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  5. MIDWEST INSURANCE SERVICES, INC.

MIDWEST INSURANCE SERVICES, INC.

Company Details

Name: MIDWEST INSURANCE SERVICES, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 10 Jan 2000 (25 years ago)
Company Number: d87b5492-a3d4-e011-a886-001ec94ffe7f
File Number: 10Z-247
Registered Office Address: 714 Atlantic Ave, Morris, MN 56267, USA
Principal Executive Office Address: 714 ATLANTIC AVENUE PO Box 564, Morris, MN 56267–0564, USA
ZIP code: 56267
County: Stevens County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST INSURANCE SERVICES, INC. 401K PROFIT SHARING PLAN 2019 411958778 2020-08-12 MIDWEST INSURANCE SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3205893964
Plan sponsor’s address P.O. BOX 564, MORRIS, MN, 56267

Signature of
Role Plan administrator
Date 2020-08-12
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-12
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSURANCE SERVICES, INC. 401K PROFIT SHARING PLAN 2018 411958778 2019-07-09 MIDWEST INSURANCE SERVICES, INC. 2
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3205893964
Plan sponsor’s address P.O. BOX 564, MORRIS, MN, 56267

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-08
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSURANCE SERVICES, INC. 401K PROFIT SHARING PLAN 2017 411958778 2018-07-27 MIDWEST INSURANCE SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3205893964
Plan sponsor’s address P.O. BOX 564, MORRIS, MN, 56267

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-27
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSURANCE SERVICES, INC. 401K PROFIT SHARING PLAN 2016 411958778 2017-07-27 MIDWEST INSURANCE SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3205893964
Plan sponsor’s address P.O. BOX 564, MORRIS, MN, 56267

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSURANCE SERVICES, INC. 401K PROFIT SHARING PLAN 2015 411958778 2016-06-21 MIDWEST INSURANCE SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3205893964
Plan sponsor’s address P.O. BOX 564, MORRIS, MN, 56267

Signature of
Role Plan administrator
Date 2016-06-21
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-21
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSURANCE SERVICES, INC. 401K PROFIT SHARING PLAN 2014 411958778 2015-07-07 MIDWEST INSURANCE SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3205893964
Plan sponsor’s address P.O. BOX 564, MORRIS, MN, 56267

Signature of
Role Plan administrator
Date 2015-07-07
Name of individual signing LESLIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-07
Name of individual signing LESLIE BROWN
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSURANCE SERVICES, INC. 401K PROFIT SHARING PLAN 2013 411958778 2014-12-12 MIDWEST INSURANCE SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3205893964
Plan sponsor’s address P.O. BOX 564, MORRIS, MN, 56267

Signature of
Role Plan administrator
Date 2014-12-12
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-12-12
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSURANCE SERVICES, INC. 401K PROFIT SHARING PLAN 2012 411958778 2013-09-17 MIDWEST INSURANCE SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3205893964
Plan sponsor’s address P.O. BOX 564, MORRIS, MN, 56267

Signature of
Role Plan administrator
Date 2013-09-17
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-17
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSURANCE SERVICES, INC. 401K PROFIT SHARING PLAN 2011 411958778 2013-09-18 MIDWEST INSURANCE SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3205893964
Plan sponsor’s address P.O. BOX 564, MORRIS, MN, 56267

Plan administrator’s name and address
Administrator’s EIN 411958778
Plan administrator’s name MIDWEST INSURANCE SERVICES, INC.
Plan administrator’s address P.O. BOX 564, MORRIS, MN, 56267
Administrator’s telephone number 3205893964

Signature of
Role Plan administrator
Date 2013-09-18
Name of individual signing LESLIE BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-18
Name of individual signing LESLIE BROWN
Valid signature Filed with authorized/valid electronic signature
MIDWEST INSURANCE SERVICES, INC. 401K PROFIT SHARING PLAN 2010 411958778 2011-09-13 MIDWEST INSURANCE SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3205893964
Plan sponsor’s address 712 ATLANTIC AVENUE, MORRIS, MN, 56267

Plan administrator’s name and address
Administrator’s EIN 411958778
Plan administrator’s name MIDWEST INSURANCE SERVICES, INC.
Plan administrator’s address 712 ATLANTIC AVENUE, MORRIS, MN, 56267
Administrator’s telephone number 3205893964

Signature of
Role Plan administrator
Date 2011-09-13
Name of individual signing LESLIE A BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-13
Name of individual signing LELSIE A BROWN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Daniel R Mahoney Chief Executive Officer 714 ATLANTIC AVENUE PO Box 564, Morris, MN 56267–0564, USA

Agent

Name Role
Daniel R Mahoney Agent

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2017-03-17
Administrative Dissolution - Business Corporation (Domestic) 2017-02-27
Business Corporation (Domestic) Business Name (Business Name: MIDWEST INSURANCE SERVICES, INC.) 2005-08-11
Registered Office and/or Agent - Business Corporation (Domestic) 2005-05-27
Original Filing - Business Corporation (Domestic) 2000-01-10
Business Corporation (Domestic) Business Name (Business Name: MAHONEY INSURANCE & RISK MANAGEMENT AGENCY, INC.) 2000-01-10

Related by officers

Daniel R Mahoney

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Related by address

714 Atlantic Ave, Morris, MN 56267, USA

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Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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