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  5. CLARK LAKE HOMES, INC.

CLARK LAKE HOMES, INC.

Company Details

Name: CLARK LAKE HOMES, INC.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 13 Nov 1995 (29 years ago)
Company Number: daaafefe-b1d4-e011-a886-001ec94ffe7f
File Number: 8X-555
Registered Office Address: 2700 Oak St., Brainerd, MN 56401, USA
Principal Executive Office Address: 2700 OAK ST, BRAINERD, MN 56401–3867, USA
ZIP code: 56401
County: Crow Wing County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLARK LAKE HOMES 401(K) PLAN AND TRUST 2023 411827247 2024-05-06 CLARK LAKE HOMES, INC. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 2188331322
Plan sponsor’s address 2700 OAK STREET, BRAINERD, MN, 56401

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
CLARK LAKE HOMES 401(K) PLAN AND TRUST 2022 411827247 2023-09-28 CLARK LAKE HOMES, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 2188331322
Plan sponsor’s address 2700 OAK STREET, BRAINERD, MN, 56401

Signature of
Role Plan administrator
Date 2023-09-28
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
CLARK LAKE HOMES 401(K) PLAN AND TRUST 2021 411827247 2022-08-21 CLARK LAKE HOMES, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 2188331322
Plan sponsor’s address 2700 OAK STREET, BRAINERD, MN, 56401

Signature of
Role Plan administrator
Date 2022-08-21
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
CLARK LAKE HOMES 401(K) PLAN AND TRUST 2020 411827247 2021-10-06 CLARK LAKE HOMES, INC. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 2188331322
Plan sponsor’s address 2700 OAK STREET, BRAINERD, MN, 56401

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
CLARK LAKE HOMES 401(K) PLAN AND TRUST 2019 411827247 2020-08-24 CLARK LAKE HOMES, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 2188331322
Plan sponsor’s address 2700 OAK STREET, BRAINERD, MN, 56401

Signature of
Role Plan administrator
Date 2020-08-24
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
CLARK LAKE HOMES 401(K) PLAN AND TRUST 2018 411827247 2019-10-11 CLARK LAKE HOMES, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 2188331322
Plan sponsor’s address 2700 OAK STREET, BRAINERD, MN, 56401

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
CLARK LAKE HOMES 401(K) PLAN AND TRUST 2017 411827247 2018-04-04 CLARK LAKE HOMES, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 2188331322
Plan sponsor’s address 2700 OAK STREET, BRAINERD, MN, 56401

Signature of
Role Plan administrator
Date 2018-04-04
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
CLARK LAKE HOMES 401(K) PLAN AND TRUST 2016 411827247 2017-04-06 CLARK LAKE HOMES, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 2188331322
Plan sponsor’s address 2700 OAK STREET, BRAINERD, MN, 56401

Signature of
Role Plan administrator
Date 2017-04-06
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature
CLARK LAKE HOMES 401(K) PLAN AND TRUST 2015 411827247 2016-09-01 CLARK LAKE HOMES, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 2188291699
Plan sponsor’s address 10471 STATE HIGHWAY 25, BRAINERD, MN, 564011401

Plan administrator’s name and address
Administrator’s EIN 451427680
Plan administrator’s name FIDUCIARY DOCTORS LLC
Plan administrator’s address 2487 S GILBERT ROAD SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 4808555578
CLARK LAKE HOMES 401(K) PLAN AND TRUST 2014 411827247 2015-08-13 CLARK LAKE HOMES, INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 2188291699
Plan sponsor’s address 10471 STATE HIGHWAY 25, BRAINERD, MN, 564011401

Signature of
Role Plan administrator
Date 2015-08-13
Name of individual signing ADAM PETERSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Adam J Peterson Chief Executive Officer 2700 OAK ST, BRAINERD, MN 56401–3867, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) 2020-05-22
Registered Office and/or Agent - Business Corporation (Domestic) 2001-04-27
Original Filing - Business Corporation (Domestic) 1995-11-13
Business Corporation (Domestic) Business Name (Business Name: CLARK LAKE HOMES, INC.) 1995-11-13

Related by officers

No related officers

Related by address

2700 OAK ST, BRAINERD, MN 56401–3867, USA

J J & A Property Management, LLC

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website

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