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  5. Offisource, Inc.

Offisource, Inc.

Company Details

Name: Offisource, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 16 Aug 2005 (19 years ago)
Company Number: ef2ed12a-8cd4-e011-a886-001ec94ffe7f
File Number: 1470790-4
Registered Office Address: 122 S Meridian St, Suite 102, Belle Plaine, MN 56011, USA
Principal Executive Office Address: STE 108, 122 S MERIDIAN ST, BELLE PLAINE, MN 56011–1923, USA
ZIP code: 56011
County: Scott County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OFFISOURCE, INC. 401(K) PROFIT SHARING PLAN 2018 203388064 2019-04-10 OFFISOURCE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423200
Sponsor’s telephone number 6516900456
Plan sponsor’s address 2137 NILES AVENUE, ST. PAUL, MN, 55116

Signature of
Role Plan administrator
Date 2019-04-10
Name of individual signing JULIE GRONHOLM
Valid signature Filed with authorized/valid electronic signature
OFFISOURCE, INC. 401(K) PROFIT SHARING PLAN 2017 203388064 2018-04-18 OFFISOURCE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423200
Sponsor’s telephone number 6516900456
Plan sponsor’s address 2137 NILES AVENUE, ST. PAUL, MN, 55116

Signature of
Role Plan administrator
Date 2018-04-18
Name of individual signing JULIE GRONHOLM
Valid signature Filed with authorized/valid electronic signature
OFFISOURCE 401(K) PLAN 2016 203388064 2017-06-12 OFFISOURCE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423200
Sponsor’s telephone number 6516900456
Plan sponsor’s address 2137 NILES AVENUE, ST. PAUL, MN, 55116

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing JULIE GRONHOLM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-12
Name of individual signing JULIE GRONHOLM
Valid signature Filed with authorized/valid electronic signature
OFFISOURCE 401(K) PLAN 2015 203388064 2016-06-21 OFFISOURCE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423200
Sponsor’s telephone number 6516900456
Plan sponsor’s address 2137 NILES AVENUE, ST. PAUL, MN, 55116

Signature of
Role Plan administrator
Date 2016-06-21
Name of individual signing JULIE GRONHOLM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-21
Name of individual signing JULIE GRONHOLM
Valid signature Filed with authorized/valid electronic signature
OFFISOURCE 401(K) PLAN 2014 203388064 2015-05-19 OFFISOURCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423200
Sponsor’s telephone number 6516900456
Plan sponsor’s address 2137 NILES AVENUE, ST. PAUL, MN, 55116

Signature of
Role Plan administrator
Date 2015-05-19
Name of individual signing JULIE GRONHOLM
Valid signature Filed with authorized/valid electronic signature
OFFISOURCE 401(K) PLAN 2013 203388064 2014-05-27 OFFISOURCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423200
Sponsor’s telephone number 6516900456
Plan sponsor’s address 2137 NILES AVENUE, ST. PAUL, MN, 55116

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing JULIE GRONHOLM
Valid signature Filed with authorized/valid electronic signature
OFFISOURCE 401(K) PLAN 2012 203388064 2013-06-20 OFFISOURCE, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423200
Sponsor’s telephone number 6516900456
Plan sponsor’s address 2137 NILES AVENUE, ST. PAUL, MN, 55116

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing JULIE GRONHOLM
Valid signature Filed with authorized/valid electronic signature
OFFISOURCE 401(K) PLAN 2011 203388064 2012-05-01 OFFISOURCE, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 423200
Sponsor’s telephone number 6516900456
Plan sponsor’s address 2137 NILES AVENUE, ST. PAUL, MN, 55116

Plan administrator’s name and address
Administrator’s EIN 203388064
Plan administrator’s name OFFISOURCE, INC.
Plan administrator’s address 2137 NILES AVENUE, ST. PAUL, MN, 55116
Administrator’s telephone number 6516900456

Signature of
Role Plan administrator
Date 2012-05-01
Name of individual signing JULIE GRONHOLM
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Tarah Petersen Chief Executive Officer STE 108, 122 S MERIDIAN ST, BELLE PLAINE, MN 56011–1923, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic)Change of Shares 2021-08-04
Original Filing - Business Corporation (Domestic) (Business Name: Offisource, Inc.) 2005-08-16

Related by officers

No related officers

Related by address

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Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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