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  5. Provo-Petersen & Associates, P.A.

Provo-Petersen & Associates, P.A.

Company Details

Name: Provo-Petersen & Associates, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 14 Jan 2009 (16 years ago)
Company Number: 29f3eb0d-93d4-e011-a886-001ec94ffe7f
File Number: 3169847-3
Registered Office Address: 16901 Northridge Avenue North, Marine On St. Croix, MN 55047, USA
Principal Executive Office Address: 8649 EAGLE POINT BLVD, LAKE ELMO, MN 55042–8657, USA
ZIP code: 55047
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROVO-PETERSEN & ASSOCIATES, P.A. SAFE HARBOR 401(K) PLAN 2023 264041498 2024-01-16 PROVO-PETERSEN & ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-09-30
Business code 541110
Sponsor’s telephone number 6512272534
Plan sponsor’s address P.O. BOX 340, ROSEMOUNT, MN, 55068

Signature of
Role Plan administrator
Date 2024-01-16
Name of individual signing JEANNIE PROVO-PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-01-16
Name of individual signing JEANNIE PROVO-PETERSEN
Valid signature Filed with authorized/valid electronic signature
PROVO-PETERSEN & ASSOCIATES, P.A. SAFE HARBOR 401(K) PLAN 2022 264041498 2023-01-31 PROVO-PETERSEN & ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-09-30
Business code 541110
Sponsor’s telephone number 6512272534
Plan sponsor’s address P.O. BOX 340, ROSEMOUNT, MN, 55068

Signature of
Role Plan administrator
Date 2023-01-31
Name of individual signing JEANNIE PROVO-PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-01-31
Name of individual signing JEANNIE PROVO-PETERSEN
Valid signature Filed with authorized/valid electronic signature
PROVO-PETERSEN & ASSOCIATES, P.A. SAFE HARBOR 401(K) PLAN 2021 264041498 2022-01-17 PROVO-PETERSEN & ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-09-30
Business code 541110
Sponsor’s telephone number 6512272534
Plan sponsor’s address P.O. BOX 340, ROSEMOUNT, MN, 55068

Signature of
Role Plan administrator
Date 2022-01-17
Name of individual signing JEANNIE PROVO-PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-17
Name of individual signing JEANNIE PROVO-PETERSEN
Valid signature Filed with authorized/valid electronic signature
PROVO-PETERSEN & ASSOCIATES, P.A. SAFE HARBOR 401(K) PLAN 2020 264041498 2021-02-10 PROVO-PETERSEN & ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-09-30
Business code 541110
Sponsor’s telephone number 6512272534
Plan sponsor’s address 8649 EAGLE POINT BOULEVARD, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2021-02-10
Name of individual signing JEANNIE PROVO PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-10
Name of individual signing JEANNIE PROVO PETERSEN
Valid signature Filed with authorized/valid electronic signature
PROVO-PETERSEN & ASSOCIATES, P.A. SAFE HARBOR 401(K) PLAN 2019 264041498 2020-02-04 PROVO-PETERSEN & ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-09-30
Business code 541110
Sponsor’s telephone number 6512272534
Plan sponsor’s address 8649 EAGLE POINT BOULEVARD, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2020-02-04
Name of individual signing JEANNIE PROVO PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-04
Name of individual signing JEANNIE PROVO PETERSEN
Valid signature Filed with authorized/valid electronic signature
PROVO-PETERSEN & ASSOCIATES, P. A. SAFE HARBOR 401(K) PLAN 2018 264041498 2019-06-10 PROVO-PETERSEN & ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-09-01
Business code 541110
Sponsor’s telephone number 6512272534
Plan sponsor’s address 8649 EAGLE POINT BOULEVARD, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2019-06-10
Name of individual signing JEANNIE PROVO-PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-10
Name of individual signing JEANNIE PROVO-PETERSEN
Valid signature Filed with authorized/valid electronic signature
PROVO-PETERSEN & ASSOCIATES, P. A. SAFE HARBOR 401(K) PLAN 2017 264041498 2018-06-11 PROVO-PETERSEN & ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-09-01
Business code 541110
Sponsor’s telephone number 6512272534
Plan sponsor’s address 8649 EAGLE POINT BOULEVARD, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2018-06-11
Name of individual signing JEANNIE PROVO-PETERSEN
Valid signature Filed with authorized/valid electronic signature
PROVO-PETERSEN & ASSOCIATES, P. A. SAFE HARBOR 401(K) PLAN 2016 264041498 2017-06-20 PROVO-PETERSEN & ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-09-01
Business code 541110
Sponsor’s telephone number 6512272534
Plan sponsor’s address 8649 EAGLE POINT BOULEVARD, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing JEANNIE PROVO-PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-20
Name of individual signing JEANNIE PROVO-PETERSEN
Valid signature Filed with authorized/valid electronic signature
PROVO-PETERSEN & ASSOCIATES, P. A. SAFE HARBOR 401(K) PLAN 2015 264041498 2016-05-27 PROVO-PETERSEN & ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-09-01
Business code 541110
Sponsor’s telephone number 6512272534
Plan sponsor’s address 8649 EAGLE POINT BOULEVARD, LAKE ELMO, MN, 55042

Signature of
Role Plan administrator
Date 2016-05-27
Name of individual signing JEANNIE PROVO-PETERSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jeannie Provo-Petersen Chief Executive Officer 8649 EAGLE POINT BLVD, LAKE ELMO, MN 55042–8657, USA

Agent

Name Role
Provo-Petersen & Associates Agent

Filing

Filing Name Filing date
Business Corporation (Domestic) Business Name (Business Name: Provo-Petersen & Associates, P.A.) 2010-08-16
Registered Office and/or Agent - Business Corporation (Domestic) 2010-08-16
Original Filing - Business Corporation (Domestic) 2009-01-14
Business Corporation (Domestic) Business Name (Business Name: Provo-Petersen O'Neill, P.A.) 2009-01-14

Related by officers

Jeannie Provo-Petersen

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Related by address

8649 EAGLE POINT BLVD, LAKE ELMO, MN 55042–8657, USA

Gebhard and Giguere Ltd.

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website

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