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GROSS INSURANCE AGENCY, LLC

Headquarter

Company Details

Name: GROSS INSURANCE AGENCY, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 21 Dec 2004 (20 years ago)
Organization Date: 21 Dec 2004 (20 years ago)
Last Annual Report: 12 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0601791
Industry: Insurance Agents, Brokers and Service
Number of Employees: Small (0-19)
Principal Office: <font face="Book Antiqua">26 NORTH THOMAS AVENUE, P.O. BOX 75249, FORT THOMAS, KY 41075</font>
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

Registered Agent

Name Role
DAVID GROSS Registered Agent

Organizer

Name Role
FRANK GROSS Organizer

Filings

Name File Date
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
Annual Report 2017-03-01
Registered Agent name/address change 2017-03-01
Annual Report 2016-03-09

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

Related by address

No related companies by address

Date of last update: 28 Jan 2025

Sources: Kentucky Secretary of State

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