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  5. JESSE R. JOHNSON INSURANCE AGENCY, INC.

JESSE R. JOHNSON INSURANCE AGENCY, INC.

Company Details

Name: JESSE R. JOHNSON INSURANCE AGENCY, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 06 Feb 2006 (19 years ago)
Company Number: dc6521fc-8cd4-e011-a886-001ec94ffe7f
File Number: 1693650-2
Registered Office Address: 843 W Broadway Ave #E, Forest Lake, MN 55025, USA
Principal Executive Office Address: 568 LAKE ST S, FOREST LAKE, MN 55025–2609, USA
ZIP code: 55025
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JESSE R JOHNSON INSURANCE AGENCY 401(K) PLAN 2023 204180932 2024-04-25 JESSE R JOHNSON INSURANCE AGENCY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6514647227
Plan sponsor’s address 568 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2024-04-25
Name of individual signing JESSE R JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-25
Name of individual signing JESSE R JOHNSON
Valid signature Filed with authorized/valid electronic signature
JESSE R JOHNSON INSURANCE AGENCY 401(K) PLAN 2022 204180932 2023-06-08 JESSE R JOHNSON INSURANCE AGENCY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6514647227
Plan sponsor’s address 568 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2023-06-08
Name of individual signing JESSE JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-08
Name of individual signing JESSE JOHNSON
Valid signature Filed with authorized/valid electronic signature
JESSE R JOHNSON INSURANCE AGENCY 401(K) PLAN 2021 204180932 2022-06-27 JESSE R JOHNSON INSURANCE AGENCY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6514647227
Plan sponsor’s address 568 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2022-06-27
Name of individual signing JESSE R JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-27
Name of individual signing JESSE R JOHNSON
Valid signature Filed with authorized/valid electronic signature
JESSE R JOHNSON INSURANCE AGENCY 401(K) PLAN 2020 204180932 2021-07-01 JESSE R JOHNSON INSURANCE AGENCY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6514647227
Plan sponsor’s address 568 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2021-07-01
Name of individual signing JESSE JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-01
Name of individual signing JESSE JOHNSON
Valid signature Filed with authorized/valid electronic signature
JESSE R JOHNSON INSURANCE AGENCY 401(K) PLAN 2019 204180932 2020-06-18 JESSE R JOHNSON INSURANCE AGENCY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6514647227
Plan sponsor’s address 568 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing JESSE JOHNSON
Valid signature Filed with authorized/valid electronic signature
JESSE R JOHNSON INSURANCE AGENCY 401(K) PLAN 2018 204180932 2019-06-20 JESSE R JOHNSON INSURANCE AGENCY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6514647227
Plan sponsor’s address 568 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing JESSE JOHNSON
Valid signature Filed with authorized/valid electronic signature
JESSE R JOHNSON INSURANCE AGENCY 401(K) PLAN 2017 204180932 2018-06-18 JESSE R JOHNSON INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6514647227
Plan sponsor’s address 568 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of
Role Plan administrator
Date 2018-06-18
Name of individual signing JESSE R JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-18
Name of individual signing JESSE R JOHNSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jesse Johnson Chief Executive Officer 568 LAKE ST S, FOREST LAKE, MN 55025–2609, USA

Agent

Name Role
Jesse R Johnson Agent

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: JESSE R. JOHNSON INSURANCE AGENCY, INC.) 2006-02-06

Related by officers

Jesse Johnson

THE EDUCATION FOUNDATION OF THE FOREST LAKE AREA East Side Landscaping & Shrubs LLC Great Lakes Scrolls LLC Johnson Occidental North American Holdings, Inc. TNT Heating and AC LLC Jesse Johnson Law, PLLC Runestone Software Motion City Soundtrack

Related by address

No related companies by address

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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