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  5. MEMBERS INSURANCE SERVICES, INC.

MEMBERS INSURANCE SERVICES, INC.

Company Details

Name: MEMBERS INSURANCE SERVICES, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Dec 1983 (41 years ago)
Organization Date: 14 Dec 1983 (41 years ago)
Last Annual Report: 19 Mar 2024 (a year ago)
Organization Number: 0184551
Industry: Depository Institutions
Number of Employees: Small (0-19)
ZIP code: 40504
City: Lexington
Primary County: Fayette County
Principal Office: 2420 MEMBERS WAY, LEXINGTON, KY 40504
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEMBERS INSURANCE SERVICES, INC. 401(K) PLAN AND TRUST 2017 611059580 2018-06-08 MEMBERS INSURANCE SERVICES INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 522130
Sponsor’s telephone number 8592544156
Plan sponsor’s address 440 PARK PL, LEXINGTON, KY, 405111829

Signature of
Role Plan administrator
Date 2018-06-08
Name of individual signing JENNIFER T MEADE
Valid signature Filed with authorized/valid electronic signature
MEMBERS INSURANCE SERVICES, INC. 401(K) PLAN AND TRUST 2016 611059580 2017-05-22 MEMBERS INSURANCE SERVICES INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 522130
Sponsor’s telephone number 8592544156
Plan sponsor’s address 440 PARK PL, LEXINGTON, KY, 405111829

Signature of
Role Plan administrator
Date 2017-05-22
Name of individual signing JENNIFER T MEADE
Valid signature Filed with authorized/valid electronic signature
MEMBERS INSURANCE SERVICES, INC. 401(K) PLAN AND TRUST 2015 611059580 2016-07-18 MEMBERS INSURANCE SERVICES INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 522130
Sponsor’s telephone number 8592544156
Plan sponsor’s address 440 PARK PL, LEXINGTON, KY, 405111829

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing JENNIFER T MEADE
Valid signature Filed with authorized/valid electronic signature
MEMBERS INSURANCE SERVICES INC 401(K) PLAN AND TRUST 2014 611059580 2015-06-03 MEMBERS INSURANCE SERVICES INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 8592544156
Plan sponsor’s address 440 PARK PL, LEXINGTON, KY, 405111829

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing JENNIFER T MANGIONE
Valid signature Filed with authorized/valid electronic signature
MEMBERS INSURANCE SERVICES INC 401(K) PLAN AND TRUST 2013 611059580 2014-06-02 MEMBERS INSURANCE SERVICES INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 8592544156
Plan sponsor’s address 440 PARK PL, LEXINGTON, KY, 405111829

Signature of
Role Plan administrator
Date 2014-06-02
Name of individual signing JENNIFER T MANGIONE
Valid signature Filed with authorized/valid electronic signature
MEMBERS INSURANCE SERVICES INC 401(K) PLAN AND TRUST 2012 611059580 2013-06-13 MEMBERS INSURANCE SERVICES INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 8592544156
Plan sponsor’s address 440 PARK PL, LEXINGTON, KY, 405111829

Signature of
Role Plan administrator
Date 2013-06-13
Name of individual signing JENNIFER T MANGIONE
Valid signature Filed with authorized/valid electronic signature
MEMBERS INSURANCE SERVICES INC 401(K) PLAN AND TRUST 2011 611059580 2012-03-19 MEMBERS INSURANCE SERVICES INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 8592544156
Plan sponsor’s address 440 PARK PL, LEXINGTON, KY, 40511

Plan administrator’s name and address
Administrator’s EIN 611059580
Plan administrator’s name MEMBERS INSURANCE SERVICES INC
Plan administrator’s address 440 PARK PL, LEXINGTON, KY, 40511
Administrator’s telephone number 8592544156

Signature of
Role Plan administrator
Date 2012-03-19
Name of individual signing JENNIFER MANGIONE
Valid signature Filed with authorized/valid electronic signature
MEMBERS INSURANCE SERVICES INC 401(K) PLAN AND TRUST 2010 611059580 2011-05-03 MEMBERS INSURANCE SERVICES INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 8592544156
Plan sponsor’s address 440 PARK PL, LEXINGTON, KY, 40511

Plan administrator’s name and address
Administrator’s EIN 611059580
Plan administrator’s name MEMBERS INSURANCE SERVICES INC
Plan administrator’s address 440 PARK PL, LEXINGTON, KY, 40511
Administrator’s telephone number 8592544156

Signature of
Role Plan administrator
Date 2011-05-03
Name of individual signing JENNIFER MANGIONE
Valid signature Filed with authorized/valid electronic signature
MEMBERS INSURANCE SERVICES INC 401(K) PLAN AND TRUST 2009 611059580 2010-07-07 MEMBERS INSURANCE SERVICES INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 522130
Sponsor’s telephone number 8592544156
Plan sponsor’s address 440 PARK PL, LEXINGTON, KY, 40511

Plan administrator’s name and address
Administrator’s EIN 611059580
Plan administrator’s name MEMBERS INSURANCE SERVICES INC
Plan administrator’s address 440 PARK PL, LEXINGTON, KY, 40511
Administrator’s telephone number 8592544156

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing JENNIFER MANGIONE
Valid signature Filed with authorized/valid electronic signature

Vice President

Name Role
NATHAN MCCONATHY Vice President

Registered Agent

Name Role
PAT FERRY Registered Agent

President

Name Role
MIKE PROCTOR President

Treasurer

Name Role
MANLUS BURTON Treasurer

Secretary

Name Role
MIKE HARDING Secretary

Director

Name Role
MANLUS BURTON Director
NATHAN MCCONATHY Director
MIKE PROCTOR Director
MIKE HARDING Director
MARK MEFFORD Director
SAM H. WHITEHEAD Director

Incorporator

Name Role
SAM H. WHITEHEAD Incorporator

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Insurance DOI ID 400680 Agent - Life Active 2018-03-07 - - 2027-03-31 -
Department of Insurance DOI ID 400680 Agent - Casualty Active 2018-03-07 - - 2027-03-31 -
Department of Insurance DOI ID 400680 Agent - Property Active 2018-03-07 - - 2027-03-31 -
Department of Insurance DOI ID 400680 Agent - Health Maintenance Organization Inactive 1995-04-27 - 2001-03-01 - -
Department of Insurance DOI ID 400680 Agent - General Lines Inactive 1992-02-11 - 2000-08-15 - -
Department of Insurance DOI ID 400680 Agent - Health Inactive 1987-01-19 - 2013-03-31 - -

Assumed Names

Name Status Expiration Date
CUSO INSURANCE AGENCY Inactive -

Filings

Name File Date
Annual Report 2024-03-19
Principal Office Address Change 2023-03-27
Annual Report 2023-03-27
Annual Report 2022-02-25
Annual Report 2021-02-23
Annual Report 2020-02-26
Registered Agent name/address change 2019-05-10
Annual Report 2019-04-26
Annual Report 2018-04-26
Annual Report 2017-05-12

Related by officers

MIKE HARDING

CLEAN TIDE CONTAINER, INC.

SAM H. WHITEHEAD

BURLEY TOBACCO CLEARINGHOUSE OF KENTUCKY, INC. KENTUCKY RECYCLE, INC. LEXINGTON CHRISTIAN SCHOOL, INC. LEXINGTON INSULATION COMPANY, INC. DISTRIBUTION NETWORK, INC. GREEN GENESIS LLC

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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