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  5. First Security Agency of Minnesota, Inc.

First Security Agency of Minnesota, Inc.

Company Details

Name: First Security Agency of Minnesota, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 31 May 1995 (30 years ago)
Company Number: 41456209-aad4-e011-a886-001ec94ffe7f
File Number: 8S-577
Registered Office Address: 113 1st Ave N, Sleepy Eye, MN 56085, USA
Principal Executive Office Address: 113 1st Ave N, PO Box 324, Sleepy Eye, MN 56085, USA
ZIP code: 56085
County: Brown County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIRST SECURITY AGENCY OF MINNESOTA 401(K) PLAN 2023 411813178 2024-05-17 FIRST SECURITY AGENCY OF MINNESOTA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524150
Sponsor’s telephone number 5077942156
Plan sponsor’s address 113 FIRST AVENUE NORTH, SLEEPY EYE, MN, 56085

Signature of
Role Plan administrator
Date 2024-05-17
Name of individual signing JEFFREY PIETIG
Valid signature Filed with authorized/valid electronic signature
FIRST SECURITY AGENCY OF MINNESOTA 401(K) PLAN 2022 411813178 2023-09-21 FIRST SECURITY AGENCY OF MINNESOTA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 524150
Sponsor’s telephone number 5077942156
Plan sponsor’s address 113 FIRST AVENUE NORTH, SLEEPY EYE, MN, 56085

Signature of
Role Plan administrator
Date 2023-09-21
Name of individual signing JEFFREY PIETIG
Valid signature Filed with authorized/valid electronic signature
FIRST SECURITY AGENCY OF MINNESOTA 401(K) PLAN 2021 411813178 2022-09-22 FIRST SECURITY AGENCY OF MINNESOTA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 524150
Sponsor’s telephone number 5077942156
Plan sponsor’s address 113 FIRST AVENUE NORTH, SLEEPY EYE, MN, 56085

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing JEFFREY PIETIG
Valid signature Filed with authorized/valid electronic signature
FIRST SECURITY AGENCY OF MINNESOTA 2020 411813178 2021-04-27 FIRST SECURITY AGENCY OF MINNESOTA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 524150
Sponsor’s telephone number 5077942156
Plan sponsor’s address 113 FIRST AVENUE NORTH, SLEEPY EYE, MN, 56085

Signature of
Role Plan administrator
Date 2021-04-27
Name of individual signing JEFFREY PIETIG
Valid signature Filed with authorized/valid electronic signature
FIRST SECURITY AGENCY OF MINNESOTA 401K PLAN 2019 411813178 2020-09-28 FIRST SECURITY AGENCY OF MINNESOTA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 5077942156
Plan sponsor’s DBA name MINNESOTA
Plan sponsor’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301

Plan administrator’s name and address
Administrator’s EIN 411813178
Plan administrator’s name FIRST SECURITY AGENCY OF MINNESOTA
Plan administrator’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301
Administrator’s telephone number 5077942156

Signature of
Role Plan administrator
Date 2020-09-28
Name of individual signing JEFFERY PIETIG
Valid signature Filed with authorized/valid electronic signature
FIRST SECURITY AGENCY OF MINNESOTA 401K PLAN 2018 411813178 2019-09-23 FIRST SECURITY AGENCY OF MINNESOTA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 5077942156
Plan sponsor’s DBA name MINNESOTA
Plan sponsor’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301

Plan administrator’s name and address
Administrator’s EIN 411813178
Plan administrator’s name FIRST SECURITY AGENCY OF MINNESOTA
Plan administrator’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301
Administrator’s telephone number 5077942156

Signature of
Role Plan administrator
Date 2019-09-23
Name of individual signing JEFFERY PIETIG
Valid signature Filed with authorized/valid electronic signature
FIRST SECURITY AGENCY OF MINNESOTA 401K PLAN 2017 411813178 2018-10-03 FIRST SECURITY AGENCY OF MINNESOTA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 5077942156
Plan sponsor’s DBA name MINNESOTA
Plan sponsor’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301

Plan administrator’s name and address
Administrator’s EIN 411813178
Plan administrator’s name FIRST SECURITY AGENCY OF MINNESOTA
Plan administrator’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301
Administrator’s telephone number 5077942156

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing JEFFERY PIETIG
Valid signature Filed with authorized/valid electronic signature
FIRST SECURITY AGENCY OF MINNESOTA 401K PLAN 2016 411813178 2017-09-06 FIRST SECURITY AGENCY OF MINNESOTA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 5077942156
Plan sponsor’s DBA name MINNESOTA
Plan sponsor’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301

Plan administrator’s name and address
Administrator’s EIN 411813178
Plan administrator’s name FIRST SECURITY AGENCY OF MINNESOTA
Plan administrator’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301
Administrator’s telephone number 5077942156

Signature of
Role Plan administrator
Date 2017-09-06
Name of individual signing JEFFERY PIETIG
Valid signature Filed with authorized/valid electronic signature
FIRST SECURITY AGENCY OF MINNESOTA 401K PLAN 2015 411813178 2016-07-13 FIRST SECURITY AGENCY OF MINNESOTA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 5077942156
Plan sponsor’s DBA name MINNESOTA
Plan sponsor’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301

Plan administrator’s name and address
Administrator’s EIN 411813178
Plan administrator’s name FIRST SECURITY AGENCY OF MINNESOTA
Plan administrator’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301
Administrator’s telephone number 5077942156

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing PERRY PIETIG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-13
Name of individual signing RONALD PETERSEN
Valid signature Filed with authorized/valid electronic signature
FIRST SECURITY AGENCY OF MINNESOTA 401K PLAN 2014 411813178 2015-07-14 FIRST SECURITY AGENCY OF MINNESOTA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 5077942156
Plan sponsor’s DBA name MINNESOTA
Plan sponsor’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301

Plan administrator’s name and address
Administrator’s EIN 411813178
Plan administrator’s name FIRST SECURITY AGENCY OF MINNESOTA
Plan administrator’s address 113 1ST AVE N, SLEEPY EYE, MN, 560851301
Administrator’s telephone number 5077942156

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing PERRY PIETIG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-01
Name of individual signing RONALD PETERSEN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Michael Petersen Chief Executive Officer 113 1st Ave N, Po Box 324, Sleepy Eye, MN 56085, USA

Agent

Name Role
Ronald Petersen Agent

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2015-10-26
Administrative Dissolution Name Hold Release - Business Corporation (Domestic) 2014-02-26
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Registered Office and/or Agent - Business Corporation (Domestic) 1999-12-02
Original Filing - Business Corporation (Domestic) 1995-05-31
Business Corporation (Domestic) Business Name (Business Name: First Security Agency of Minnesota, Inc.) 1995-05-31

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Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website

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