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  5. TOM BLAIR INSURANCE AGENCY, INC.

TOM BLAIR INSURANCE AGENCY, INC.

Company Details

Name: TOM BLAIR INSURANCE AGENCY, INC.
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 17 Nov 2004 (20 years ago)
Organization Date: 01 Jan 2005 (20 years ago)
Last Annual Report: 11 Mar 2024 (10 months ago)
Organization Number: 0599292
Industry: Insurance Agents, Brokers and Service
Number of Employees: Small (0-19)
ZIP code: 40702
Primary County: Whitley
Principal Office: P.O. BOX 540, CORBIN, KY 40702
Place of Formation: KENTUCKY
Authorized Shares: 1000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TOM BLAIR INSURANCE AGENCY, INC. CROSS TESTED 401(K) PROFIT SHARING PLAN 2017 201856072 2018-07-13 TOM BLAIR INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 524210
Sponsor’s telephone number 6065284696
Plan sponsor’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702
TOM BLAIR INSURANCE AGENCY, INC. CROSS TESTED 401(K) PROFIT SHARING PLAN 2017 201856072 2018-07-13 TOM BLAIR INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 524210
Sponsor’s telephone number 6065284696
Plan sponsor’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702
TOM BLAIR INSURANCE AGENCY, INC. CROSS TESTED 401(K) PROFIT SHARING PLAN 2016 201856072 2017-02-16 TOM BLAIR INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 524210
Sponsor’s telephone number 6065284696
Plan sponsor’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702
TOM BLAIR INSURANCE AGENCY, INC. CROSS TESTED 401(K) PROFIT SHARING PLAN 2015 201856072 2016-03-29 TOM BLAIR INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 524210
Sponsor’s telephone number 6065284696
Plan sponsor’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702

Signature of
Role Plan administrator
Date 2016-03-29
Name of individual signing THOMAS BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-29
Name of individual signing THOMAS BLAIR
Valid signature Filed with authorized/valid electronic signature
TOM BLAIR INSURANCE AGENCY, INC. CROSS TESTED 401(K) PROFIT SHARING PLAN 2014 201856072 2015-04-16 TOM BLAIR INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 524210
Sponsor’s telephone number 6065284696
Plan sponsor’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702

Signature of
Role Plan administrator
Date 2015-04-16
Name of individual signing THOMAS BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-16
Name of individual signing THOMAS BLAIR
Valid signature Filed with authorized/valid electronic signature
TOM BLAIR INSURANCE AGENCY, INC. CROSS TESTED 401(K) PROFIT SHARING PLAN 2013 201856072 2014-03-25 TOM BLAIR INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 524210
Sponsor’s telephone number 6065284696
Plan sponsor’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702

Signature of
Role Plan administrator
Date 2014-03-25
Name of individual signing THOMAS BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-25
Name of individual signing THOMAS BLAIR
Valid signature Filed with authorized/valid electronic signature
TOM BLAIR INSURANCE AGENCY, INC. CROSS TESTED 401(K) PROFIT SHARING PLAN 2012 201856072 2013-06-20 TOM BLAIR INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 524210
Sponsor’s telephone number 6065284696
Plan sponsor’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing TOM BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-20
Name of individual signing TOM BLAIR
Valid signature Filed with authorized/valid electronic signature
TOM BLAIR INSURANCE AGENCY, INC. CROSS TESTED 401(K) PROFIT SHARING PLAN 2011 201856072 2012-04-30 TOM BLAIR INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 524210
Sponsor’s telephone number 6065284696
Plan sponsor’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702

Plan administrator’s name and address
Administrator’s EIN 201856072
Plan administrator’s name TOM BLAIR INSURANCE AGENCY, INC.
Plan administrator’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702
Administrator’s telephone number 6065284696

Signature of
Role Plan administrator
Date 2012-04-30
Name of individual signing THOMAS BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-30
Name of individual signing THOMAS BLAIR
Valid signature Filed with authorized/valid electronic signature
TOM BLAIR INSURANCE AGENCY, INC. CROSS TESTED 401(K) PROFIT SHARING PLAN 2010 201856072 2011-06-07 TOM BLAIR INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 524210
Sponsor’s telephone number 6065284696
Plan sponsor’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702

Plan administrator’s name and address
Administrator’s EIN 201856072
Plan administrator’s name TOM BLAIR INSURANCE AGENCY, INC.
Plan administrator’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702
Administrator’s telephone number 6065284696

Signature of
Role Plan administrator
Date 2011-06-07
Name of individual signing THOMAS BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-07
Name of individual signing THOMAS BLAIR
Valid signature Filed with authorized/valid electronic signature
TOM BLAIR INSURANCE AGENCY, INC. CROSS TESTED 401(K) PROFIT SHARING PLAN 2009 201856072 2010-05-13 TOM BLAIR INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 524210
Sponsor’s telephone number 6065284696
Plan sponsor’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702

Plan administrator’s name and address
Administrator’s EIN 201856072
Plan administrator’s name TOM BLAIR INSURANCE AGENCY, INC.
Plan administrator’s address 515 MASTER STREET,, P O BOX 540, CORBIN, KY, 40702
Administrator’s telephone number 6065284696

Signature of
Role Plan administrator
Date 2010-05-13
Name of individual signing THOMAS BLAIR
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
THOMAS D. BLAIR Registered Agent

President

Name Role
THOMAS BLAIR President

Incorporator

Name Role
THOMAS D. BLAIR Incorporator

Filings

Name File Date
Annual Report 2024-03-11
Annual Report 2023-04-07
Annual Report 2022-03-06
Annual Report 2021-02-12
Annual Report 2020-02-18
Annual Report 2019-04-25
Registered Agent name/address change 2018-04-15
Annual Report 2018-04-15
Annual Report 2017-04-25
Annual Report 2016-03-18

Related by officers

THOMAS BLAIR

BLAIR/RITTER, INC.

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Kentucky Secretary of State

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