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FISHER INSURANCE SERVICES, INC.

Company Details

Name: FISHER INSURANCE SERVICES, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 22 Dec 1983 (41 years ago)
Organization Date: 22 Dec 1983 (41 years ago)
Last Annual Report: 03 Aug 2011 (14 years ago)
Organization Number: 0184877
ZIP code: 40222
City: Louisville, Bancroft, Bellemeade, Crossgate, Glenvie...
Primary County: Jefferson County
Principal Office: 7404 S. PARK PLACE, LOUISVILLE, KY 40222
Place of Formation: KENTUCKY
Common No Par Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FISHER INSURANCE, INC. PROFIT SHARING PLAN 2010 611037182 2011-01-13 FISHER INSURANCE SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 524210
Sponsor’s telephone number 5024258300
Plan sponsor’s address 7404 S. PARK PLACE, LOUISVILLE, KY, 40222

Plan administrator’s name and address

Administrator’s EIN 611037182
Plan administrator’s name FISHER INSURANCE SERVICES, INC.
Plan administrator’s address 7404 S. PARK PLACE, LOUISVILLE, KY, 40222
Administrator’s telephone number 5024258300

Signature of

Role Plan administrator
Date 2011-01-13
Name of individual signing LAWRENCE FISHER
Valid signature Filed with authorized/valid electronic signature
FISHER INSURANCE SERVICES, INC. PROFIT SHARING PLAN 2009 611037182 2010-11-01 FISHER INSURANCE SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 524210
Sponsor’s telephone number 5024258300
Plan sponsor’s address 7404 S. PARK PLACE, LOUISVILLE, KY, 40222

Plan administrator’s name and address

Administrator’s EIN 611037182
Plan administrator’s name FISHER INSURANCE SERVICES, INC.
Plan administrator’s address 7404 S. PARK PLACE, LOUISVILLE, KY, 40222
Administrator’s telephone number 5024258300

Signature of

Role Plan administrator
Date 2010-11-01
Name of individual signing LAWRENCE FISHER
Valid signature Filed with authorized/valid electronic signature
FISHER INSURANCE SERVICES, INC. PROFIT SHARING PLAN 2009 611037182 2010-11-01 FISHER INSURANCE SERVICES, INC. 5
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 524210
Sponsor’s telephone number 5024258300
Plan sponsor’s address 7404 S. PARK PLACE, LOUISVILLE, KY, 40222

Plan administrator’s name and address

Administrator’s EIN 611037182
Plan administrator’s name FISHER INSURANCE SERVICES, INC.
Plan administrator’s address 7404 S. PARK PLACE, LOUISVILLE, KY, 40222
Administrator’s telephone number 5024258300

Signature of

Role Plan administrator
Date 2010-10-29
Name of individual signing LAWRENCE FISHER
Valid signature Filed with incorrect/unrecognized electronic signature
FISHER INSURANCE SERVICES, INC. PROFIT SHARING PLAN 2009 611037182 2010-10-29 FISHER INSURANCE SERVICES, INC. 5
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 524210
Sponsor’s telephone number 5024258300
Plan sponsor’s address 7404 S. PARK PLACE, LOUISVILLE, KY, 40222

Plan administrator’s name and address

Administrator’s EIN 611037182
Plan administrator’s name FISHER INSURANCE SERVICES, INC.
Plan administrator’s address 7404 S. PARK PLACE, LOUISVILLE, KY, 40222
Administrator’s telephone number 5024258300

Signature of

Role Plan administrator
Date 2010-10-29
Name of individual signing LAWRENCE FISHER
Valid signature Filed with incorrect/unrecognized electronic signature
FISHER INSURANCE SERVICES, INC. PROFIT SHARING PLAN 2009 611037182 2010-10-29 FISHER INSURANCE SERVICES, INC. 5
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Business code 524210
Sponsor’s telephone number 5024258300
Plan sponsor’s address 7404 S. PARK PLACE, LOUISVILLE, KY, 40222

Plan administrator’s name and address

Administrator’s EIN 611037182
Plan administrator’s name FISHER INSURANCE SERVICES, INC.
Plan administrator’s address 7404 S. PARK PLACE, LOUISVILLE, KY, 40222
Administrator’s telephone number 5024258300

Signature of

Role Plan administrator
Date 2010-10-29
Name of individual signing LAWRENCE FISHER
Valid signature Filed with incorrect/unrecognized electronic signature

Incorporator

Name Role
LAWRENCE FISHER Incorporator

Treasurer

Name Role
STEVEN M. GARRETT Treasurer

Director

Name Role
LAWRENCE FISHER Director

Registered Agent

Name Role
LAWRENCE FISHER Registered Agent

Signature

Name Role
LAWRENCE FISHER Signature

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Insurance DOI ID 400674 Agent - Casualty Inactive 2000-08-15 - 2011-03-31 - -
Department of Insurance DOI ID 400674 Agent - Property Inactive 2000-08-15 - 2011-03-31 - -
Department of Insurance DOI ID 400674 Agent - Prepaid Dental Plan Inactive 1996-05-08 - 1997-03-31 - -
Department of Insurance DOI ID 400674 Agent - Life Inactive 1993-12-03 - 2011-03-31 - -
Department of Insurance DOI ID 400674 Agent - Health Inactive 1993-12-03 - 2011-03-31 - -
Department of Insurance DOI ID 400674 Agent - General Lines Inactive 1985-06-26 - 2000-08-15 - -

Filings

Name File Date
Administrative Dissolution Return 2012-09-26
Administrative Dissolution 2012-09-11
Sixty Day Notice Return 2012-07-18
Annual Report 2011-08-03
Annual Report 2010-03-10
Annual Report 2009-06-09
Annual Report 2008-04-03
Annual Report 2007-01-25
Annual Report 2006-03-13
Annual Report 2005-03-12

Sources: Kentucky Secretary of State