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Derheim Inc.

Company Details

Name: Derheim Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Foreign)
Status: Inactive
Date formed: 02 Nov 2017 (7 years ago)
Company Number: a53856de-efbf-e711-8189-00155d01c6c6
File Number: 977560000025
Registered Office Address: 18288 Kingsway Path, Lakeville, MN 55044, USA
Mailing Address: 4021 Main Ave, Suite E, Fargo, Nd 58103, USA
ZIP code: 55044
County: Dakota County
Place of Formation: North Dakota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERHEIM, INC 401(K) PLAN 2021 450439910 2022-05-20 DERHEIM, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 238900
Sponsor’s telephone number 7014761732
Plan sponsor’s address 2809 HIGHWAY 10 E, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2022-05-20
Name of individual signing TROY DERHEIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-20
Name of individual signing TROY DERHEIM
Valid signature Filed with authorized/valid electronic signature
DERHEIM, INC 401(K) PLAN 2020 450439910 2021-10-05 DERHEIM, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 238900
Sponsor’s telephone number 7014761732
Plan sponsor’s address 2809 HIGHWAY 10 E, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2021-10-05
Name of individual signing TROY DERHEIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-05
Name of individual signing TROY DERHEIM
Valid signature Filed with authorized/valid electronic signature
DERHEIM, INC 401(K) PLAN 2019 450439910 2020-07-07 DERHEIM, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 238900
Sponsor’s telephone number 7014761732
Plan sponsor’s address 2809 HIGHWAY 10 E, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2020-07-07
Name of individual signing TROY DERHEIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-07
Name of individual signing TROY DERHEIM
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Troy Derheim Chief Executive Officer 331 George Lane, Harwood, nd 58042, USA

Agent

Name Role
Derhiem Inc Agent

Filing

Filing Name Filing date
Revocation - Business Corporation (Foreign) 2020-02-19
Original Filing - Business Corporation (Foreign) (Business Name: Derheim Inc.) 2017-11-02

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website