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Corporate 4 Insurance Agency, Inc.

Company Details

Name: Corporate 4 Insurance Agency, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 05 Aug 1988 (37 years ago)
Company Number: d2d9d986-aad4-e011-a886-001ec94ffe7f
File Number: 6A-212
Registered Office Address: 1010 Dale St N, Saint Paul, MN 55117–5603, USA
Principal Executive Office Address: 7220 METRO BLVD, EDINA, MN 55439–2128, USA
ZIP code: 55117
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORPORATE 4 RETIREMENT SAVINGS PLAN 2023 411619970 2024-06-18 CORPORATE 4 INSURANCE AGENCY, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-20
Business code 524210
Sponsor’s telephone number 9528939218
Plan sponsor’s address 7220 METRO BLVD., EDINA, MN, 55439

Signature of

Role Plan administrator
Date 2024-06-18
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature
CORPORATE 4 RETIREMENT SAVINGS PLAN 2022 411619970 2023-06-16 CORPORATE 4 INSURANCE AGENCY, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-20
Business code 524210
Sponsor’s telephone number 9528939218
Plan sponsor’s address 7220 METRO BLVD., EDINA, MN, 55439

Signature of

Role Plan administrator
Date 2023-06-16
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature
CORPORATE 4 RETIREMENT SAVINGS PLAN 2021 411619970 2022-08-08 CORPORATE 4 INSURANCE AGENCY, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-20
Business code 524210
Sponsor’s telephone number 9528939218
Plan sponsor’s address 7220 METRO BLVD., EDINA, MN, 55439

Signature of

Role Plan administrator
Date 2022-08-08
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature
CORPORATE 4 RETIREMENT SAVINGS PLAN 2020 411619970 2021-10-05 CORPORATE 4 INSURANCE AGENCY, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-20
Business code 524210
Sponsor’s telephone number 9528939218
Plan sponsor’s address 7220 METRO BLVD. #100, EDINA, MN, 55439

Signature of

Role Plan administrator
Date 2021-10-05
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature
CORPORATE 4 RETIREMENT SAVINGS PLAN 2019 411619970 2020-02-11 CORPORATE 4 INSURANCE AGENCY, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-20
Business code 524210
Sponsor’s telephone number 9528939218
Plan sponsor’s address 7220 METRO BLVD. #100, EDINA, MN, 55439

Signature of

Role Plan administrator
Date 2020-02-11
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-11
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature
CORPORATE 4 RETIREMENT SAVINGS PLAN 2018 411619970 2019-02-12 CORPORATE 4 INSURANCE AGENCY, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-20
Business code 524210
Sponsor’s telephone number 9528939218
Plan sponsor’s address 7220 METRO BLVD. #100, EDINA, MN, 55439

Signature of

Role Plan administrator
Date 2019-02-11
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-11
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature
CORPORATE 4 RETIREMENT SAVINGS PLAN 2017 411619970 2018-03-30 CORPORATE 4 INSURANCE AGENCY, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-20
Business code 524210
Sponsor’s telephone number 9528939218
Plan sponsor’s address 7220 METRO BLVD. #100, EDINA, MN, 55439

Signature of

Role Plan administrator
Date 2018-02-14
Name of individual signing DWIGHT K. LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-14
Name of individual signing DWIGHT K. LEWIS
Valid signature Filed with authorized/valid electronic signature
CORPORATE 4 RETIREMENT SAVINGS PLAN 2016 411619970 2017-02-15 CORPORATE 4 INSURANCE AGENCY, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-20
Business code 524210
Sponsor’s telephone number 9528939218
Plan sponsor’s address 7220 METRO BLVD. #100, EDINA, MN, 55439

Signature of

Role Plan administrator
Date 2017-02-14
Name of individual signing DWIGHT K LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-14
Name of individual signing DWIGHT K LEWIS
Valid signature Filed with authorized/valid electronic signature
CORPORATE 4 RETIREMENT SAVINGS PLAN 2015 411619970 2016-04-27 CORPORATE 4 INSURANCE AGENCY, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-20
Business code 524210
Sponsor’s telephone number 9528939218
Plan sponsor’s address 7220 METRO BLVD. #100, EDINA, MN, 55439

Signature of

Role Plan administrator
Date 2016-04-27
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-27
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature
CORPORATE 4 RETIREMENT SAVINGS PLAN 2014 411619970 2015-03-25 CORPORATE 4 INSURANCE AGENCY, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-07-20
Business code 524210
Sponsor’s telephone number 9528939218
Plan sponsor’s address 7220 METRO BLVD, EDINA, MN, 55439

Signature of

Role Plan administrator
Date 2015-03-25
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-25
Name of individual signing DWIGHT LEWIS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jim Sakara Chief Executive Officer 7220 METRO BLVD, EDINA, MN 55439–2128, USA

Agent

Name Role
C T Corporation System Inc. Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic)Change of Shares 2022-04-07
Registered Office and/or Agent - Business Corporation (Domestic) 2021-04-29
Business Corporation (Domestic) Change of Shares 2008-10-27
Amendment - Business Corporation (Domestic) 1998-08-28
Original Filing - Business Corporation (Domestic) 1988-08-05
Business Corporation (Domestic) Business Name (Business Name: Corporate 4 Insurance Agency, Inc.) 1988-08-05

Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website