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CORNERSTONE INSURANCE, LLC

Company Details

Name: CORNERSTONE INSURANCE, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 02 Jun 2014 (11 years ago)
Organization Date: 02 Jun 2014 (11 years ago)
Last Annual Report: 19 Feb 2025 (23 days ago)
Managed By: Members
Organization Number: 0881519
Industry: Insurance Agents, Brokers and Service
Number of Employees: Small (0-19)
ZIP code: 41042
City: Florence
Primary County: Boone County
Principal Office: 5915 Centennial Circle Suite B, 5915 Centennial Circle Suite B, Florence, Florence, KY 41042
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORNERSTONE INSURANCE, LLC 401K PLAN 2023 471030336 2024-04-03 CORNERSTONE INSURANCE, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 8593563126
Plan sponsor’s address PO BOX 308, INDEPENDENCE, KY, 410517870

Signature of

Role Plan administrator
Date 2024-04-03
Name of individual signing JOHN HAMILTON
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE INSURANCE, LLC 401K PLAN 2022 471030336 2023-05-31 CORNERSTONE INSURANCE, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 8593563126
Plan sponsor’s address PO BOX 308, INDEPENDENCE, KY, 410517870

Signature of

Role Plan administrator
Date 2023-05-31
Name of individual signing JOHN HAMILTON
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE INSURANCE, LLC 401K PLAN 2021 471030336 2022-04-27 CORNERSTONE INSURANCE, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 8593563126
Plan sponsor’s address PO BOX 308, INDEPENDENCE, KY, 410517870

Signature of

Role Plan administrator
Date 2022-04-27
Name of individual signing JOHN HAMILTON
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE INSURANCE, LLC 401K PLAN 2020 471030336 2021-06-09 CORNERSTONE INSURANCE, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 8593563126
Plan sponsor’s address PO BOX 308, INDEPENDENCE, KY, 410517870

Signature of

Role Plan administrator
Date 2021-06-09
Name of individual signing JOHN HAMILTON
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE INSURANCE, LLC 401K PLAN 2019 471030336 2020-07-15 CORNERSTONE INSURANCE, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 8593563126
Plan sponsor’s address PO BOX 308, INDEPENDENCE, KY, 410517870

Signature of

Role Plan administrator
Date 2020-07-15
Name of individual signing JOHN HAMILTON
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE INSURANCE, LLC 401K PLAN 2018 471030336 2019-07-15 CORNERSTONE INSURANCE, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 8593563126
Plan sponsor’s address PO BOX 308, INDEPENDENCE, KY, 410517870

Signature of

Role Plan administrator
Date 2019-07-15
Name of individual signing JOHN HAMILTON
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE INSURANCE, LLC 401K PLAN 2017 471030336 2018-07-03 CORNERSTONE INSURANCE, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 8593563126
Plan sponsor’s address PO BOX 308, INDEPENDENCE, KY, 410517870

Signature of

Role Plan administrator
Date 2018-07-03
Name of individual signing JOHN HAMILTON
Valid signature Filed with authorized/valid electronic signature
CORNERSTONE INSURANCE, LLC 401K PLAN 2016 471030336 2017-04-04 CORNERSTONE INSURANCE, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 8593563126
Plan sponsor’s address PO BOX 308, INDEPENDENCE, KY, 410517870

Signature of

Role Plan administrator
Date 2017-04-04
Name of individual signing JOHN HAMILTON
Valid signature Filed with authorized/valid electronic signature

Organizer

Name Role
WILLIAM M. WETHINGTON Organizer
JOHN W. HAMILTON Organizer
MICHAEL ROADEN Organizer

Member

Name Role
Michael D Roaden Member

Registered Agent

Name Role
Michael Roaden 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 846509 Agent - Life Active 2014-07-28 - - 2026-03-31 -
Department of Insurance DOI ID 846509 Agent - Health Active 2014-07-28 - - 2026-03-31 -
Department of Insurance DOI ID 846509 Agent - Casualty Active 2014-07-28 - - 2026-03-31 -
Department of Insurance DOI ID 846509 Agent - Property Active 2014-07-28 - - 2026-03-31 -

Former Company Names

Name Action
CORNERSTONE INSURANCE, LLC Type Conversion

Filings

Name File Date
Annual Report 2025-02-19
Principal Office Address Change 2025-02-19
Registered Agent name/address change 2025-02-19
Annual Report 2024-03-01
Annual Report 2023-03-17
Annual Report 2022-03-07
Annual Report 2021-03-01
Annual Report 2020-02-14
Annual Report 2019-06-20
Registered Agent name/address change 2019-05-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8091017009 2020-04-08 0457 PPP PO Box 308, Independence, KY, 41051
Loan Status Date 2021-02-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 219800
Loan Approval Amount (current) 219800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 455644
Servicing Lender Name Live Oak Banking Company
Servicing Lender Address 1741 Tiburon Dr, WILMINGTON, NC, 28403-6244
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Independence, KENTON, KY, 41051-0001
Project Congressional District KY-04
Number of Employees 23
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 455644
Originating Lender Name Live Oak Banking Company
Originating Lender Address WILMINGTON, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 221413.87
Forgiveness Paid Date 2021-01-11
9916128406 2021-02-18 0457 PPS 5275 Madison Pike, Independence, KY, 41051-7970
Loan Status Date 2022-01-12
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 205298
Loan Approval Amount (current) 205298
Undisbursed Amount 0
Franchise Name -
Lender Location ID 455644
Servicing Lender Name Live Oak Banking Company
Servicing Lender Address 1741 Tiburon Dr, WILMINGTON, NC, 28403-6244
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Independence, KENTON, KY, 41051-7970
Project Congressional District KY-04
Number of Employees 19
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 455644
Originating Lender Name Live Oak Banking Company
Originating Lender Address WILMINGTON, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 206766.02
Forgiveness Paid Date 2021-11-17

Sources: Kentucky Secretary of State