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  5. AIS HOLDING COMPANY, INC.

AIS HOLDING COMPANY, INC.

Company Details

Name: AIS HOLDING COMPANY, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Oct 1966 (58 years ago)
Organization Date: 14 Oct 1966 (58 years ago)
Last Annual Report: 15 Jun 2011 (14 years ago)
Organization Number: 0002241
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: P.O. BOX 23410, 13101 MAGISTERIAL DR., STE. 200, LOUISVILLE, KY 40223
Place of Formation: KENTUCKY
Authorized Shares: 250000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATED INSURANCE SERVICE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2010 610662092 2012-03-23 ASSOCIATED INSURANCE SERVICE, INC. 39
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-10-01
Business code 524210
Sponsor’s telephone number 5022417072
Plan sponsor’s mailing address P.O. BOX 23410, LOUISVILLE, KY, 40223
Plan sponsor’s address 13101 MAGISTERIAL DRIVE, SUITE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610662092
Plan administrator’s name ASSOCIATED INSURANCE SERVICE, INC.
Plan administrator’s address P.O. BOX 23410, LOUISVILLE, KY, 40223
Administrator’s telephone number 5022417072

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-03-23
Name of individual signing NORMAN FALLOT
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED INSURANCE SERVICE, INC. RETIREMENT SAVINGS PLAN 2010 610662092 2011-02-15 ASSOCIATED INSURANCE SERVICE, INC. 33
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 5022417072
Plan sponsor’s address 13101 MAGISTERIAL DR STE 200, LOUISVILLE, KY, 402235139

Plan administrator’s name and address
Administrator’s EIN 610662092
Plan administrator’s name ASSOCIATED INSURANCE SERVICE, INC.
Plan administrator’s address 13101 MAGISTERIAL DR STE 200, LOUISVILLE, KY, 402235139
Administrator’s telephone number 5022417072

Signature of
Role Plan administrator
Date 2011-02-15
Name of individual signing JOHN DADDS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-02-15
Name of individual signing JOHN DADDS
Valid signature Filed with incorrect/unrecognized electronic signature
ASSOCIATED INSURANCE SERVICE, INC. RETIREMENT SAVINGS PLAN 2010 610662092 2011-09-26 ASSOCIATED INSURANCE SERVICE, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 5022417072
Plan sponsor’s address 13101 MAGISTERIAL DR STE 200, LOUISVILLE, KY, 402235139

Plan administrator’s name and address
Administrator’s EIN 610662092
Plan administrator’s name ASSOCIATED INSURANCE SERVICE, INC.
Plan administrator’s address 13101 MAGISTERIAL DR STE 200, LOUISVILLE, KY, 402235139
Administrator’s telephone number 5022417072

Signature of
Role Plan administrator
Date 2011-09-26
Name of individual signing NORMAN FALLOT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-26
Name of individual signing NORMAN FALLOT
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED INSURANCE SERVICE, INC. RETIREMENT SAVINGS PLAN 2010 610662092 2011-09-26 ASSOCIATED INSURANCE SERVICE, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 5022417072
Plan sponsor’s address 13101 MAGISTERIAL DR STE 200, LOUISVILLE, KY, 402235139

Plan administrator’s name and address
Administrator’s EIN 610662092
Plan administrator’s name ASSOCIATED INSURANCE SERVICE, INC.
Plan administrator’s address 13101 MAGISTERIAL DR STE 200, LOUISVILLE, KY, 402235139
Administrator’s telephone number 5022417072

Signature of
Role Plan administrator
Date 2011-09-26
Name of individual signing NORMAN FALLOT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-26
Name of individual signing NORMAN FALLOT
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED INSURANCE SERVICE, INC. EMPLOYEE STOCK OWNERSHIP PLAN 2009 610662092 2011-05-02 ASSOCIATED INSURANCE SERVICE, INC. 38
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1985-10-01
Business code 524210
Sponsor’s telephone number 5022417072
Plan sponsor’s mailing address P.O. BOX 23410, LOUISVILLE, KY, 40223
Plan sponsor’s address 13101 MAGISTERIAL DRIVE, SUITE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address
Administrator’s EIN 610662092
Plan administrator’s name ASSOCIATED INSURANCE SERVICE, INC.
Plan administrator’s address P.O. BOX 23410, LOUISVILLE, KY, 40223
Administrator’s telephone number 5022417072

Number of participants as of the end of the plan year
Active participants 26
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 13
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 28
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-04-30
Name of individual signing NORMAN FALLOT
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED INSURANCE SERVICE, INC. RETIREMENT SAVINGS PLAN 2009 610662092 2010-07-06 ASSOCIATED INSURANCE SERVICE, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 5022417072
Plan sponsor’s address 13101 MAGISTERIAL DR STE 200, LOUISVILLE, KY, 402235139

Plan administrator’s name and address
Administrator’s EIN 610662092
Plan administrator’s name ASSOCIATED INSURANCE SERVICE, INC.
Plan administrator’s address 13101 MAGISTERIAL DR STE 200, LOUISVILLE, KY, 402235139
Administrator’s telephone number 5022417072

Signature of
Role Plan administrator
Date 2010-07-06
Name of individual signing JOHN DADDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-04-23
Name of individual signing JOHN DADDS, COO
Valid signature Filed with authorized/valid electronic signature

Vice President

Name Role
JOSEPH T. ALTOBELLIS Vice President

Secretary

Name Role
JAMES D. WETTERER Secretary

Treasurer

Name Role
JAMES D. WETTERER Treasurer

CEO

Name Role
DAVID C. WALKER CEO

Director

Name Role
NORMAN E. FALLOT Director
JOSEPH T. ALTOBELLIS Director
JAMES D. WETTERER Director
DAVID C. WALKER Director

Incorporator

Name Role
FRED M. GOLDBERG Incorporator

President

Name Role
NORMAN E. FALLOT President

Registered Agent

Name Role
NORMAN FALLOT Registered Agent

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Insurance DOI ID 400937 Agent - Property Inactive 2000-08-15 - 2012-03-31 - -
Department of Insurance DOI ID 400937 Agent - Casualty Inactive 2000-08-15 - 2012-03-31 - -
Department of Insurance DOI ID 400937 Agent - Prepaid Dental Plan Inactive 1987-04-17 - 2001-03-01 - -
Department of Insurance DOI ID 400937 Agent - Health Maintenance Organization Inactive 1984-12-28 - 2001-03-01 - -
Department of Insurance DOI ID 400937 Agent - Life Inactive 1982-03-31 - 2012-03-31 - -
Department of Insurance DOI ID 400937 Agent - General Lines Inactive 1982-03-31 - 2000-08-15 - -
Department of Insurance DOI ID 400937 Agent - Health Inactive 1982-03-31 - 2012-03-31 - -

Former Company Names

Name Action
ASSOCIATED INSURANCE SERVICE, INC Old Name

Filings

Name File Date
Dissolution 2011-12-28
Annual Report 2011-06-15
Amendment 2011-01-12
Annual Report 2010-06-24
Annual Report 2009-02-16
Annual Report 2008-02-14
Annual Report 2007-06-22
Statement of Change 2007-06-22
Principal Office Address Change 2007-01-30
Annual Report 2006-06-29

Related by officers

JOSEPH T. ALTOBELLIS

PLAYERS II PARTNERSHIP CHAMBERLAIN LANE JOINT VENTURE LOUISVILLE PREMIUM FINANCE CORPORATION C.P.C.U. THREE JOINT VENTURE NEW CHAMBERLAIN LANE, LLC ACES & 8'S, LLC

JAMES D. WETTERER

CHAMBERLAIN LANE JOINT VENTURE LOUISVILLE PREMIUM FINANCE CORPORATION C.P.C.U. THREE JOINT VENTURE QUADRISK, LLC NEW CHAMBERLAIN LANE, LLC

DAVID C. WALKER

LOUISVILLE PREMIUM FINANCE CORPORATION SUNSHINE YOUTH FOUNDATION IREX CORPORATION D BAR W RISK MANAGEMENT, LLC NEW CHAMBERLAIN LANE, LLC WALKER AND ASSOCIATES DEVELOPERS, INC.

NORMAN E. FALLOT

CHAMBERLAIN LANE JOINT VENTURE LOUISVILLE PREMIUM FINANCE CORPORATION C.P.C.U. THREE JOINT VENTURE NICOSON - FALLOT, LLC

FRED M. GOLDBERG

JHS FIRST, INC. ADVERTISING DISTRIBUTORS OF AMERICA OF LEXINGTON, INC. C & W HEATING & AIR CONDITIONING, INC. CARDINAL AVIATION, INC. CIRCLE "A" COAL CO., INC. CORBETT ENTERPRISES, INC. DISPENSER'S OPTICAL SERVICE, INC. FAMILY INVESTMENT COMPANY, INC. F & W, INC. GEMINI SPECIALTIES, INC.

NORMAN FALLOT

LOUISVILLE PREMIUM FINANCE CORPORATION CHEF'S BEST RESTAURANT EQUIPMENT, INC. NICOSON - FALLOT, LLC QUADRISK, LLC ABC HOLDING COMPANY, LLC AIS SUB, LLC

Related by address

P.O. BOX 23410, 13101 MAGISTERIAL DR., STE. 200, LOUISVILLE, KY 40223

ABC HOLDING COMPANY, LLC AIS SUB, LLC

Sources: Kentucky Secretary of State

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