic signature
ARLAN ANDERSON AGENCY, INC. 401(K) PLAN 2018 411866206 2019-09-20 ARLAN ANDERSON AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 524210
Sponsor’s telephone number 2187454631
Plan sponsor’s address 105 SOUTH DIVISION STREET, WARREN, MN, 56762

Signature of

Role Plan administrator
Date 2019-09-20
Name of individual signing SHAWN ANDERSON
Valid signature Filed with authorized/valid electronic signature
ARLAN ANDERSON AGENCY, INC. 401(K) PLAN 2017 411866206 2018-10-12 ARLAN ANDERSON AGENCY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 524210
Sponsor’s telephone number 2187454631
Plan sponsor’s address 105 SOUTH DIVISION STREET, WARREN, MN, 56762

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing SHAWN ANDERSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Shawn Anderson Chief Executive Officer 105 S Division Str, Warren, MN 56762, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: ARLAN ANDERSON AGENCY, INC.) 1997-02-06

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website