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APPALACHIAN INSURANCE, INC.

Company Details

Name: APPALACHIAN INSURANCE, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 19 Sep 1995 (30 years ago)
Organization Date: 19 Sep 1995 (30 years ago)
Last Annual Report: 19 Feb 2025 (2 months ago)
Organization Number: 0405637
Industry: Insurance Agents, Brokers and Service
Number of Employees: Small (0-19)
ZIP code: 41240
City: Paintsville, Nippa, Offutt, Swamp Branch, Thealka, Wh...
Primary County: Johnson County
Principal Office: 789 N US HWY 23, PO BOX 1238, PAINTSVILLE, KY 41240
Place of Formation: KENTUCKY
Authorized Shares: 100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
APPALACHIAN INSURANCE 401(K) RETIREMENT PLAN 2023 611288619 2024-09-17 APPALACHIAN INSURANCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 524140
Sponsor’s telephone number 6062975300
Plan sponsor’s address 789 N. US HWY. 23, PO BOX 1238, PAINTSVILLE, KY, 41240
APPALACHIAN INSURANCE 401(K) RETIREMENT PLAN 2022 611288619 2023-09-30 APPALACHIAN INSURANCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 524140
Sponsor’s telephone number 6062975300
Plan sponsor’s address 789 N. US HWY. 23, PO BOX 1238, PAINTSVILLE, KY, 41240
APPALACHIAN INSURANCE 401(K) RETIREMENT PLAN 2021 611288619 2022-10-13 APPALACHIAN INSURANCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 524140
Sponsor’s telephone number 6062975300
Plan sponsor’s address 789 N. US HWY. 23, PO BOX 1238, PAINTSVILLE, KY, 41240

Incorporator

Name Role
HARLAN D. HOWARD Incorporator
LISA S. CALDWELL Incorporator

Director

Name Role
MICHAEL C CAUDILL Director

President

Name Role
MICHAEL C CAUDILL President

Registered Agent

Name Role
MICHAEL CHASE CAUDILL 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 398625 Agent - Casualty Active 2000-08-15 - - 2027-03-31 -
Department of Insurance DOI ID 398625 Agent - Property Active 2000-08-15 - - 2027-03-31 -
Department of Insurance DOI ID 398625 Agent - Health Maintenance Organization Inactive 2000-01-12 - 2001-03-01 - -
Department of Insurance DOI ID 398625 Agent - Life Active 1995-12-18 - - 2027-03-31 -
Department of Insurance DOI ID 398625 Agent - Health Active 1995-12-18 - - 2027-03-31 -
Department of Insurance DOI ID 398625 Agent - General Lines Inactive 1995-10-30 - 2000-08-15 - -

Assumed Names

Name Status Expiration Date
GARY A. CAMPBELL INSURANCE AGENCY Active 2030-04-17
TIM ISON INSURANCE AGENCY Active 2029-04-22
TIM ISON AGENCY Active 2029-04-12
ISON AGENCY Active 2029-03-27
KENTUCKY INSURANCE AGENTS Active 2028-08-10
APPA INSURANCE Inactive 2024-08-21

Filings

Name File Date
Annual Report 2025-02-19
Certificate of Assumed Name 2024-10-15
Certificate of Assumed Name 2024-04-22
Certificate of Assumed Name 2024-04-12
Certificate of Assumed Name 2024-03-27
Amendment 2024-03-07
Principal Office Address Change 2024-02-28
Annual Report 2024-02-28
Certificate of Assumed Name 2023-08-10
Annual Report 2023-03-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6915457006 2020-04-07 0457 PPP 789 US HIGHWAY 23, PAINTSVILLE, KY, 41240-8694
Loan Status Date 2020-11-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 56905.65
Loan Approval Amount (current) 56905.65
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27689
Servicing Lender Name Citizens Bank of Kentucky, Inc.
Servicing Lender Address 620 Broadway, PAINTSVILLE, KY, 41240-1366
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address PAINTSVILLE, JOHNSON, KY, 41240-8694
Project Congressional District KY-05
Number of Employees 4
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 27689
Originating Lender Name Citizens Bank of Kentucky, Inc.
Originating Lender Address PAINTSVILLE, KY
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 57203.42
Forgiveness Paid Date 2021-02-16

Sources: Kentucky Secretary of State