| Name: | COLUMBIA ASSURANCE AGENCY, INC. |
| Legal type: | Foreign Corporation |
| Status: | Inactive |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 25 Jan 1999 (26 years ago) |
| Authority Date: | 25 Jan 1999 (26 years ago) |
| Last Annual Report: | 12 Jan 2007 (18 years ago) |
| Organization Number: | 0468279 |
| Principal Office: | 801 E 86TH AVENUE, c/o Gary W. Pottorff, MERRILLVILLE, IN 46410 |
| Place of Formation: | OHIO |
| Name | Role |
|---|---|
| KY SECRETARY OF STATE | Registered Agent |
| Name | Role |
|---|---|
| David J Vajda | Treasurer |
| Name | Role |
|---|---|
| Gary W. Pottorff | Secretary |
| Name | Role |
|---|---|
| Scott C. MacDonald | President |
| Name | Role |
|---|---|
| Michael W O'Donnell | Director |
| Name | Role |
|---|---|
| Jeffrey W. Grossman | Vice President |
| Department | License Number | License Type / Line of Authority | Status | Issue Date | Effective Date | Inactive Date | Expiry Date | Address |
|---|---|---|---|---|---|---|---|---|
| Department of Insurance | DOI ID 398709 | Agent - Casualty | Inactive | 2000-08-15 | - | 2003-12-29 | - | - |
| Department of Insurance | DOI ID 398709 | Agent - Property | Inactive | 2000-08-15 | - | 2003-12-29 | - | - |
| Department of Insurance | DOI ID 398709 | Agent - General Lines | Inactive | 1999-10-02 | - | 2000-08-15 | - | - |
| Name | File Date |
|---|---|
| Certificate of Withdrawal | 2007-06-13 |
| Annual Report | 2007-01-12 |
| Annual Report | 2006-02-01 |
| Annual Report | 2005-02-21 |
| Annual Report | 2003-10-30 |
| Annual Report | 2002-11-15 |
| Annual Report | 2002-10-31 |
| Statement of Change | 2001-06-06 |
| Annual Report | 2001-05-24 |
| Annual Report | 2000-05-10 |
Sources: Kentucky Secretary of State
