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  5. Security Assurance Company

Security Assurance Company

Company Details

Name: Security Assurance Company
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 19 Oct 1956 (68 years ago)
Company Number: b2e977de-a8d4-e011-a886-001ec94ffe7f
File Number: R-545
Registered Office Address: 1606 E Main Str, Albert Lea, MN 56007, USA
Principal Executive Office Address: 1606 E Main Street, PO Box 410, Albert Lea, MN 56007, USA
ZIP code: 56007
County: Freeborn County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SECURITY ASSURANCE COMPANY 401(K) EMPLOYEE SAVINGS & RETIREMENT PLAN 2019 410872111 2020-08-24 SECURITY ASSURANCE COMPANY 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-01
Business code 524210
Sponsor’s telephone number 5073736446
Plan sponsor’s address P.O. BOX 410, ALBERT LEA, MN, 560072555

Signature of
Role Plan administrator
Date 2020-08-24
Name of individual signing MICHAEL PETERSEN
Valid signature Filed with authorized/valid electronic signature
SECURITY ASSURANCE COMPANY 401(K) EMPLOYEE SAVINGS & RETIREMENT PLAN 2019 410872111 2020-07-27 SECURITY ASSURANCE COMPANY 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-01
Business code 524210
Sponsor’s telephone number 5073736446
Plan sponsor’s address P.O. BOX 410, ALBERT LEA, MN, 560072555

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing MICHAEL PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-27
Name of individual signing MICHAEL PETERSEN
Valid signature Filed with authorized/valid electronic signature
SECURITY ASSURANCE COMPANY 401(K) EMPLOYEE SAVINGS & RETIREMENT PLAN 2018 410872111 2019-07-26 SECURITY ASSURANCE COMPANY 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-01
Business code 524210
Sponsor’s telephone number 5073736446
Plan sponsor’s address P.O. BOX 410, ALBERT LEA, MN, 560072555

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-26
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
SECURITY ASSURANCE COMPANY 401(K) EMPLOYEE SAVINGS & RETIREMENT PLAN 2017 410872111 2018-07-30 SECURITY ASSURANCE COMPANY 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-01
Business code 524210
Sponsor’s telephone number 5073736446
Plan sponsor’s address P.O. BOX 410, ALBERT LEA, MN, 560072555

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
SECURITY ASSURANCE COMPANY 401(K) EMPLOYEE SAVINGS & RETIREMENT PLAN 2016 410872111 2017-09-25 SECURITY ASSURANCE COMPANY 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-01
Business code 524210
Sponsor’s telephone number 5073736446
Plan sponsor’s address P.O. BOX 410, ALBERT LEA, MN, 560072555

Signature of
Role Plan administrator
Date 2017-09-25
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
SECURITY ASSURANCE COMPANY 401(K) EMPLOYEE SAVINGS & RETIREMENT PLAN 2015 410872111 2016-06-01 SECURITY ASSURANCE COMPANY 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-01
Business code 524210
Sponsor’s telephone number 5073736446
Plan sponsor’s address P.O. BOX 410, ALBERT LEA, MN, 560072555

Signature of
Role Plan administrator
Date 2016-05-31
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-31
Name of individual signing MICHAEL R PETERSEN
Valid signature Filed with authorized/valid electronic signature
SECURITY ASSURANCE COMPANY 401(K) EMPLOYEE SAVINGS & RETIREMENT PLAN 2014 410872111 2015-06-19 SECURITY ASSURANCE COMPANY 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-01
Business code 524210
Sponsor’s telephone number 5073736446
Plan sponsor’s address P.O. BOX 410, ALBERT LEA, MN, 560072555

Signature of
Role Plan administrator
Date 2015-06-18
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-18
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
SECURITY ASSURANCE COMPANY 401(K) EMPLOYEE SAVINGS & RETIREMENT PLAN 2013 410872111 2014-07-14 SECURITY ASSURANCE COMPANY 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-01
Business code 524210
Sponsor’s telephone number 5073736446
Plan sponsor’s address P.O. BOX 410, ALBERT LEA, MN, 560072555

Signature of
Role Plan administrator
Date 2014-07-14
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-14
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
SECURITY ASSURANCE COMPANY 401(K) EMPLOYEE SAVINGS & RETIREMENT PLAN 2012 410872111 2013-07-16 SECURITY ASSURANCE COMPANY 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-01
Business code 524210
Sponsor’s telephone number 5073736446
Plan sponsor’s address P.O. BOX 410, ALBERT LEA, MN, 560072555

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
SECURITY ASSURANCE COMPANY 401(K) EMPLOYEE SAVINGS & RETIREMENT PLAN 2011 410872111 2012-06-14 SECURITY ASSURANCE COMPANY 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1982-10-01
Business code 524210
Sponsor’s telephone number 5073736446
Plan sponsor’s address P.O. BOX 410, ALBERT LEA, MN, 560072555

Plan administrator’s name and address
Administrator’s EIN 410872111
Plan administrator’s name SECURITY ASSURANCE COMPANY
Plan administrator’s address P.O. BOX 410, ALBERT LEA, MN, 560072555
Administrator’s telephone number 5073736446

Signature of
Role Plan administrator
Date 2012-06-13
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-13
Name of individual signing MICHAEL R. PETERSEN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Michael R Petersen Chief Executive Officer 327 Willamor Circle, Albert Lea, MN 56007, USA

Filing

Filing Name Filing date
Merger Non Survivor - Business Corporation (Domestic) 2019-04-10
Business Corporation (Domestic) Other 2001-05-04
Merger - Business Corporation (Domestic) 2000-11-01
Registered Office and/or Agent - Business Corporation (Domestic) 1997-01-15
Original Filing - Business Corporation (Domestic) 1956-10-19
Business Corporation (Domestic) Business Name (Business Name: Security Assurance Company) 1956-10-19

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Related by address

1606 E Main Str, Albert Lea, MN 56007, USA

MAP Holdings, LLC Security Insurance Agency

Date of last update: 07 Oct 2024

Sources: Minnesota's Official State Website

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