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  5. Lake Park Insurance Agency, Inc.

Lake Park Insurance Agency, Inc.

Company Details

Name: Lake Park Insurance Agency, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 08 Jul 1996 (29 years ago)
Company Number: b558e472-a8d4-e011-a886-001ec94ffe7f
File Number: 9G-231
Registered Office Address: 2037 2nd Str PO Box 22, Lake Park, MN 56554, USA
Principal Executive Office Address: 2037 2nd St, Lake Park, MN 56554, United States
ZIP code: 56554
County: Becker County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE PARK INSURANCE AGENCY INC. 401(K) 2021 411844766 2022-05-10 LAKE PARK INSURANCE AGENCY INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2182385974
Plan sponsor’s address PO BOX 22, LAKE PARK, MN, 56554

Signature of
Role Plan administrator
Date 2022-05-10
Name of individual signing DEBRA NELSON
Valid signature Filed with authorized/valid electronic signature
LAKE PARK INSURANCE AGENCY INC. 401(K) 2020 411844766 2021-06-22 LAKE PARK INSURANCE AGENCY INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2182385974
Plan sponsor’s address PO BOX 22, LAKE PARK, MN, 56554

Signature of
Role Plan administrator
Date 2021-06-22
Name of individual signing DEBRA NELSON
Valid signature Filed with authorized/valid electronic signature
LAKE PARK INSURANCE AGENCY INC. 401(K) 2019 411844766 2020-07-24 LAKE PARK INSURANCE AGENCY INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2182385974
Plan sponsor’s address PO BOX 22, LAKE PARK, MN, 56554

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing DEBRA NELSON
Valid signature Filed with authorized/valid electronic signature
LAKE PARK INSURANCE AGENCY 401K 2018 411844766 2019-07-22 LAKE PARK INSURANCE AGENCY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2182385974
Plan sponsor’s address P.O. BOX 22, LAKE PARK, MN, 56554
LAKE PARK INSURANCE AGENCY 401K 2017 411844766 2018-07-19 LAKE PARK INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2182385974
Plan sponsor’s address P.O. BOX 22, LAKE PARK, MN, 56554
LAKE PARK INSURANCE AGENCY 401K 2016 411844766 2017-07-24 LAKE PARK INSURANCE AGENCY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2182385974
Plan sponsor’s address P.O. BOX 22, LAKE PARK, MN, 56554
LAKE PARK INSURANCE AGENCY 401K 2015 411844766 2016-07-22 LAKE PARK INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2182385974
Plan sponsor’s address P.O. BOX 22, LAKE PARK, MN, 56554
LAKE PARK INSURANCE AGENCY 401K 2014 411844766 2015-07-21 LAKE PARK INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2182385974
Plan sponsor’s address P.O. BOX 22, LAKE PARK, MN, 56554
LAKE PARK INSURANCE AGENCY 401K 2013 411844766 2014-07-22 LAKE PARK INSURANCE AGENCY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2182385974
Plan sponsor’s address P.O. BOX 22, LAKE PARK, MN, 56554
LAKE PARK INSURANCE AGENCY 401K 2012 411844766 2013-09-19 LAKE PARK INSURANCE AGENCY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2182385974
Plan sponsor’s address P.O. BOX 22, LAKE PARK, MN, 56554

Signature of
Role Plan administrator
Date 2013-09-19
Name of individual signing DEBRA NELSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Paul A Rogness Chief Executive Officer 1585 Andrews Drive, Pleasant Hill, IA 50327, United States

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2023-01-26
Original Filing - Business Corporation (Domestic) (Business Name: Lake Park Insurance Agency, Inc.) 1996-07-08

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website

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