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ROSEN'S DIVERSIFIED, INC.

Company Details

Name: ROSEN'S DIVERSIFIED, INC.
Jurisdiction: Minnesota
Legal type: Name Reservation
Status: Inactive
Date formed: 19 Sep 1986 (38 years ago)
Company Number: fabcdbce-b7d4-e011-a886-001ec94ffe7f
File Number: RN-7733

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROSEN'S DIVERSIFIED UNION EMPLOYEES 401(K) RETIREMENT PLAN 2018 411224625 2020-02-18 ROSEN'S DIVERSIFIED, INC 548
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1982-10-01
Business code 311610
Sponsor’s telephone number 9523610993
Plan sponsor’s mailing address PO BOX 933, FAIRMONT, MN, 560311939
Plan sponsor’s address 1120 LAKE AVENUE, FAIRMONT, MN, 560311939

Number of participants as of the end of the plan year

Active participants 456
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 47
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 112
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of

Role Plan administrator
Date 2020-02-18
Name of individual signing KAY DILLON JONES
Valid signature Filed with authorized/valid electronic signature
ROSEN'S DIVERSIFIED, INC. AND SUBSIDIARIES WELFARE BENEFIT PLAN 2018 411224625 2019-04-16 ROSEN'S DIVERSIFIED, INC. 3068
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1987-10-01
Business code 551112
Sponsor’s telephone number 9523610993
Plan sponsor’s mailing address 8101 34TH AVE S STE 400, BLOOMINGTON, MN, 554251693
Plan sponsor’s address 8101 34TH AVE S STE 400, BLOOMINGTON, MN, 554251693

Number of participants as of the end of the plan year

Active participants 3074
Retired or separated participants receiving benefits 16

Signature of

Role Plan administrator
Date 2019-04-16
Name of individual signing KAY JONES
Valid signature Filed with authorized/valid electronic signature
ROSEN'S DIVERSIFIED, INC. FLEXIBLE BENEFITS PLAN 2018 411224625 2019-04-16 ROSEN'S DIVERSIFIED, INC. 3068
Three-digit plan number (PN) 502
Effective date of plan 1992-01-01
Business code 551112
Sponsor’s telephone number 9523610993
Plan sponsor’s mailing address 8101 34TH AVE S STE 400, BLOOMINGTON, MN, 554251693
Plan sponsor’s address 8101 34TH AVE S STE 400, BLOOMINGTON, MN, 554251693

Number of participants as of the end of the plan year

Active participants 3074
Retired or separated participants receiving benefits 16

Signature of

Role Plan administrator
Date 2019-04-16
Name of individual signing KAY JONES
Valid signature Filed with authorized/valid electronic signature
ROSEN'S DIVERSIFIED UNION EMPLOYEES 401(K) RETIREMENT PLAN 2017 411224625 2019-02-05 ROSEN'S DIVERSIFIED, INC 526
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1982-10-01
Business code 311610
Sponsor’s telephone number 9523610993
Plan sponsor’s mailing address PO BOX 933, FAIRMONT, MN, 560311939
Plan sponsor’s address 1120 LAKE AVENUE, FAIRMONT, MN, 560311939

Number of participants as of the end of the plan year

Active participants 482
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 42
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 117
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2019-02-05
Name of individual signing KAY DILLON JONES
Valid signature Filed with authorized/valid electronic signature
ROSEN'S DIVERSIFIED, INC. AND SUBSIDIARIES WELFARE BENEFIT PLAN 2017 411224625 2018-04-17 ROSEN'S DIVERSIFIED, INC. 2922
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1987-10-01
Business code 551112
Sponsor’s telephone number 9523610993
Plan sponsor’s mailing address 1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
Plan sponsor’s address 1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933

Number of participants as of the end of the plan year

Active participants 3055
Retired or separated participants receiving benefits 13

Signature of

Role Plan administrator
Date 2018-04-17
Name of individual signing KAY JONES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-17
Name of individual signing KAY JONES
Valid signature Filed with authorized/valid electronic signature
ROSEN'S DIVERSIFIED, INC. FLEXIBLE BENEFITS PLAN 2017 411224625 2018-04-17 ROSEN'S DIVERSIFIED, INC. 2922
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-01-01
Business code 551112
Sponsor’s telephone number 9523610993
Plan sponsor’s mailing address 1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
Plan sponsor’s address 1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933

Number of participants as of the end of the plan year

Active participants 3055
Retired or separated participants receiving benefits 13

Signature of

Role Plan administrator
Date 2018-04-17
Name of individual signing KAY JONES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-17
Name of individual signing KAY JONES
Valid signature Filed with authorized/valid electronic signature
ROSEN'S DIVERSIFIED, INC. AND SUBSIDIARIES WELFARE BENEFIT PLAN 2016 411224625 2017-07-27 ROSEN'S DIVERSIFIED, INC. 2863
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1987-10-01
Business code 551112
Sponsor’s telephone number 9523610993
Plan sponsor’s mailing address 1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
Plan sponsor’s address 1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933

Number of participants as of the end of the plan year

Active participants 2913
Retired or separated participants receiving benefits 9

Signature of

Role Plan administrator
Date 2017-07-27
Name of individual signing KAY JONES
Valid signature Filed with authorized/valid electronic signature
ROSEN'S DIVERSIFIED UNION EMPLOYEES 401(K) RETIREMENT PLAN 2016 411224625 2018-03-20 ROSEN'S DIVERSIFIED, INC 538
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1982-10-01
Business code 311610
Sponsor’s telephone number 9523610993
Plan sponsor’s mailing address PO BOX 933, FAIRMONT, MN, 560311939
Plan sponsor’s address 1120 LAKE AVENUE, FAIRMONT, MN, 560311939

Number of participants as of the end of the plan year

Active participants 472
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 39
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 125
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of

Role Plan administrator
Date 2018-03-20
Name of individual signing KAY DILLON JONES
Valid signature Filed with authorized/valid electronic signature
ROSEN'S DIVERSIFIED, INC. AND SUBSIDIARIES WELFARE BENEFIT PLAN 2016 411224625 2017-04-03 ROSEN'S DIVERSIFIED, INC. 2863
Three-digit plan number (PN) 501
Effective date of plan 1987-10-01
Business code 551112
Sponsor’s telephone number 9523610993
Plan sponsor’s mailing address 1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
Plan sponsor’s address 1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933

Number of participants as of the end of the plan year

Active participants 2913
Retired or separated participants receiving benefits 9

Signature of

Role Plan administrator
Date 2017-04-03
Name of individual signing KAY JONES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-03
Name of individual signing KAY JONES
Valid signature Filed with authorized/valid electronic signature
ROSEN'S DIVERSIFIED, INC. FLEXIBLE BENEFITS PLAN 2016 411224625 2017-04-03 ROSEN'S DIVERSIFIED, INC. 2863
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-01-01
Business code 551112
Sponsor’s telephone number 9523610993
Plan sponsor’s mailing address 1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933
Plan sponsor’s address 1120 LAKE AVENUE, PO BOX 933, FAIRMONT, MN, 560310933

Number of participants as of the end of the plan year

Active participants 2913
Retired or separated participants receiving benefits 9

Signature of

Role Plan administrator
Date 2017-04-03
Name of individual signing KAY JONES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-03
Name of individual signing KAY JONES
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Rosen's Inc Aplicant 1120 Lake Ave, Fairmont, MN 56031

Filing

Filing Name Filing date
Original Filing - Name Reservation (Business Name: ROSEN'S DIVERSIFIED, INC.) 1986-09-19

Date of last update: 19 Dec 2024

Sources: Minnesota's Official State Website