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  5. J Carlson Services, Inc.

J Carlson Services, Inc.

Company Details

Name: J Carlson Services, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 13 Dec 1999 (25 years ago)
Company Number: e5046651-9fd4-e011-a886-001ec94ffe7f
File Number: 10Y-79
Registered Office Address: 646 1st Str E, Shevlin, MN 56676, USA
Principal Executive Office Address: 646 1ST ST E, SHEVLIN, MN 56676–4228, United States
ZIP code: 56676
County: Clearwater County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
J CARLSON SERVICES, INC. 401(K) PLAN 2023 411957583 2024-09-23 J CARLSON SERVICES, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 238900
Sponsor’s telephone number 2187852563
Plan sponsor’s address 646 1ST STREET EAST, SHEVLIN, MN, 56676
J CARLSON SERVICES, INC. 401(K) PLAN 2022 411957583 2023-07-17 J CARLSON SERVICES, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 238900
Sponsor’s telephone number 2187852563
Plan sponsor’s address 646 1ST STREET EAST, SHEVLIN, MN, 56676

Signature of
Role Plan administrator
Date 2023-07-17
Name of individual signing JEFF CARLSON
Valid signature Filed with authorized/valid electronic signature
J CARLSON SERVICES, INC. 401(K) PLAN 2021 411957583 2022-09-14 J CARLSON SERVICES, INC. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 238900
Sponsor’s telephone number 2187852563
Plan sponsor’s address 646 1ST STREET EAST, SHEVLIN, MN, 56676

Signature of
Role Plan administrator
Date 2022-09-14
Name of individual signing JEFF CARLSON
Valid signature Filed with authorized/valid electronic signature
J CARLSON SERVICES, INC. 401(K) PLAN 2020 411957583 2021-08-03 J CARLSON SERVICES, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 238900
Sponsor’s telephone number 2187852563
Plan sponsor’s address 646 1ST STREET EAST, SHEVLIN, MN, 56676

Signature of
Role Plan administrator
Date 2021-08-03
Name of individual signing JEFF CARLSON
Valid signature Filed with authorized/valid electronic signature
J CARLSON SERVICES, INC. 401(K) PLAN 2019 411957583 2020-07-16 J CARLSON SERVICES, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 238900
Sponsor’s telephone number 2187852563
Plan sponsor’s address 646 1ST STREET EAST, SHEVLIN, MN, 56676

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing JEFF CARLSON
Valid signature Filed with authorized/valid electronic signature
J CARLSON SERVICES, INC. 401(K) PLAN 2018 411957583 2019-10-15 J CARLSON SERVICES, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 238900
Sponsor’s telephone number 2187852563
Plan sponsor’s address 646 1ST STREET EAST, SHEVLIN, MN, 56676

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing JEFFREY CARLSON
Valid signature Filed with authorized/valid electronic signature
J CARLSON SERVICES, INC. 401(K) PLAN 2017 411957583 2018-07-16 J CARLSON SERVICES, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 238900
Sponsor’s telephone number 2187852563
Plan sponsor’s address 646 1ST STREET EAST, SHEVLIN, MN, 56676

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing JEFF CARLSON
Valid signature Filed with authorized/valid electronic signature
J CARLSON SERVICES, INC. 401(K) PLAN 2016 411957583 2017-05-25 J CARLSON SERVICES, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 238900
Sponsor’s telephone number 2187852563
Plan sponsor’s address 646 1ST STREET EAST, SHEVLIN, MN, 56676

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing JEFF CARLSON
Valid signature Filed with authorized/valid electronic signature
J CARLSON SERVICES, INC. 401(K) PLAN 2015 411957583 2016-07-25 J CARLSON SERVICES, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 238900
Sponsor’s telephone number 2187852563
Plan sponsor’s address 646 1ST STREET EAST, SHEVLIN, MN, 56676

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing JEFF CARLSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jeffrey A Carlson Chief Executive Officer 646 1ST ST E, SHEVLIN, MN 56676–4228, United States

Agent

Name Role
Jeffrey A Carlson Agent

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic)Change of Shares Restated Articles 2015-01-05
Registered Office and/or Agent - Business Corporation (Domestic) 2006-04-06
Original Filing - Business Corporation (Domestic) 1999-12-13
Business Corporation (Domestic) Business Name (Business Name: J Carlson Services, Inc.) 1999-12-13

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Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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