Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Ramsey County
    4. ›
  4. 55126
    5. ›
  5. Jaci Meyer Insurance Agency, Inc.

Jaci Meyer Insurance Agency, Inc.

Company Details

Name: Jaci Meyer Insurance Agency, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 17 May 2001 (24 years ago)
Company Number: e1b68588-b2d4-e011-a886-001ec94ffe7f
File Number: 11Q-795
Registered Office Address: 891 W Hwy 96, Shoreview, MN 55126, USA
ZIP code: 55126
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACI MEYER INSURANCE AGENCY PROFIT SHARING 401(K) PLAN 2019 412006969 2020-01-21 JACI MEYER INSURANCE AGENCY 6
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2003-10-01
Business code 524210
Sponsor’s telephone number 6514827770
Plan sponsor’s address 3537 LEXINGTON AVENUE N., ST. PAUL, MN, 55126

Signature of
Role Plan administrator
Date 2020-01-21
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature
JACI MEYER INSURANCE AGENCY PROFIT SHARING 401(K) PLAN 2018 412006969 2019-11-15 JACI MEYER INSURANCE AGENCY 5
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2003-10-01
Business code 524210
Sponsor’s telephone number 6514827770
Plan sponsor’s address 3537 LEXINGTON AVENUE N., ST. PAUL, MN, 55126

Signature of
Role Plan administrator
Date 2019-11-15
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature
JACI MEYER INSURANCE AGENCY PROFIT SHARING 401(K) PLAN 2017 412006969 2018-12-10 JACI MEYER INSURANCE AGENCY 5
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2003-10-01
Business code 524210
Sponsor’s telephone number 6514827770
Plan sponsor’s address 3537 LEXINGTON AVENUE N., ST. PAUL, MN, 55103

Signature of
Role Plan administrator
Date 2018-12-10
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature
JACI MEYER INSURANCE AGENCY PROFIT SHARING 401(K) PLAN 2016 412006969 2017-12-01 JACI MEYER INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2003-10-01
Business code 524210
Sponsor’s telephone number 6514827770
Plan sponsor’s address 3537 LEXINGTON AVENUE N., ST. PAUL, MN, 55103

Signature of
Role Plan administrator
Date 2017-12-01
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature
JACI MEYER INSURANCE AGENCY PROFIT SHARING 401(K) PLAN 2015 412006969 2017-06-09 JACI MEYER INSURANCE AGENCY 2
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2003-10-01
Business code 524210
Sponsor’s telephone number 6514827770
Plan sponsor’s address 3537 LEXINGTON AVENUE N., ST. PAUL, MN, 55103

Signature of
Role Plan administrator
Date 2017-06-09
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature
JACI MEYER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2014 412006969 2016-04-28 JACI MEYER INSURANCE AGENCY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 524210
Sponsor’s telephone number 6514827770
Plan sponsor’s address 3537 LEXINGTON AVE N, ARDEN HILLS, MN, 55126

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature
JACI MEYER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2013 412006969 2014-12-30 JACI MEYER INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 524210
Sponsor’s telephone number 6514827770
Plan sponsor’s address 3537 LEXINGTON AVE N, ARDEN HILLS, MN, 55126

Signature of
Role Plan administrator
Date 2014-12-30
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-12-30
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature
JACI MEYER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2012 412006969 2014-03-18 JACI MEYER INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 524210
Sponsor’s telephone number 6514827770
Plan sponsor’s address 3537 LEXINGTON AVE N, ARDEN HILLS, MN, 55126

Signature of
Role Plan administrator
Date 2014-03-18
Name of individual signing JACQUELINE MEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-18
Name of individual signing JACQUELINE MEYER
Valid signature Filed with authorized/valid electronic signature
JACI MEYER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2011 412006969 2013-04-16 JACI MEYER INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 524210
Sponsor’s telephone number 6514827770
Plan sponsor’s address 3537 LEXINGTON AVE N, ARDEN HILLS, MN, 55126

Plan administrator’s name and address
Administrator’s EIN 412006969
Plan administrator’s name JACI MEYER INSURANCE AGENCY, INC.
Plan administrator’s address 3537 LEXINGTON AVE N, ARDEN HILLS, MN, 55126
Administrator’s telephone number 6514827770

Signature of
Role Plan administrator
Date 2013-04-16
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-16
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature
JACI MEYER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2010 412006969 2012-04-16 JACI MEYER INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-10-01
Business code 524210
Sponsor’s telephone number 6514827770
Plan sponsor’s address 3537 LEXINGTON AVE N, ARDEN HILLS, MN, 55126

Plan administrator’s name and address
Administrator’s EIN 412006969
Plan administrator’s name JACI MEYER INSURANCE AGENCY, INC.
Plan administrator’s address 3537 LEXINGTON AVE N, ARDEN HILLS, MN, 55126
Administrator’s telephone number 6514827770

Signature of
Role Plan administrator
Date 2012-04-16
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-16
Name of individual signing JACI MEYER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jaci Meyer Chief Executive Officer 891 W Hwy 96, Shoreview, MN 55126, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2021-02-11
Original Filing - Business Corporation (Domestic) (Business Name: Jaci Meyer Insurance Agency, Inc.) 2001-05-17

Related by officers

No related officers

Related by address

891 W Hwy 96, Shoreview, MN 55126, USA

Tim Meyer Insurance Agency, Inc.

Date of last update: 10 Jan 2025

Sources: Minnesota's Official State Website

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 mnprof.com, Part of Big Data Integrated