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Coborn's, Incorporated

Headquarter

Company Details

Name: Coborn's, Incorporated
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 15 Dec 1958 (66 years ago)
Company Number: d0c85215-aad4-e011-a886-001ec94ffe7f
File Number: U-678
Registered Office Address: 1921 Coborn Blvd, PO Box 6146, St Cloud, MN 56302, USA
Principal Executive Office Address: 1921 COBORN BLVD, SAINT CLOUD, MN 56301–2100, USA
ZIP code: 56301
County: Stearns County
Place of Formation: Minnesota

Links between entities

Type Company Name Company Number State
Headquarter of Coborn's, Incorporated, ILLINOIS CORP_61661905 ILLINOIS
Headquarter of Coborn's, Incorporated, ILLINOIS CORP_99051744 ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COBORN'S INCORPORATED SHORT-TERM DISABILITY PLAN 2016 410824910 2018-07-30 COBORN'S INCORPORATED 2546
File View Page
Three-digit plan number (PN) 508
Effective date of plan 2006-06-01
Business code 445110
Sponsor’s telephone number 3202524222
Plan sponsor’s mailing address PO BOX 6146, ST. CLOUD, MN, 56302
Plan sponsor’s address 1921 COBORN BLVD, ST. CLOUD, MN, 56301

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing SHEILA JOVANOVICH
Valid signature Filed with authorized/valid electronic signature
COBORN'S INCORPORATED LONG-TERM DISABILITY PLAN 2016 410824910 2017-07-31 COBORN'S INCORPORATED 2546
File View Page
Three-digit plan number (PN) 507
Effective date of plan 2006-06-01
Business code 445110
Sponsor’s telephone number 3202524222
Plan sponsor’s mailing address PO BOX 6146, ST. CLOUD, MN, 56302
Plan sponsor’s address 1921 COBORN BLVD, ST. CLOUD, MN, 56301

Number of participants as of the end of the plan year

Active participants 2422
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing SHEILA JOVANOVICH
Valid signature Filed with authorized/valid electronic signature
COBORN'S INCORPORATED LIFE INSURANCE PLAN 2016 410824910 2017-07-31 COBORN'S INCORPORATED 2553
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2006-06-01
Business code 445110
Sponsor’s telephone number 3202524222
Plan sponsor’s mailing address PO BOX 6146, ST. CLOUD, MN, 56302
Plan sponsor’s address 1921 COBORN BLVD, ST. CLOUD, MN, 56301

Number of participants as of the end of the plan year

Active participants 2422
Retired or separated participants receiving benefits 20
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing SHEILA JOVANOVICH
Valid signature Filed with authorized/valid electronic signature
COBORN'S INCORPORATED HEALTH AND WELFARE PLAN 2016 410824910 2017-07-31 COBORN'S INCORPORATED 2122
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-12-01
Business code 445110
Sponsor’s telephone number 3202524222
Plan sponsor’s mailing address PO BOX 6146, ST. CLOUD, MN, 56302
Plan sponsor’s address 1921 COBORN BLVD, ST. CLOUD, MN, 56301

Number of participants as of the end of the plan year

Active participants 1988
Retired or separated participants receiving benefits 30
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing SHEILA JOVANOVICH
Valid signature Filed with authorized/valid electronic signature
COBORN'S INCORPORATED DENTAL PLAN 2016 410824910 2017-07-31 COBORN'S INCORPORATED 2116
File View Page
Three-digit plan number (PN) 509
Effective date of plan 2006-12-01
Business code 445110
Sponsor’s telephone number 3202524222
Plan sponsor’s mailing address PO BOX 6146, ST. CLOUD, MN, 56302
Plan sponsor’s address 1921 COBORN BLVD, ST. CLOUD, MN, 56301

Number of participants as of the end of the plan year

Active participants 2060
Retired or separated participants receiving benefits 19
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing SHEILA JOVANOVICH
Valid signature Filed with authorized/valid electronic signature
COBORN'S INCORPORATED SHORT-TERM DISABILITY PLAN 2016 410824910 2017-07-31 COBORN'S INCORPORATED 2546
Three-digit plan number (PN) 508
Effective date of plan 2006-06-01
Business code 445110
Sponsor’s telephone number 3202524222
Plan sponsor’s mailing address PO BOX 6146, ST. CLOUD, MN, 56302
Plan sponsor’s address 1921 COBORN BLVD, ST. CLOUD, MN, 56301

Number of participants as of the end of the plan year

Active participants 2422
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing SHEILA JOVANOVICH
Valid signature Filed with authorized/valid electronic signature
COBORN'S INC GROUP VISION CARE PLAN 2016 410824910 2017-07-31 COBORN'S INCORPORATED 1519
File View Page
Three-digit plan number (PN) 526
Effective date of plan 2015-01-01
Business code 445110
Sponsor’s telephone number 3202524222
Plan sponsor’s mailing address PO BOX 6146, ST. CLOUD, MN, 56302
Plan sponsor’s address 1921 COBORN BLVD, ST. CLOUD, MN, 56301

Number of participants as of the end of the plan year

Active participants 1476
Retired or separated participants receiving benefits 19
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing SHEILA JOVANOVICH
Valid signature Filed with authorized/valid electronic signature
COBORN'S INC FLEXIBLE BENEFIT PLAN 2016 410824910 2017-07-31 COBORN'S INCORPORATED 479
File View Page
Three-digit plan number (PN) 525
Effective date of plan 1994-03-01
Business code 445110
Sponsor’s telephone number 3202524222
Plan sponsor’s mailing address PO BOX 6146, ST. CLOUD, MN, 56302
Plan sponsor’s address 1921 COBORN BLVD, ST. CLOUD, MN, 56301

Number of participants as of the end of the plan year

Active participants 455
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing SHEILA JOVANOVICH
Valid signature Filed with authorized/valid electronic signature
COBORN'S INCORPORATED SHORT-TERM DISABILITY PLAN 2015 410824910 2016-10-10 COBORN'S INCORPORATED 2142
File View Page
Three-digit plan number (PN) 508
Effective date of plan 2006-06-01
Business code 445110
Sponsor’s telephone number 3202524222
Plan sponsor’s mailing address PO BOX 6146, ST. CLOUD, MN, 56302
Plan sponsor’s address 1921 COBORN BLVD, ST. CLOUD, MN, 56301

Number of participants as of the end of the plan year

Active participants 2525
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2016-10-10
Name of individual signing SHEILA JOVANOVICH
Valid signature Filed with authorized/valid electronic signature
COBORN'S INCORPORATED LONG-TERM DISABILITY PLAN 2015 410824910 2016-10-10 COBORN'S INCORPORATED 2142
File View Page
Three-digit plan number (PN) 507
Effective date of plan 2006-06-01
Business code 445110
Sponsor’s telephone number 3202524222
Plan sponsor’s mailing address PO BOX 6146, ST. CLOUD, MN, 56302
Plan sponsor’s address 1921 COBORN BLVD, ST. CLOUD, MN, 56301

Number of participants as of the end of the plan year

Active participants 2525
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2016-10-10
Name of individual signing SHEILA JOVANOVICH
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
CHRISTOPHER M. COBORN Chief Executive Officer 1921 COBORN BLVD, SAINT CLOUD, MN 56301–2100, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic)Change of Shares Restated Articles 2015-02-02
Annual Reinstatement - Business Corporation (Domestic) 2009-01-12
Administrative Dissolution - Business Corporation (Domestic) 2009-01-07
Business Corporation (Domestic) Restated Articles 1992-12-15
Consent to Use of Name - Business Corporation (Domestic) 1984-09-17
Business Corporation (Domestic) Active Status Report 1980-02-20
Registered Office and/or Agent - Business Corporation (Domestic) 1980-02-04
Merger - Business Corporation (Domestic) 1975-05-09
Business Corporation (Domestic) Change of Shares 1960-02-26
Original Filing - Business Corporation (Domestic) 1958-12-15

Date of last update: 14 Dec 2024

Sources: Minnesota's Official State Website