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  5. GAVIN C ROBERTS INSURANCE AGENCY INC

GAVIN C ROBERTS INSURANCE AGENCY INC

Company Details

Name: GAVIN C ROBERTS INSURANCE AGENCY INC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Active
Standing: Good
File Date: 06 May 2008 (17 years ago)
Organization Date: 06 May 2008 (17 years ago)
Last Annual Report: 29 Jan 2024 (a year ago)
Organization Number: 0704540
Industry: Insurance Agents, Brokers and Service
Number of Employees: Small (0-19)
ZIP code: 42301
Primary County: Daviess
Principal Office: 2645 FREDERICA ST. STE 100, OWENSBORO, KY 42301
Place of Formation: KENTUCKY
Authorized Shares: 100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GAVIN C. ROBERTS INSURANCE AGENCY 401K PLAN 2023 262467812 2024-08-30 GAVIN C. ROBERTS INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
GAVIN C. ROBERTS INSURANCE AGENCY 401K PLAN 2022 262467812 2023-10-16 GAVIN C. ROBERTS INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
GAVIN C. ROBERTS INSURANCE AGENCY 401K PLAN 2021 262467812 2022-10-17 GAVIN C. ROBERTS INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
GAVIN C. ROBERTS INSURANCE AGENCY 401K PLAN 2020 262467812 2021-10-04 GAVIN C. ROBERTS INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
GAVIN C. ROBERTS INSURANCE AGENCY 401K PLAN 2019 262467812 2020-09-21 GAVIN C. ROBERTS INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
GAVIN C. ROBERTS INSURANCE AGENCY 401K PLAN 2018 262467812 2019-06-27 GAVIN C. ROBERTS INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
GAVIN C. ROBERTS INSURANCE AGENCY 401K PLAN 2017 262467812 2018-05-11 GAVIN C. ROBERTS INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
GAVIN C. ROBERTS INSURANCE AGENCY 401K PLAN 2016 262467812 2017-07-25 GAVIN C. ROBERTS INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
GAVIN C. ROBERTS INSURANCE AGENCY 401K PLAN 2015 262467812 2016-10-11 GAVIN C. ROBERTS INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
GAVIN C. ROBERTS INSURANCE AGENCY 401K PLAN 2014 262467812 2015-08-21 GAVIN C. ROBERTS INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/14/20141014140938P040019102207001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/02/14/20140214133855P030002687764002.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301

Signature of
Role Plan administrator
Date 2014-02-14
Name of individual signing GAVIN ROBERTS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing GAVIN ROBERTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/12/20121012105324P040001412294004.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301

Plan administrator’s name and address
Administrator’s EIN 262467812
Plan administrator’s name GAVIN C. ROBERTS INSURANCE AGENCY,
Plan administrator’s address 2645 FREDERICA ST SUITE 100, OWENSBORO, KY, 42301
Administrator’s telephone number 2709269600

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing GAVIN ROBERTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017153008P040155069745002.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 262467812
Plan administrator’s name GAVIN C. ROBERTS INSURANCE AGENCY,
Plan administrator’s address 2645 FREDERICA ST, OWENSBORO, KY, 42303
Administrator’s telephone number 2709269600

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing GAVIN ROBERTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/11/20100611142255P030308185153003.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-07-01
Business code 524210
Sponsor’s telephone number 2709269600
Plan sponsor’s address 2645 FREDERICA ST, OWENSBORO, KY, 42303

Plan administrator’s name and address
Administrator’s EIN 262467812
Plan administrator’s name GAVIN C. ROBERTS INSURANCE AGENCY,
Plan administrator’s address 2645 FREDERICA ST, OWENSBORO, KY, 42303
Administrator’s telephone number 2709269600

Signature of
Role Plan administrator
Date 2010-06-11
Name of individual signing GAVIN ROBERTS
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
GAVIN C. ROBERTS, LLC Registered Agent

President

Name Role
Gavin C Roberts President

Director

Name Role
Gavin Clayton Roberts Director

Incorporator

Name Role
GAVIN C ROBERTS Incorporator

Filings

Name File Date
Annual Report 2024-01-29
Annual Report 2023-03-22
Annual Report 2022-03-10
Annual Report 2021-02-10
Annual Report 2020-02-13
Annual Report 2019-01-15
Annual Report 2018-04-12
Annual Report 2017-04-25
Annual Report 2016-03-23
Registered Agent name/address change 2015-02-27

Related by officers

Gavin C Roberts

GAVIN C. ROBERTS, LLC RODASHIANS HOLDING CO LLC

Gavin Clayton Roberts

700 FREDERICA STREET LLC

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Kentucky Secretary of State

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