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ADAM WHEATLEY INSURANCE, LLC

Company Details

Name: ADAM WHEATLEY INSURANCE, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 01 Oct 2014 (10 years ago)
Organization Date: 01 Oct 2014 (10 years ago)
Last Annual Report: 13 Jun 2024 (7 months ago)
Managed By: Members
Organization Number: 0898495
Industry: Insurance Agents, Brokers and Service
Number of Employees: Small (0-19)
ZIP code: 40004
Primary County: Nelson
Principal Office: 1244 TOM GREER RD, BARDSTOWN, KY 40004
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADAM WHEATLEY INSURANCE CBS BENEFIT PLAN 2022 471841803 2023-12-27 ADAM WHEATLEY INSURANCE 1
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 5023509182
Plan sponsor’s address 33 PATRIOT DR, BARDSTOWN, KY, 40004

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2023-12-27
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
ADAM WHEATLEY INSURANCE CBS BENEFIT PLAN 2021 471841803 2022-12-29 ADAM WHEATLEY INSURANCE 1
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 5023509182
Plan sponsor’s address 33 PATRIOT DR, BARDSTOWN, KY, 40004

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2022-12-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
ADAM WHEATLEY INSURANCE CBS BENEFIT PLAN 2020 471841803 2021-12-14 ADAM WHEATLEY INSURANCE 1
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 5023509182
Plan sponsor’s address 33 PATRIOT DR, BARDSTOWN, KY, 40004

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2021-12-14
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
ADAM WHEATLEY INSURANCE CBS BENEFIT PLAN 2019 471841803 2020-12-23 ADAM WHEATLEY INSURANCE 1
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 5023509182
Plan sponsor’s address 33 PATRIOT DR, BARDSTOWN, KY, 40004

Plan administrator’s name and address

Administrator’s EIN 846429706
Plan administrator’s name KELLY WOLF
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of

Role Plan administrator
Date 2020-12-23
Name of individual signing KELLY WOLF
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
ADAM WHEATLEY Registered Agent

Member

Name Role
Joseph Adam Wheatley Member

Organizer

Name Role
ADAM WHEATLEY Organizer

Filings

Name File Date
Annual Report 2024-06-13
Annual Report 2023-06-06
Registered Agent name/address change 2022-04-21
Principal Office Address Change 2022-04-21
Annual Report 2022-04-21
Annual Report 2021-04-15
Annual Report 2020-04-17
Annual Report 2019-05-09
Annual Report 2018-04-20
Annual Report 2017-05-01

Date of last update: 16 Nov 2024

Sources: Kentucky Secretary of State