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  5. PETERSON-ANTHONY INSURANCE AGENCY, INC.

PETERSON-ANTHONY INSURANCE AGENCY, INC.

Company Details

Name: PETERSON-ANTHONY INSURANCE AGENCY, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 06 Jul 1995 (30 years ago)
Company Number: d683c442-b4d4-e011-a886-001ec94ffe7f
File Number: 8T-702
Registered Office Address: 55 Downtown Plaza, Fairmont, MN 56031, USA
Principal Executive Office Address: 1501 S State Street, Fairmont, MN 56031, USA
ZIP code: 56031
County: Martin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETERSON ANTHONY INSURANCE AGENCY 401(K) SAVINGS PLAN 2021 411816845 2022-06-22 PETERSON ANTHONY INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 5072382008
Plan sponsor’s address 1501 SOUTH STATE STREET, SUITE 250, FAIRMONT, MN, 56031

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing CONSTANCE ANTHONY
Valid signature Filed with authorized/valid electronic signature
PETERSON ANTHONY INSURANCE AGENCY 401(K) SAVINGS PLAN 2020 411816845 2021-04-01 PETERSON ANTHONY INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 5072382008
Plan sponsor’s address 1501 SOUTH STATE STREET, SUITE 250, FAIRMONT, MN, 56031

Signature of
Role Plan administrator
Date 2021-04-01
Name of individual signing CONNIE ANTHONY
Valid signature Filed with authorized/valid electronic signature
PETERSON ANTHONY INSURANCE AGENCY 401(K) SAVINGS PLAN 2019 411816845 2020-09-02 PETERSON ANTHONY INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 5072382008
Plan sponsor’s address 1501 SOUTH STATE STREET, SUITE 250, FAIRMONT, MN, 56031

Signature of
Role Plan administrator
Date 2020-09-02
Name of individual signing CONNIE ANTHONY
Valid signature Filed with authorized/valid electronic signature
PETERSON ANTHONY INSURANCE AGENCY 401(K) SAVINGS PLAN 2018 411816845 2019-05-13 PETERSON ANTHONY INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 5072382008
Plan sponsor’s address 1501 SOUTH STATE STREET, SUITE 250, FAIRMONT, MN, 56031

Signature of
Role Plan administrator
Date 2019-05-13
Name of individual signing CONNIE ANTHONY
Valid signature Filed with authorized/valid electronic signature
PETERSON ANTHONY INSURANCE AGENCY 401(K) SAVINGS PLAN 2017 411816845 2018-04-16 PETERSON ANTHONY INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 5072382008
Plan sponsor’s address 1501 SOUTH STATE STREET, SUITE 250, FAIRMONT, MN, 56031

Signature of
Role Plan administrator
Date 2018-04-16
Name of individual signing CONNIE ANTHONY
Valid signature Filed with authorized/valid electronic signature
PETERSON ANTHONY INSURANCE AGENCY 401(K) SAVINGS PLAN 2016 411816845 2017-06-19 PETERSON ANTHONY INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 5072382008
Plan sponsor’s address 55 DOWNTOWN PLAZA, FAIRMONT, MN, 56031

Signature of
Role Plan administrator
Date 2017-06-19
Name of individual signing CONNIE ANTHONY
Valid signature Filed with authorized/valid electronic signature
PETERSON ANTHONY INSURANCE AGENCY 401(K) SAVINGS PLAN 2015 411816845 2016-06-28 PETERSON ANTHONY INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 5072382008
Plan sponsor’s address 55 DOWNTOWN PLAZA, FAIRMONT, MN, 56031

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing CONNIE ANTHONY
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
John Anthony Chief Executive Officer 1501 S State Street, Fairmont, MN 56031, USA

Agent

Name Role
John D Anthony Agent

Filing

Filing Name Filing date
Intent to Dissolve - Business Corporation (Domestic) 2022-01-19
Dissolution - Business Corporation (Domestic) 2022-01-19
Registered Office and/or Agent - Business Corporation (Domestic) 2014-07-11
Original Filing - Business Corporation (Domestic) (Business Name: PETERSON-ANTHONY INSURANCE AGENCY, INC.) 1995-07-06

Related by officers

John Anthony

House of Pryce Coffee Company Duzze Wyatt Distribution, Inc. Edina Community Lutheran Church,Incorporated

Related by address

55 Downtown Plaza, Fairmont, MN 56031, USA

Senior Resources

Date of last update: 03 Oct 2024

Sources: Minnesota's Official State Website

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