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Jeff Belzer's Todd Chevrolet, Inc.

Company Details

Name: Jeff Belzer's Todd Chevrolet, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 18 Aug 1980 (44 years ago)
Company Number: eb51090c-a2d4-e011-a886-001ec94ffe7f
File Number: 3S-319
Registered Office Address: Hwy 50 @ Cedar Ave PO Bx 965, Lakeville, MN 55044, USA
Principal Executive Office Address: 21111 CEDAR AVE, LAKEVILLE, MN 55044–9089, USA
ZIP code: 55044
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFF BELZER'S HEALTH INSURANCE PLAN 2021 411385667 2022-10-12 JEFF BELZER'S TODD CHEVROLET, INC. 130
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-07-01
Business code 441110
Sponsor’s telephone number 9524694444
Plan sponsor’s mailing address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044
Plan sponsor’s address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044

Number of participants as of the end of the plan year

Active participants 155
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing KYLE WESTON
Valid signature Filed with authorized/valid electronic signature
JEFF BELZER'S LIFE/AD&D INSURANCE PLAN 2021 411385667 2022-10-12 JEFF BELZER'S TODD CHEVROLET, INC. 144
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2021-07-01
Business code 441110
Sponsor’s telephone number 9524694444
Plan sponsor’s mailing address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044
Plan sponsor’s address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044

Number of participants as of the end of the plan year

Active participants 176
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing KYLE WESTON
Valid signature Filed with authorized/valid electronic signature
JEFF BELZER'S DENTAL/VISION INSURANCE PLAN 2021 411385667 2022-10-12 JEFF BELZER'S TODD CHEVROLET, INC. 144
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2021-07-01
Business code 441110
Sponsor’s telephone number 9524694444
Plan sponsor’s mailing address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044
Plan sponsor’s address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044

Number of participants as of the end of the plan year

Active participants 172
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing KYLE WESTON
Valid signature Filed with authorized/valid electronic signature
JEFF BELZER'S LIFE/AD&D INSURANCE PLAN 2020 411385667 2021-09-28 JEFF BELZER'S TODD CHEVROLET, INC. 143
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2020-07-01
Business code 441110
Sponsor’s telephone number 9524694444
Plan sponsor’s mailing address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044
Plan sponsor’s address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044

Number of participants as of the end of the plan year

Active participants 148
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2021-09-28
Name of individual signing KYLE WESTON
Valid signature Filed with authorized/valid electronic signature
JEFF BELZER'S DENTAL INSURANCE PLAN 2020 411385667 2021-09-28 JEFF BELZER'S TODD CHEVROLET, INC. 133
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2020-07-01
Business code 441110
Sponsor’s telephone number 9524694444
Plan sponsor’s mailing address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044
Plan sponsor’s address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044

Number of participants as of the end of the plan year

Active participants 139
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2021-09-28
Name of individual signing KYLE WESTON
Valid signature Filed with authorized/valid electronic signature
JEFF BELZER'S HEALTH INSURANCE PLAN 2020 411385667 2021-09-28 JEFF BELZER'S TODD CHEVROLET, INC. 123
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-07-01
Business code 441110
Sponsor’s telephone number 9524694444
Plan sponsor’s mailing address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044
Plan sponsor’s address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044

Number of participants as of the end of the plan year

Active participants 130
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2021-09-28
Name of individual signing KYLE WESTON
Valid signature Filed with authorized/valid electronic signature
JEFF BELZER'S LIFE/AD&D INSURANCE PLAN 2019 411385667 2020-10-22 JEFF BELZER'S TODD CHEVROLET, INC. 146
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2019-07-01
Business code 441110
Sponsor’s telephone number 9524694444
Plan sponsor’s mailing address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044
Plan sponsor’s address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044

Number of participants as of the end of the plan year

Active participants 134
Retired or separated participants receiving benefits 5
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2020-10-22
Name of individual signing KYLE WESTON
Valid signature Filed with authorized/valid electronic signature
JEFF BELZER'S DENTAL INSURANCE PLAN 2019 411385667 2020-10-22 JEFF BELZER'S TODD CHEVROLET, INC. 136
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2019-07-01
Business code 441110
Sponsor’s telephone number 9524694444
Plan sponsor’s mailing address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044
Plan sponsor’s address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044

Number of participants as of the end of the plan year

Active participants 126
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2020-10-22
Name of individual signing KYLE WESTON
Valid signature Filed with authorized/valid electronic signature
JEFF BELZER'S HEALTH INSURANCE PLAN 2019 411385667 2020-10-22 JEFF BELZER'S TODD CHEVROLET, INC. 130
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-07-01
Business code 441110
Sponsor’s telephone number 9524694444
Plan sponsor’s mailing address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044
Plan sponsor’s address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044

Number of participants as of the end of the plan year

Active participants 123
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2020-10-22
Name of individual signing KYLE WESTON
Valid signature Filed with authorized/valid electronic signature
JEFF BELZER'S DENTAL INSURANCE PLAN 2018 411385667 2019-10-08 JEFF BELZER'S TODD CHEVROLET, INC. 131
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2018-07-01
Business code 441110
Sponsor’s telephone number 9524697064
Plan sponsor’s mailing address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044
Plan sponsor’s address 21111 CEDAR AVENUE, LAKEVILLE, MN, 55044

Number of participants as of the end of the plan year

Active participants 133
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2019-10-08
Name of individual signing KYLE WESTON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jeff Belzer Jr Chief Executive Officer 21111 CEDAR AVE, LAKEVILLE, MN 55044–9089, USA

Filing

Filing Name Filing date
Business Corporation (Domestic) Change of Shares 2010-09-13
Registered Office and/or Agent - Business Corporation (Domestic) 1988-08-26
Business Corporation (Domestic) Business Name (Business Name: Jeff Belzer's Todd Chevrolet, Inc.) 1980-11-10
Original Filing - Business Corporation (Domestic) 1980-08-18
Business Corporation (Domestic) Business Name (Business Name: Belzer & Norton, Inc.) 1980-08-18

Date of last update: 25 Jan 2025

Sources: Minnesota's Official State Website