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  5. Fawcett Funeral Home, Inc.

Fawcett Funeral Home, Inc.

Company Details

Name: Fawcett Funeral Home, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 14 May 1963 (62 years ago)
Company Number: ab021b88-a5d4-e011-a886-001ec94ffe7f
File Number: 1D-630
Registered Office Address: 1476 W Broadway, Winona, MN 55987–0833, USA
Principal Executive Office Address: 1476 W BROADWAY ST, WINONA, MN 55987–2348, USA
ZIP code: 55987
County: Winona County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAWCETT FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2023 410870197 2024-04-17 FAWCETT FUNERAL HOME, INC. 4
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 812210
Sponsor’s telephone number 5074523624
Plan sponsor’s address 1476 WEST BROADWAY, PO BOX 833, WINONA, MN, 559870833

Signature of
Role Plan administrator
Date 2024-04-17
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-17
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
FAWCETT FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2022 410870197 2023-03-31 FAWCETT FUNERAL HOME, INC. 4
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 812210
Sponsor’s telephone number 5074523624
Plan sponsor’s address 1476 WEST BROADWAY, PO BOX 833, WINONA, MN, 559870833

Signature of
Role Plan administrator
Date 2023-03-31
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-31
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
FAWCETT FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2021 410870197 2022-04-05 FAWCETT FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 812210
Sponsor’s telephone number 5074523624
Plan sponsor’s address 1476 WEST BROADWAY, PO BOX 833, WINONA, MN, 559870833

Signature of
Role Plan administrator
Date 2022-04-05
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-05
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
FAWCETT FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2020 410870197 2021-03-11 FAWCETT FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 812210
Sponsor’s telephone number 5074523624
Plan sponsor’s address 1476 WEST BROADWAY, PO BOX 833, WINONA, MN, 559870833

Signature of
Role Plan administrator
Date 2021-03-11
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-11
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
FAWCETT FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2019 410870197 2020-02-27 FAWCETT FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 812210
Sponsor’s telephone number 5074523624
Plan sponsor’s address 1476 WEST BROADWAY, PO BOX 833, WINONA, MN, 559870833

Signature of
Role Plan administrator
Date 2020-02-27
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-27
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
FAWCETT FUNERAL HOME, INC., INTEGRATED 401(K) PROFIT SHARING PLAN 2018 410870197 2019-04-29 FAWCETT FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 812210
Sponsor’s telephone number 5074523624
Plan sponsor’s address 1476 WEST BROADWAY, PO BOX 833, WINONA, MN, 559870833

Signature of
Role Plan administrator
Date 2019-04-29
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-29
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
FAWCETT FH, INC., I-401(K) PSP 2017 410870197 2018-07-06 FAWCETT FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 812210
Sponsor’s telephone number 5074523624
Plan sponsor’s address 1476 WEST BROADWAY, PO BOX 833, WINONA, MN, 559870833

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-06
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
FAWCETT FH, INC., I-401(K) PSP 2017 410870197 2018-06-15 FAWCETT FUNERAL HOME, INC. 3
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 812210
Sponsor’s telephone number 5074523624
Plan sponsor’s address 1476 WEST BROADWAY, PO BOX 833, WINONA, MN, 559870833

Signature of
Role Plan administrator
Date 2018-06-15
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-15
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
FAWCETT FH, INC., I-401K PSP 2016 410870197 2017-03-29 FAWCETT FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 812210
Sponsor’s telephone number 5074523624
Plan sponsor’s address 1476 WEST BROADWAY, PO BOX 833, WINONA, MN, 559870833

Signature of
Role Plan administrator
Date 2017-03-29
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature
FAWCETT FH, INC., I-401K PSP 2015 410870197 2016-04-30 FAWCETT FUNERAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1992-07-01
Business code 812210
Sponsor’s telephone number 5074523624
Plan sponsor’s address 1476 WEST BROADWAY, PO BOX 833, WINONA, MN, 559870833

Signature of
Role Plan administrator
Date 2016-04-30
Name of individual signing DOUGLAS PENNING
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Douglas J Penning Chief Executive Officer 1476 W BROADWAY ST, WINONA, MN 55987–2348, USA

Agent

Name Role
Douglas J. Penning Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2001-05-04
Merger - Business Corporation (Domestic) 1983-10-27
Business Corporation (Domestic) Active Status Report 1980-06-05
Registered Office and/or Agent - Business Corporation (Domestic) 1967-02-24
Original Filing - Business Corporation (Domestic) 1963-05-14
Business Corporation (Domestic) Business Name (Business Name: Fawcett Funeral Home, Inc.) 1963-05-14

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Related by address

1476 W BROADWAY ST, WINONA, MN 55987–2348, USA

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Date of last update: 05 Dec 2024

Sources: Minnesota's Official State Website

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