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  5. Pioneer Heritage Insurance, LLC

Pioneer Heritage Insurance, LLC

Company Details

Name: Pioneer Heritage Insurance, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 31 May 2001 (24 years ago)
Company Number: d6c8ab55-afd4-e011-a886-001ec94ffe7f
File Number: 22918-LLC
Registered Office Address: 100 S Str W PO Box 716, Spicer, MN 56288, USA
Principal Executive Office Address: 100 SOUTH ST WEST, SPICER, MN 56288, USA
ZIP code: 56288
County: Kandiyohi County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHI 401(K) PLAN 2023 412006781 2024-03-04 PIONEER HERITAGE INSURANCE, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3207962169
Plan sponsor’s address 100 SOUTH ST. WEST, SPICER, MN, 56288

Signature of
Role Plan administrator
Date 2024-03-04
Name of individual signing JAMES WILLIAM TETZLOFF
Valid signature Filed with authorized/valid electronic signature
PHI 401(K) PLAN 2022 412006781 2023-03-15 PIONEER HERITAGE INSURANCE, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3207962169
Plan sponsor’s address 100 SOUTH ST. WEST, SPICER, MN, 56288

Signature of
Role Plan administrator
Date 2023-03-15
Name of individual signing JAMES WILLIAM TETZLOFF
Valid signature Filed with authorized/valid electronic signature
PHI 401(K) PLAN 2021 412006781 2022-06-06 PIONEER HERITAGE INSURANCE, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3207962169
Plan sponsor’s address 100 SOUTH ST. WEST, SPICER, MN, 56288

Signature of
Role Plan administrator
Date 2022-06-06
Name of individual signing JAMES WILLIAM TETZLOFF
Valid signature Filed with authorized/valid electronic signature
PHI 401(K) PLAN 2020 412006781 2021-04-12 PIONEER HERITAGE INSURANCE, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3207962169
Plan sponsor’s address 100 SOUTH ST. WEST, SPICER, MN, 56288

Signature of
Role Plan administrator
Date 2021-04-12
Name of individual signing JAMES TETZLOFF
Valid signature Filed with authorized/valid electronic signature
PHI 401(K) PLAN 2019 412006781 2020-06-10 PIONEER HERITAGE INSURANCE, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3207962169
Plan sponsor’s address 100 SOUTH ST. WEST, SPICER, MN, 56288

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing JAMES TETZLOFF
Valid signature Filed with authorized/valid electronic signature
PHI 401(K) PLAN 2018 412006781 2019-07-15 PIONEER HERITAGE INSURANCE, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3202143952
Plan sponsor’s address 310 1ST STREET SW, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing JAMES TETZLOFF
Valid signature Filed with authorized/valid electronic signature
PHI 401(K) PLAN 2017 412006781 2018-07-31 PIONEER HERITAGE INSURANCE, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3202143952
Plan sponsor’s address 310 1ST STREET SW, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing JAMES TETZLOFF
Valid signature Filed with authorized/valid electronic signature
PHI 401(K) PLAN 2016 412006781 2017-10-16 PIONEER HERITAGE INSURANCE, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Plan sponsor’s address 310 1ST STREET SW, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing JAMES TETZLOFF
Valid signature Filed with authorized/valid electronic signature
PHI 401(K) PLAN 2015 412006781 2016-10-17 PIONEER HERITAGE INSURANCE, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Plan sponsor’s address 310 1ST STREET SW, WILLMAR, MN, 56201

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing JAMES TETZLOFF
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
JIM TETZLOFF Manager 100 SOUTH ST WEST, PO BOX 716, SPICER, MN 56288, USA

Agent

Name Role
James Tetzloff Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Registered Office and/or Agent - Limited Liability Company (Domestic) 2007-09-28
Limited Liability Company (Domestic) Business Name (Business Name: Pioneer Heritage Insurance, LLC) 2003-01-08
Merger - Limited Liability Company (Domestic) 2003-01-08
Original Filing - Limited Liability Company (Domestic) 2001-05-31
Limited Liability Company (Domestic) Business Name (Business Name: GREEN LAKE INSURANCE AGENCY, LLC) 2001-05-31

Related by officers

James Tetzloff

PHI Holdings L. L. C. Diamond Plaza Owners Association, Inc.

Related by address

100 SOUTH ST WEST, SPICER, MN 56288, USA

Diamond Plaza Owners Association, Inc.

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website

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