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Lake Region Electric Cooperative

Company Details

Name: Lake Region Electric Cooperative
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 09 Dec 1992 (32 years ago)
Company Number: bc1fdd3c-b9d4-e011-a886-001ec94ffe7f
File Number: 125643
Principal Place of Business Address: 1401 S Broadway PO Box 643, Pelican Rapids, MN 56572–0643, USA
ZIP code: 56572
County: Otter Tail County
Place of Formation: Minnesota

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
1MQ61 Obsolete Non-Manufacturer 1999-09-27 2024-07-25 No data 2025-07-23

Contact Information

POC AMANDA FULLER
Phone +1 218-863-9821
Fax +1 218-863-1172
Address 1401 S BROADWAY, PELICAN RAPIDS, MN, 56572 4723, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE REGION ELECTRIC COOPERATIVE 401(K) PLAN 2023 410363020 2024-10-14 LAKE REGION ELECTRIC COOPERATIVE 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 221100
Sponsor’s telephone number 8004971425
Plan sponsor’s address P.O. BOX 643, PELICAN RAPIDS, MN, 565720643

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing TIFFINI DANKERT
Valid signature Filed with authorized/valid electronic signature
LAKE REGION ELECTRIC COOPERATIVE 401(K) PLAN 2022 410363020 2023-10-16 LAKE REGION ELECTRIC COOPERATIVE 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 221100
Sponsor’s telephone number 8004971425
Plan sponsor’s address P.O. BOX 643, PELICAN RAPIDS, MN, 565720643

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing TIFFINI DANKERT
Valid signature Filed with authorized/valid electronic signature
LAKE REGION ELECTRIC COOPERATIVE 401(K) PLAN 2021 410363020 2022-10-17 LAKE REGION ELECTRIC COOPERATIVE 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 221100
Sponsor’s telephone number 8004971425
Plan sponsor’s address P.O. BOX 643, PELICAN RAPIDS, MN, 565720643

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing THERESA HALVERSON
Valid signature Filed with authorized/valid electronic signature
LAKE REGION ELECTRIC COOPERATIVE 401(K) PLAN 2020 410363020 2021-07-29 LAKE REGION ELECTRIC COOPERATIVE 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 221100
Sponsor’s telephone number 8004971425
Plan sponsor’s address P.O. BOX 643, PELICAN RAPIDS, MN, 565720643

Signature of

Role Plan administrator
Date 2021-07-29
Name of individual signing THERESA HALVERSON
Valid signature Filed with authorized/valid electronic signature
LAKE REGION ELECTRIC COOPERATIVE 401(K) PLAN 2019 410363020 2020-07-28 LAKE REGION ELECTRIC COOPERATIVE 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 221100
Sponsor’s telephone number 8004971425
Plan sponsor’s address P.O. BOX 643, PELICAN RAPIDS, MN, 565720643

Signature of

Role Plan administrator
Date 2020-07-28
Name of individual signing THERESA HALVERSON
Valid signature Filed with authorized/valid electronic signature
LAKE REGION ELECTRIC COOPERATIVE 401(K) PLAN 2018 410363020 2019-06-06 LAKE REGION ELECTRIC COOPERATIVE 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 221100
Sponsor’s telephone number 8004971425
Plan sponsor’s address P.O. BOX 643, PELICAN RAPIDS, MN, 565720643

Signature of

Role Plan administrator
Date 2019-06-06
Name of individual signing THERESA HALVERSON
Valid signature Filed with authorized/valid electronic signature
LAKE REGION ELECTRIC COOPERATIVE 401(K) PLAN 2017 410363020 2018-04-20 LAKE REGION ELECTRIC COOPERATIVE 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 221100
Sponsor’s telephone number 8004971425
Plan sponsor’s address P.O. BOX 643, PELICAN RAPIDS, MN, 565720643

Signature of

Role Plan administrator
Date 2018-04-20
Name of individual signing THERESA HALVERSON
Valid signature Filed with authorized/valid electronic signature
LAKE REGION ELECTRIC COOPERATIVE 401(K) PLAN 2016 410363020 2017-05-03 LAKE REGION ELECTRIC COOPERATIVE 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 221100
Sponsor’s telephone number 8004971425
Plan sponsor’s address P.O. BOX 643, PELICAN RAPIDS, MN, 565720643

Signature of

Role Plan administrator
Date 2017-05-03
Name of individual signing THERESA HALVERSON
Valid signature Filed with authorized/valid electronic signature
LAKE REGION ELECTRIC COOPERATIVE 401(K) PLAN 2015 410363020 2016-06-14 LAKE REGION ELECTRIC COOPERATIVE 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 221100
Sponsor’s telephone number 8004971425
Plan sponsor’s address P.O. BOX 643, PELICAN RAPIDS, MN, 565720643

Signature of

Role Plan administrator
Date 2016-06-14
Name of individual signing THERESA HALVERSON
Valid signature Filed with authorized/valid electronic signature
LAKE REGION ELECTRIC COOPERATIVE 401(K) PLAN 2014 410363020 2015-07-14 LAKE REGION ELECTRIC COOPERATIVE 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 221100
Sponsor’s telephone number 8004971425
Plan sponsor’s address P.O. BOX 643, PELICAN RAPIDS, MN, 565720643

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing THERESA HALVERSON
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Lake Region Co-op Elec Assoc Aplicant 1401 S Broadway PO Box 643, Pelican Rapids,

Filing

Filing Name Filing date
Cancellation - Assumed Name 2003-04-07
Assumed Name Nameholder 2002-06-28
Assumed Name Principal Place of Business 2002-06-28
Assumed Name Renewal 2002-06-28
Original Filing - Assumed Name 1992-12-09
Assumed Name Business Name (Business Name: Lake Region Electric Cooperative) 1992-12-09

Date of last update: 16 Dec 2024

Sources: Minnesota's Official State Website