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  5. Mickelson-Pribbernow, Inc.

Mickelson-Pribbernow, Inc.

Headquarter

Company Details

Name: Mickelson-Pribbernow, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 28 Jan 1980 (45 years ago)
Company Number: ef53fdcd-9ed4-e011-a886-001ec94ffe7f
File Number: 3P-283
Registered Office Address: 920 Pebble Lk Rd, Fergus Falls, MN 56537, USA
Principal Executive Office Address: 920 Pebble Lake Road, Fergus Falls, MN 56537, USA
ZIP code: 56537
County: Otter Tail County
Place of Formation: Minnesota

Links between entities

Type Company Name Company Number State
Headquarter of Mickelson-Pribbernow, Inc., IDAHO 3352850 IDAHO

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICKELSON-PRIBBERNOW INC 401K PROFIT SHARING PLAN 2023 411365225 2024-05-21 MICKELSON-PRIBBERNOW INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524210
Sponsor’s telephone number 7637105271
Plan sponsor’s address 920 PEBBLE LAKE RD, FERGUS FALLS, MN, 565373106

Signature of
Role Plan administrator
Date 2024-05-21
Name of individual signing JASON R. PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature
MICKELSON-PRIBBERNOW IN 401K PROFIT SHARING PLAN 2022 411365225 2023-08-08 MICKELSON-PRIBBERNOW INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524210
Sponsor’s telephone number 7637105271
Plan sponsor’s address 920 PEBBLE LAKE RD, FERGUS FALLS, MN, 565373106

Signature of
Role Plan administrator
Date 2023-08-08
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
MICKELSON-PRIBBERNOW, INC. 401(K) PROFIT SHARING PLAN 2021 411365225 2022-06-08 MICKELSON-PRIBBERNOW, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524210
Sponsor’s telephone number 7637105271
Plan sponsor’s address 920 S. PEBBLE LAKE ROAD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2022-06-08
Name of individual signing JASON R. PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-08
Name of individual signing JASON R. PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature
MICKELSON-PRIBBERNOW, INC. 401(K) PROFIT SHARING PLAN 2020 411365225 2021-08-12 MICKELSON-PRIBBERNOW, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524210
Sponsor’s telephone number 7637105271
Plan sponsor’s address 920 S. PEBBLE LAKE ROAD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2021-08-12
Name of individual signing JASON R. PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-12
Name of individual signing STEPHANIE L. PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature
MICKELSON-PRIBBERNOW, INC. 401(K) PROFIT SHARING PLAN 2019 411365225 2020-07-14 MICKELSON-PRIBBERNOW, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524210
Sponsor’s telephone number 7637105271
Plan sponsor’s address 920 PEBBLE LAKE RD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing MATT HENDRICKS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-14
Name of individual signing JASON R. PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature
MICKELSON-PRIBBERNOW, INC. 401(K) PROFIT SHARING PLAN 2018 411365225 2019-10-01 MICKELSON-PRIBBERNOW, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524210
Sponsor’s telephone number 7637105271
Plan sponsor’s address 920 S. PEBBLE LAKE ROAD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing JASON R. PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature
MICKELSON-PRIBBERNOW, INC. 401(K) PROFIT SHARING PLAN 2017 411365225 2018-06-26 MICKELSON-PRIBBERNOW, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524210
Sponsor’s telephone number 7637105271
Plan sponsor’s address 920 S. PEBBLE LAKE ROAD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing JASON R. PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-26
Name of individual signing JASON R. PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature
MICKELSON-PRIBBERNOW IN 401 PS PLAN 2016 411365225 2017-07-18 MICKELSON-PRIBBERNOW INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524210
Sponsor’s telephone number 7637105271
Plan sponsor’s address 920 PEBBLE LAKE RD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing JASON R. PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature
MICKELSON-PRIBBERNOW IN 401 PS PLAN 2015 411365225 2016-07-25 MICKELSON-PRIBBERNOW INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524210
Sponsor’s telephone number 7637105271
Plan sponsor’s address 920 PEBBLE LAKE RD, FERGUS FALLS, MN, 56537

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing STEPHANIE PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature
MICKELSON-PRIBBERNOW, INC. 2010 411365225 2011-07-26 MICKELSON-PRIBBERNOW, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 524210
Sponsor’s telephone number 2187393316
Plan sponsor’s address 920 PEBBLE LAKE ROAD, FERGUS FALLS, MN, 56537

Plan administrator’s name and address
Administrator’s EIN 411365225
Plan administrator’s name MICKELSON-PRIBBERNOW, INC.
Plan administrator’s address 920 PEBBLE LAKE ROAD, FERGUS FALLS, MN, 56537
Administrator’s telephone number 2187393316

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing JASON PRIBBERNOW
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jason Pribbernow Chief Executive Officer 920 Pebble Lake Road, Fergus Falls, MN 56537, USA

Agent

Name Role
Jason Pribbernow Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2010-03-19
Original Filing - Business Corporation (Domestic) 1980-01-28
Business Corporation (Domestic) Business Name (Business Name: Mickelson-Pribbernow, Inc.) 1980-01-28

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Related by address

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Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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