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Miller & Stevens, P.A.

Company Details

Name: Miller & Stevens, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 15 Jan 1998 (27 years ago)
Company Number: 9bc70d9f-b7d4-e011-a886-001ec94ffe7f
File Number: 9Z-210
Registered Office Address: 92 Lake St. S., Forest Lake, MN 55025, USA
Principal Executive Office Address: 92 LAKE ST S, FOREST LAKE, MN 55025–2601, United States
ZIP code: 55025
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MILLER & STEVENS, P.A. 401(K) PLAN 2023 411897358 2024-06-24 MILLER & STEVENS, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541110
Sponsor’s telephone number 6514620206
Plan sponsor’s address 92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of

Role Plan administrator
Date 2024-06-21
Name of individual signing AMBER STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-21
Name of individual signing AMBER STEVENS
Valid signature Filed with authorized/valid electronic signature
MILLER & STEVENS, P.A. 401(K) PLAN 2022 411897358 2023-05-16 MILLER & STEVENS, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541110
Sponsor’s telephone number 6514620206
Plan sponsor’s address 92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of

Role Plan administrator
Date 2023-05-16
Name of individual signing AMBER STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-16
Name of individual signing AMBER STEVENS
Valid signature Filed with authorized/valid electronic signature
MILLER & STEVENS, P.A. 401(K) PLAN 2021 411897358 2022-05-16 MILLER & STEVENS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541110
Sponsor’s telephone number 6514620206
Plan sponsor’s address 92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of

Role Plan administrator
Date 2022-05-05
Name of individual signing AMBER STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-05
Name of individual signing AMBER STEVENS
Valid signature Filed with authorized/valid electronic signature
MILLER & STEVENS, P.A. 401(K) PLAN 2020 411897358 2021-04-28 MILLER & STEVENS, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541110
Sponsor’s telephone number 6514620206
Plan sponsor’s address 92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of

Role Plan administrator
Date 2021-04-28
Name of individual signing AMBER STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-28
Name of individual signing AMBER STEVENS
Valid signature Filed with authorized/valid electronic signature
MILLER & STEVENS, P.A. 401(K) PLAN 2019 411897358 2020-06-15 MILLER & STEVENS, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541110
Sponsor’s telephone number 6514620206
Plan sponsor’s address 92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of

Role Plan administrator
Date 2020-06-12
Name of individual signing JEREMY V STEVENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-12
Name of individual signing JEREMY V STEVENS
Valid signature Filed with authorized/valid electronic signature
MILLER & STEVENS, P. A. 401(K) PLAN 2018 411897358 2019-06-12 MILLER & STEVENS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541110
Sponsor’s telephone number 6514620206
Plan sponsor’s address 92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of

Role Plan administrator
Date 2019-06-12
Name of individual signing JEREMY V STEVENS
Valid signature Filed with authorized/valid electronic signature
MILLER & STEVENS, P. A. 401(K) PLAN 2017 411897358 2018-07-06 MILLER & STEVENS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541110
Sponsor’s telephone number 6514620206
Plan sponsor’s address 92 LAKE STREET SOUTH, FOREST LAKE, MN, 55025

Signature of

Role Plan administrator
Date 2018-07-06
Name of individual signing JEREMY V STEVENS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jeremy Vincent Stevens Chief Executive Officer 92 LAKE ST S, FOREST LAKE, MN 55025–2601, United States

Agent

Name Role
Jeremy V Stevens Agent

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2016-08-23
Administrative Dissolution - Business Corporation (Domestic) 2016-03-14
Business Corporation (Domestic) Business Name (Business Name: Miller & Stevens, P.A.) 2011-03-29
Registered Office and/or Agent - Business Corporation (Domestic) 1999-11-22
Original Filing - Business Corporation (Domestic) 1998-01-15
Business Corporation (Domestic) Business Name (Business Name: Miller Law Office, P.A.) 1998-01-15

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website