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  5. GROSS INSURANCE AGENCY, LLC

GROSS INSURANCE AGENCY, LLC

Headquarter

Company Details

Name: GROSS INSURANCE AGENCY, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 21 Dec 2004 (20 years ago)
Organization Date: 21 Dec 2004 (20 years ago)
Last Annual Report: 12 Feb 2025 (2 months ago)
Managed By: Members
Organization Number: 0601791
Industry: Insurance Agents, Brokers and Service
Number of Employees: Small (0-19)
ZIP code: 41075
City: Fort Thomas, Kenton Vale, Newport
Primary County: Campbell County
Principal Office: 26 NORTH THOMAS AVENUE, P.O. BOX 75249, FORT THOMAS, KY 41075
Place of Formation: KENTUCKY

Links between entities

Type Company Name Company Number State
Headquarter of GROSS INSURANCE AGENCY, LLC, NEW YORK 4937170 NEW YORK

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GROSS INSURANCE AGENCY, LLC 401(K) PLAN 2023 202057623 2024-04-24 GROSS INSURANCE AGENCY, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2024-04-24
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
GROSS INSURANCE AGENCY, LLC 401(K) PLAN 2022 202057623 2023-07-25 GROSS INSURANCE AGENCY, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2023-07-25
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
GROSS INSURANCE AGENCY, LLC 401(K) PLAN 2021 202057623 2022-05-18 GROSS INSURANCE AGENCY, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2022-05-18
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
GROSS INSURANCE AGENCY, LLC 401(K) PLAN 2020 202057623 2021-06-22 GROSS INSURANCE AGENCY, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2021-06-22
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
GROSS INSURANCE AGENCY, LLC 401(K) PLAN 2019 202057623 2020-03-27 GROSS INSURANCE AGENCY, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2020-03-27
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
GROSS INSURANCE AGENCY, LLC 401(K) PLAN 2018 202057623 2019-06-24 GROSS INSURANCE AGENCY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2019-06-24
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
GROSS INSURANCE AGENCY, LLC 401(K) PLAN 2017 202057623 2018-06-22 GROSS INSURANCE AGENCY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2018-06-22
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
GROSS INSURANCE AGENCY, LLC 401(K) PLAN 2016 202057623 2017-08-25 GROSS INSURANCE AGENCY, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2017-08-25
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
GROSS INSURANCE AGENCY, LLC 401(K) PLAN 2015 202057623 2016-07-07 GROSS INSURANCE AGENCY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2016-07-07
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
GROSS INSURANCE AGENCY, LLC 401(K) PLAN 2014 202057623 2015-05-27 GROSS INSURANCE AGENCY, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2015-05-27
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/14/20140414130551P040044067447001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2014-04-14
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/16/20130416160044P040062987557001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Signature of
Role Plan administrator
Date 2013-04-16
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/29/20120529132059P040012931121001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Plan administrator’s name and address
Administrator’s EIN 202057623
Plan administrator’s name GROSS INSURANCE AGENCY, LLC
Plan administrator’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174
Administrator’s telephone number 8597810434

Signature of
Role Plan administrator
Date 2012-05-29
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/28/20110428115835P030234678208001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Plan administrator’s name and address
Administrator’s EIN 202057623
Plan administrator’s name GROSS INSURANCE AGENCY, LLC
Plan administrator’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174
Administrator’s telephone number 8597810434

Signature of
Role Plan administrator
Date 2011-04-28
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/05/14/20100514151544P040257560929001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 524210
Sponsor’s telephone number 8597810434
Plan sponsor’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174

Plan administrator’s name and address
Administrator’s EIN 202057623
Plan administrator’s name GROSS INSURANCE AGENCY, LLC
Plan administrator’s address 26 N. FT. THOMAS AVE., FT. THOMAS, KY, 410750174
Administrator’s telephone number 8597810434

Signature of
Role Plan administrator
Date 2010-05-14
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-14
Name of individual signing DAVID GROSS
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
PATRICIA A ROLF Member
DAVID A GROSS Member
DOUGLAS A GROSS Member

Organizer

Name Role
FRANK GROSS Organizer

Registered Agent

Name Role
DAVID GROSS 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 600690 Agent - Life Active 2004-12-30 - - 2026-03-31 -
Department of Insurance DOI ID 600690 Agent - Health Active 2004-12-30 - - 2026-03-31 -
Department of Insurance DOI ID 600690 Agent - Casualty Active 2004-12-30 - - 2026-03-31 -
Department of Insurance DOI ID 600690 Agent - Property Active 2004-12-30 - - 2026-03-31 -

Filings

Name File Date
Annual Report 2025-02-12
Annual Report 2024-03-12
Annual Report 2023-05-22
Annual Report 2022-04-08
Annual Report 2021-04-01
Annual Report 2020-03-26
Annual Report 2019-05-09
Annual Report 2018-04-18
Registered Agent name/address change 2017-03-01
Annual Report 2017-03-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2599977705 2020-05-01 0457 PPP 26 North Fort Thomas Avenue,, FORT THOMAS, KY, 41075
Loan Status Date 2021-05-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 125002
Loan Approval Amount (current) 125002
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address FORT THOMAS, CAMPBELL, KY, 41075-0001
Project Congressional District KY-04
Number of Employees 11
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 126186.19
Forgiveness Paid Date 2021-04-15

Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2025-02-26 2025 Cabinet of the General Government Ky River Authority Miscellaneous Services Insurance Premium-Not Employee 5361.81
Executive 2025-01-09 2025 Education and Labor Cabinet Department For Workforce Investment Miscellaneous Services Insurance Premium-Not Employee 8021.84
Executive 2024-08-30 2025 Health & Family Services Cabinet CHFS - Department for Aging and Independent Living Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 1489.33

Related by officers

FRANK GROSS

FRANK GROSS INSURANCE AGENCY, INC. IIAK-SIF MANAGEMENT CORPORATION PROGRAM UNDERWRITERS, LTD. TOM ROLF SERVICES UNLIMITED, INC. D.G. FINANCIAL SERVICES, LLC

DAVID GROSS

RAY E. MILLER POST NO. 63, THE AMERICAN LEGION DEPARTMENT OF KENTUCKY BRONSTON-QUINTON VOLUNTEER FIRE DEPARTMENT, INC. SIGNATURE PAINTING, INC. DBG, LLC APPALACHIAN KENTUCKY HEALTH CARE ACCESS NETWORK, INC. COMMERCIAL PROPERTIES OF LOUISVILLE, LLC DGT, LLC

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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