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  5. MCCLOUD CLAIMS SERVICE, INC.

MCCLOUD CLAIMS SERVICE, INC.

Company Details

Name: MCCLOUD CLAIMS SERVICE, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 21 Sep 1983 (41 years ago)
Organization Date: 21 Sep 1983 (41 years ago)
Last Annual Report: 28 Jun 2024 (7 months ago)
Organization Number: 0181885
Industry: Insurance Agents, Brokers and Service
Number of Employees: Small (0-19)
ZIP code: 42104
Primary County: Warren
Principal Office: 1007 GRIDER POND RD, Bowling Green, KY 42104-4615
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCCLOUD CLAIMS SERVICE, INC. CBS BENEFIT PLAN 2022 611048879 2023-12-27 MCCLOUD CLAIMS SERVICE, INC. 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 524210
Sponsor’s telephone number 2707821515
Plan sponsor’s address 1190 BROADWAY AVE, BOWLING GREEN, KY, 42102

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
MCCLOUD CLAIMS SERVICE, INC. CBS BENEFIT PLAN 2021 611048879 2022-12-29 MCCLOUD CLAIMS SERVICE, INC. 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 524210
Sponsor’s telephone number 2707821515
Plan sponsor’s address 1190 BROADWAY AVE, BOWLING GREEN, KY, 42102

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
MCCLOUD CLAIMS SERVICE, INC. CBS BENEFIT PLAN 2020 611048879 2021-12-14 MCCLOUD CLAIMS SERVICE, INC. 4
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 524210
Sponsor’s telephone number 2707821515
Plan sponsor’s address 1190 BROADWAY AVE, BOWLING GREEN, KY, 42102

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2021-12-14
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
MCCLOUD CLAIMS SERVICE, INC. 401(K) PLAN 2011 611048879 2012-09-18 MCCLOUD CLAIMS SERVICE, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 524290
Sponsor’s telephone number 2707821515
Plan sponsor’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102

Plan administrator’s name and address
Administrator’s EIN 611048879
Plan administrator’s name MCCLOUD CLAIMS SERVICE, INC.
Plan administrator’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102
Administrator’s telephone number 2707821515

Signature of
Role Plan administrator
Date 2012-09-18
Name of individual signing VICKI OLIVE
Valid signature Filed with authorized/valid electronic signature
MCCLOUD CLAIMS SERVICE, INC. 401(K) PLAN 2011 611048879 2012-07-26 MCCLOUD CLAIMS SERVICE, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 524290
Sponsor’s telephone number 2707821515
Plan sponsor’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102

Plan administrator’s name and address
Administrator’s EIN 611048879
Plan administrator’s name MCCLOUD CLAIMS SERVICE, INC.
Plan administrator’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102
Administrator’s telephone number 2707821515

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing VICKI OLIVE
Valid signature Filed with authorized/valid electronic signature
MCCLOUD CLAIMS SERVICE, INC. 401(K) PLAN 2010 611048879 2011-07-29 MCCLOUD CLAIMS SERVICE, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 524290
Sponsor’s telephone number 2707821515
Plan sponsor’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102

Plan administrator’s name and address
Administrator’s EIN 611048879
Plan administrator’s name MCCLOUD CLAIMS SERVICE, INC.
Plan administrator’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102
Administrator’s telephone number 2707821515

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing VICKI OLIVE
Valid signature Filed with authorized/valid electronic signature
MCCLOUD CLAIMS SERVICE, INC. 401(K) PLAN 2009 611048879 2010-09-29 MCCLOUD CLAIMS SERVICE, INC. 36
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 524290
Sponsor’s telephone number 2707821515
Plan sponsor’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102

Plan administrator’s name and address
Administrator’s EIN 611048879
Plan administrator’s name MCCLOUD CLAIMS SERVICE, INC.
Plan administrator’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102
Administrator’s telephone number 2707821515

Signature of
Role Plan administrator
Date 2010-09-27
Name of individual signing VICKI OLIVE
Valid signature Filed with incorrect/unrecognized electronic signature
MCCLOUD CLAIMS SERVICE, INC. 401(K) PLAN 2009 611048879 2010-10-14 MCCLOUD CLAIMS SERVICE, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 524290
Sponsor’s telephone number 2707821515
Plan sponsor’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102

Plan administrator’s name and address
Administrator’s EIN 611048879
Plan administrator’s name MCCLOUD CLAIMS SERVICE, INC.
Plan administrator’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102
Administrator’s telephone number 2707821515

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing VICKI OLIVE
Valid signature Filed with authorized/valid electronic signature
MCCLOUD CLAIMS SERVICE, INC. 401(K) PLAN 2009 611048879 2010-10-14 MCCLOUD CLAIMS SERVICE, INC. 36
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 524290
Sponsor’s telephone number 2707821515
Plan sponsor’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102

Plan administrator’s name and address
Administrator’s EIN 611048879
Plan administrator’s name MCCLOUD CLAIMS SERVICE, INC.
Plan administrator’s address 1190 BROADWAY AVENUE, BOWLING GREEN, KY, 42102
Administrator’s telephone number 2707821515

Signature of
Role Plan administrator
Date 2010-09-27
Name of individual signing VICKI OLIVE
Valid signature Filed with incorrect/unrecognized electronic signature

Registered Agent

Name Role
FRED L. MCCLOUD Registered Agent

Secretary

Name Role
Wanda J. McCloud Secretary

Officer

Name Role
Fred L. McCloud Officer

President

Name Role
Susan D. McCloud President

Vice President

Name Role
Russell L. McCloud Vice President

Director

Name Role
Fred L. McCloud Director
Wanda J. McCloud Director
FRED L. MCCLOUD Director
WANDA J. MCCLOUD Director

Incorporator

Name Role
FRED L. MCCLOUD Incorporator

Filings

Name File Date
Annual Report 2024-06-28
Principal Office Address Change 2024-06-28
Annual Report 2023-06-30
Annual Report 2022-06-21
Annual Report 2021-05-27
Annual Report 2020-06-26
Annual Report 2019-06-20
Annual Report 2018-06-28
Annual Report 2017-05-04
Annual Report 2016-04-06

Related by officers

FRED L. MCCLOUD

MCCLOUD OIL COMPANY

WANDA J. MCCLOUD

MCCLOUD OIL COMPANY

Related by address

No related companies by address

Date of last update: 08 Dec 2024

Sources: Kentucky Secretary of State

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