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C & C INSURANCE AGENCY, INC.

Company Details

Name: C & C INSURANCE AGENCY, INC.
Legal type: Foreign Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 26 Apr 1993 (32 years ago)
Authority Date: 26 Apr 1993 (32 years ago)
Last Annual Report: 14 Apr 2020 (5 years ago)
Organization Number: 0314465
Principal Office: 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY 45246
Place of Formation: OHIO

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
C & C INSURANCE AGENCY EMPLOYEE PENSION SHARING PLAN 2015 611221293 2016-05-16 C & C INSURANCE AGENCY INC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 410011040

Signature of

Role Plan administrator
Date 2016-05-16
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
C & C INSURANCE AGENCY EMPLOYEE PROFIT SHARING PLAN 2015 611221293 2016-05-16 C & C INSURANCE AGENCY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 410011040

Signature of

Role Plan administrator
Date 2016-05-16
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
C & C INSURANCE AGENCY EMPLOYEE PENSION SHARING PLAN 2014 611221293 2015-04-23 C & C INSURANCE AGENCY INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Number of participants as of the end of the plan year

Active participants 2
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 2
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 2015-04-23
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
C & C INSURANCE AGENCY EMPLOYEE PROFIT SHARING PLAN 2014 611221293 2015-04-23 C & C INSURANCE AGENCY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Number of participants as of the end of the plan year

Active participants 2
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 2
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 2015-04-23
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
C & C INSURANCE AGENCY EMPLOYEE PROFIT SHARING PLAN 2013 611221293 2014-03-25 C & C INSURANCE AGENCY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Number of participants as of the end of the plan year

Active participants 2
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 2
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 2014-03-25
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
C & C INSURANCE AGENCY EMPLOYEE PENSION SHARING PLAN 2013 611221293 2014-03-25 C & C INSURANCE AGENCY INC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Number of participants as of the end of the plan year

Active participants 2
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 2
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 2014-03-25
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
C & C INSUSRANCE AGENCY EMPLOYEE PENSION SHARING PLAN 2012 611221293 2013-03-18 C & C INSURANCE AGENCY INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Number of participants as of the end of the plan year

Active participants 2
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 2
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 2013-03-18
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
C & C INSURANCE AGENCY EMPLOYEE PROFIT SHARING PLAN 2012 611221293 2013-03-18 C & C INSURANCE AGENCY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 524210
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Number of participants as of the end of the plan year

Active participants 2
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 2
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 2013-03-18
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
C & C INSUSRANCE AGENCY EMPLOYEE PENSION SHARING PLAN 2012 611221293 2013-03-18 C & C INSURANCE AGENCY INC. 2
Three-digit plan number (PN) 002
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Number of participants as of the end of the plan year

Active participants 2
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 2
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 2013-03-18
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
C & C INSURANCE AGENCY EMPLOYEE PROFIT SHARING PLAN 2011 611221293 2012-03-27 C & C INSURANCE AGENCY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Plan administrator’s name and address

Administrator’s EIN 611221293
Plan administrator’s name C & C INSURANCE AGENCY
Plan administrator’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Administrator’s telephone number 8596356400

Number of participants as of the end of the plan year

Active participants 2
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 2
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 2012-03-27
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/03/27/20120327125033P030008467874001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Plan administrator’s name and address

Administrator’s EIN 611221293
Plan administrator’s name C & C INSURANCE AGENCY INC.
Plan administrator’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Administrator’s telephone number 8596356400

Number of participants as of the end of the plan year

Active participants 2
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 2
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 2012-03-27
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Plan administrator’s name and address

Administrator’s EIN 611221293
Plan administrator’s name C & C INSURANCE AGENCY INC.
Plan administrator’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Administrator’s telephone number 8596356400

Number of participants as of the end of the plan year

Active participants 2
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 2
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 2012-03-27
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/29/20110329152804P040155997104001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Plan administrator’s name and address

Administrator’s EIN 611221293
Plan administrator’s name C & C INSURANCE AGENCY
Plan administrator’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Administrator’s telephone number 8596356400

Number of participants as of the end of the plan year

Active participants 3
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 3
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 2011-03-29
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/29/20110329150512P040033914129001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Plan administrator’s name and address

Administrator’s EIN 611221293
Plan administrator’s name C & C INSURANCE AGENCY INC
Plan administrator’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Administrator’s telephone number 8596356400

Number of participants as of the end of the plan year

Active participants 3
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 3
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 2011-03-29
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/05/17/20100517130515P030012240052001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Plan administrator’s name and address

Administrator’s EIN 611221293
Plan administrator’s name C & C INSURANCE AGENCY
Plan administrator’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Administrator’s telephone number 8596356400

Number of participants as of the end of the plan year

Active participants 3
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 3
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 2010-05-17
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/05/17/20100517130105P040262974929001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1992-07-01
Business code 524210
Sponsor’s telephone number 8596356400
Plan sponsor’s mailing address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Plan sponsor’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001

Plan administrator’s name and address

Administrator’s EIN 611221293
Plan administrator’s name C & C INSURANCE AGENCY INC
Plan administrator’s address 7500 ALEXANDRIA PIKE, ALEXANDRIA, KY, 41001
Administrator’s telephone number 8596356400

Number of participants as of the end of the plan year

Active participants 3
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 3
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 2010-05-17
Name of individual signing LISA WALSH
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

Secretary

Name Role
Bruce A Krone Secretary

Treasurer

Name Role
Bruce A Krone Treasurer

Vice President

Name Role
Bruce A Krone Vice President

CEO

Name Role
Nancy DeCastro CEO

President

Name Role
Timothy Sparks President

Director

Name Role
Bruce A Krone Director
PATRICK DECASTRO Director
NANCY DECASTRO Director
PAUL W. KRONE Director

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Insurance DOI ID 401061 Agent - Limited Line Credit Inactive 2000-08-07 - 2016-03-31 - -
Department of Insurance DOI ID 401061 Agent - Credit Life & Health Inactive 1993-09-17 - 2000-08-07 - -

Filings

Name File Date
Revocation of Certificate of Authority 2021-10-19
Annual Report 2020-04-14
Annual Report 2019-07-23
Annual Report 2018-05-24
Annual Report 2017-03-21
Annual Report 2016-04-14
Annual Report 2015-06-17
Annual Report 2014-09-10
Annual Report 2013-03-13
Annual Report 2012-02-23

Sources: Kentucky Secretary of State