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Carlson McCain, Inc.

Headquarter

Company Details

Name: Carlson McCain, Inc.
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 29 Jun 2011 (13 years ago)
Company Number: 7a7693c0-97d4-e011-a886-001ec94ffe7f
File Number: 4364282-2
Principal Place of Business Address: 248 Apollo Drv #100, Lino Lakes, MN 55014, USA
ZIP code: 55014
County: Anoka County
Place of Formation: Minnesota

Links between entities

Type Company Name Company Number State
Headquarter of Carlson McCain, Inc., ILLINOIS CORP_68454077 ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN 2023 043684414 2024-03-07 CARLSON MCCAIN, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-05-29
Business code 541330
Sponsor’s telephone number 7634897900
Plan sponsor’s address 3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040

Signature of

Role Plan administrator
Date 2024-03-07
Name of individual signing JOHN PLAHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-07
Name of individual signing JOHN PLAHN
Valid signature Filed with authorized/valid electronic signature
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN 2022 043684414 2023-04-14 CARLSON MCCAIN, INC. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-05-29
Business code 541330
Sponsor’s telephone number 7634897900
Plan sponsor’s address 3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040

Signature of

Role Plan administrator
Date 2023-04-14
Name of individual signing JOHN PLAHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-14
Name of individual signing JOHN PLAHN
Valid signature Filed with authorized/valid electronic signature
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN 2021 043684414 2022-04-19 CARLSON MCCAIN, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-05-29
Business code 541330
Sponsor’s telephone number 7634897900
Plan sponsor’s address 3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040

Signature of

Role Plan administrator
Date 2022-04-19
Name of individual signing JOHN PLAHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-19
Name of individual signing JOHN PLAHN
Valid signature Filed with authorized/valid electronic signature
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN 2020 043684414 2021-02-15 CARLSON MCCAIN, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-05-29
Business code 541330
Sponsor’s telephone number 7634897900
Plan sponsor’s address 3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040

Signature of

Role Plan administrator
Date 2021-02-15
Name of individual signing DAWN MEYERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-15
Name of individual signing DAWN MEYERS
Valid signature Filed with authorized/valid electronic signature
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN 2019 043684414 2020-03-02 CARLSON MCCAIN, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-05-29
Business code 541330
Sponsor’s telephone number 7634897900
Plan sponsor’s address 3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040

Signature of

Role Plan administrator
Date 2020-03-02
Name of individual signing DAWN MEYERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-02
Name of individual signing JOHN PLAHN
Valid signature Filed with authorized/valid electronic signature
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN 2018 043684414 2019-02-20 CARLSON MCCAIN, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-05-29
Business code 541330
Sponsor’s telephone number 7634897900
Plan sponsor’s address 3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040

Signature of

Role Plan administrator
Date 2019-02-20
Name of individual signing JOHN PLAHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-20
Name of individual signing JOHN PLAHN
Valid signature Filed with authorized/valid electronic signature
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN 2017 043684414 2018-02-21 CARLSON MCCAIN, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-05-29
Business code 541330
Sponsor’s telephone number 7634897900
Plan sponsor’s address 3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040

Signature of

Role Plan administrator
Date 2018-02-21
Name of individual signing JOHN PLAHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-21
Name of individual signing JOHN PLAHN
Valid signature Filed with authorized/valid electronic signature
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN 2016 043684414 2017-02-24 CARLSON MCCAIN, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-05-29
Business code 541330
Sponsor’s telephone number 7634897900
Plan sponsor’s address 3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040

Signature of

Role Plan administrator
Date 2017-02-24
Name of individual signing DAWN MEYERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-24
Name of individual signing DAWN MEYERS
Valid signature Filed with authorized/valid electronic signature
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN 2015 043684414 2016-07-11 CARLSON MCCAIN, INC. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-05-29
Business code 541330
Sponsor’s telephone number 7634897900
Plan sponsor’s address 3890 PHEASANT RIDGE DRIVE, SUITE 100, BLAINE, MN, 554496040

Signature of

Role Plan administrator
Date 2016-07-11
Name of individual signing DAWN MEYERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-11
Name of individual signing DAWN MEYERS
Valid signature Filed with authorized/valid electronic signature
CARLSON MCCAIN, INC. RETIREMENT SAVINGS PLAN 2014 043684414 2015-07-15 CARLSON MCCAIN, INC. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-05-29
Business code 541330
Sponsor’s telephone number 7634897925
Plan sponsor’s address 248 APOLLO DR, LINO LAKES, MN, 55014

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing DAWN MEYERS
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
MCCain and Associates Inc Aplicant 5300 Hwy 12, Maple Plain, MN 55359
Carlson Professional Srvcs Inc Aplicant 248 Apollo Drv #100, Lino Lakes, MN 55014

Filing

Filing Name Filing date
Expired - Assumed Name 2021-06-30
Original Filing - Assumed Name (Business Name: Carlson McCain, Inc.) 2011-06-29

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website