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  5. SAMSIL & HOLLAND, LLC

SAMSIL & HOLLAND, LLC

Company Details

Name: SAMSIL & HOLLAND, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 05 Jun 2000 (25 years ago)
Organization Date: 05 Jun 2000 (25 years ago)
Last Annual Report: 04 Feb 2025 (2 months ago)
Managed By: Members
Organization Number: 0495623
Industry: Insurance Agents, Brokers and Service
Number of Employees: Small (0-19)
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 3140 Parisa Dr, PADUCAH, KY 42003
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAMSIL & HOLLAND, LLC 401(K) PROFIT SHARING PLAN TRUST 2023 611370312 2024-05-29 SAMSIL & HOLLAND, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 3140 PARISA DRIVE, SUITE 1, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2024-05-29
Name of individual signing MR. JEFFREY HOLLAND
Valid signature Filed with authorized/valid electronic signature
SAMSIL & HOLLAND, LLC 401(K) PROFIT SHARING TRUST 2022 611370312 2023-09-21 SAMSIL & HOLLAND, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 3140 PARISA DR, SUITE 1, PADUCAH, KY, 42003

Signature of
Role Plan administrator
Date 2023-09-21
Name of individual signing JEFFREY HOLLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-21
Name of individual signing JEFFREY HOLLAND
Valid signature Filed with authorized/valid electronic signature
HOLLANDSTIVERS & ASSOCIATES, LLC 401(K) PROFIT SHARING TRUST 2021 611370312 2022-07-28 HOLLANDSTIVERS & ASSOCIATES, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 2660 OLIVET CHURCH RD, SUITE 1, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing JEFFREY HOLLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-28
Name of individual signing JEFFREY L HOLLAND
Valid signature Filed with authorized/valid electronic signature
HOLLANDSTIVERS & ASSOCIATES, LLC 401(K) PROFIT SHARING TRUST 2020 611370312 2021-06-14 HOLLANDSTIVERS & ASSOCIATES, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 2660 OLIVET CHURCH RD, SUITE 1, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2021-06-14
Name of individual signing JEFFREY HOLLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-14
Name of individual signing JEFFREY L HOLLAND
Valid signature Filed with authorized/valid electronic signature
HOLLANDSTIVERS & ASSOCIATES, LLC 401(K) PROFIT SHARING TRUST 2019 611370312 2020-04-09 HOLLANDSTIVERS & ASSOCIATES, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 2660 OLIVET CHURCH RD, SUITE 1, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2020-04-09
Name of individual signing JEFFREY HOLLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-09
Name of individual signing JEFFREY L HOLLAND
Valid signature Filed with authorized/valid electronic signature
HOLLANDSTIVERS & ASSOCIATES, LLC 401(K) PROFIT SHARING TRUST 2018 611370312 2019-06-19 HOLLANDSTIVERS & ASSOCIATES, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 2660 OLIVET CHURCH RD, SUITE 1, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2019-06-07
Name of individual signing JEFFREY HOLLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-07
Name of individual signing JEFFREY L HOLLAND
Valid signature Filed with authorized/valid electronic signature
HOLLANDSTIVERS & ASSOCIATES, LLC 401(K) PROFIT SHARING TRUST 2017 611370312 2018-07-23 HOLLANDSTIVERS & ASSOCIATES, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 2660 OLIVET CHURCH RD, SUITE 1, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing JEFF HOLLAND
Valid signature Filed with authorized/valid electronic signature
HOLLANDSTIVERS & ASSOCIATES, LLC 401(K) PROFIT SHARING TRUST 2016 611370312 2017-08-18 HOLLANDSTIVERS & ASSOCIATES, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 2660 OLIVET CHURCH RD, SUITE 1, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2017-08-18
Name of individual signing JEFF HOLLAND
Valid signature Filed with authorized/valid electronic signature
HOLLANDSTIVERS & ASSOCIATES, LLC 401(K) PROFIT SHARING TRUST 2015 611370312 2016-07-28 HOLLANDSTIVERS & ASSOCIATES, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 2660 OLIVET CHURCH RD, SUITE 1, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing JEFF HOLLAND
Valid signature Filed with authorized/valid electronic signature
HOLLANDSTIVERS & ASSOCIATES, LLC 401(K) PROFIT SHARING TRUST 2014 611370312 2015-09-10 HOLLANDSTIVERS & ASSOCIATES, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 2660 OLIVET CHURCH RD, SUITE 1, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2015-09-10
Name of individual signing JEFF HOLLAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/02/20140702165040P030005250895001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 2660 OLIVET CHURCH RD, SUITE 1, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2014-07-02
Name of individual signing JEFF HOLLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-02
Name of individual signing JEFF HOLLAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/14/20131014094020P030016186629001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 2660 OLIVET CHURCH RD, SUITE 1, PADUCAH, KY, 42001

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing JEFF HOLLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing JEFF HOLLAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/18/20110718104704P030449838560001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 4975 ALBEN BARKLEY DRIVE, PADUCAH, KY, 42001

Plan administrator’s name and address
Administrator’s EIN 611370312
Plan administrator’s name HOLLANDSTIVERS & ASSOCIATES, LLC
Plan administrator’s address 4975 ALBEN BARKLEY DRIVE, PADUCAH, KY, 42001
Administrator’s telephone number 2705545535

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing JEFF HOLLAND
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/23/20100623150905P040014696038001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 524210
Sponsor’s telephone number 2705545535
Plan sponsor’s address 4975 ALBEN BARKLEY DRIVE, PADUCAH, KY, 42001

Plan administrator’s name and address
Administrator’s EIN 611370312
Plan administrator’s name HOLLANDSTIVERS & ASSOCIATES, LLC
Plan administrator’s address 4975 ALBEN BARKLEY DRIVE, PADUCAH, KY, 42001
Administrator’s telephone number 2705545535

Signature of
Role Plan administrator
Date 2010-06-23
Name of individual signing JEFF HOLLAND
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
CORY A SAMSIL Registered Agent

Member

Name Role
CORY A. SAMSIL Member
JEFF L. HOLLAND Member

Organizer

Name Role
RONALD W. STIVERS Organizer

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Insurance DOI ID 510802 Life & Health Consultant - Not Applicable Inactive 2010-11-23 - 2022-04-05 - -
Department of Insurance DOI ID 510802 Agent - Variable Life and Variable Annuities Active 2001-09-06 - - 2026-03-31 -
Department of Insurance DOI ID 510802 Agent - Prepaid Dental Plan Inactive 2000-09-22 - 2001-03-01 - -
Department of Insurance DOI ID 510802 Agent - Life Active 2000-07-14 - - 2026-03-31 -
Department of Insurance DOI ID 510802 Agent - Health Active 2000-07-14 - - 2026-03-31 -

Former Company Names

Name Action
HOLLANDSTIVERS & ASSOCIATES, LLC Old Name

Filings

Name File Date
Annual Report 2025-02-04
Annual Report 2024-01-20
Annual Report 2023-03-10
Reinstatement 2022-10-31
Registered Agent name/address change 2022-10-31
Principal Office Address Change 2022-10-31
Reinstatement Approval Letter Revenue 2022-10-31
Reinstatement Certificate of Existence 2022-10-31
Administrative Dissolution 2022-10-04
Amendment 2022-01-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4448567005 2020-04-03 0457 PPP 2660 OLIVET CHURCH RD Ste 1, PADUCAH, KY, 42001-9703
Loan Status Date 2021-03-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 250900
Loan Approval Amount (current) 250900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 27680
Servicing Lender Name The Paducah Bank and Trust Company
Servicing Lender Address 555 Jefferson St, PADUCAH, KY, 42001-1088
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address PADUCAH, MCCRACKEN, KY, 42001-9703
Project Congressional District KY-01
Number of Employees 21
NAICS code 524114
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 27680
Originating Lender Name The Paducah Bank and Trust Company
Originating Lender Address PADUCAH, KY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 252989.69
Forgiveness Paid Date 2021-02-12

Related by officers

RONALD W. STIVERS

STIVERS FINANCIAL GROUP, INC.

JEFF L. HOLLAND

THE PADUCAH CHAPTER OF THE AMERICAN SOCIETY OF CHARTERED LIFE UNDERWRITERS, INC.

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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