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  5. Adam R. Peterson, Inc.

Adam R. Peterson, Inc.

Company Details

Name: Adam R. Peterson, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 13 Jan 2015 (10 years ago)
Company Number: b1534c48-369b-e411-ae63-001ec94ffe7f
File Number: 803433600038
Registered Office Address: 625 NE 4th Str, Grand Rapids, MN 55744, USA
Principal Executive Office Address: 625 NE 4TH ST., GRAND RAPIDS, MN 55744, USA
ZIP code: 55744
County: Itasca County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADAM R. PETERSON, INC. 401(K) PLAN 2023 473028257 2024-04-23 ADAM R. PETERSON, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2183265757
Plan sponsor’s address 625 NE FOURTH STREET, GRAND RAPIDS, MN, 55744

Signature of
Role Plan administrator
Date 2024-04-23
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-23
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
ADAM R. PETERSON, INC. 401(K) PLAN 2022 473028257 2023-07-10 ADAM R. PETERSON, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2183265757
Plan sponsor’s address 625 NE FOURTH STREET, GRAND RAPIDS, MN, 55744

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-10
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
ADAM R. PETERSON, INC. 401(K) PLAN 2021 473028257 2022-07-20 ADAM R. PETERSON, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2183265757
Plan sponsor’s address 625 NE FOURTH STREET, GRAND RAPIDS, MN, 55744

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-20
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
ADAM R. PETERSON, INC. 401(K) PLAN 2020 473028257 2021-06-14 ADAM R. PETERSON, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2183265757
Plan sponsor’s address 625 NE FOURTH STREET, GRAND RAPIDS, MN, 55744

Signature of
Role Plan administrator
Date 2021-06-14
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-14
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
ADAM R. PETERSON, INC. 401(K) PLAN 2019 473028257 2020-06-25 ADAM R. PETERSON, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2183265757
Plan sponsor’s address 625 NE FOURTH STREET, GRAND RAPIDS, MN, 55744

Signature of
Role Plan administrator
Date 2020-06-25
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-25
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
ADAM R. PETERSON, INC. 401(K) PLAN 2018 473028257 2019-10-04 ADAM R. PETERSON, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2183265737
Plan sponsor’s address 625 NE FOURTH STREET, GRAND RAPIDS, MN, 55744

Signature of
Role Plan administrator
Date 2019-10-04
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
ADAM PETERSON Chief Executive Officer 625 NE 4TH ST., GRAND RAPIDS, MN 55744, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: Adam R. Peterson, Inc.) 2015-01-13

Related by officers

No related officers

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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