| Name: | TANNER INSURANCE AGENCY, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Active |
| Date of registration: | 09 Jan 1998 (27 years ago) |
| Entity Number: | 2216171 |
| ZIP code: | 13402 |
| County: | Madison |
| Place of Formation: | New York |
| Principal Address: | 7324 ROUTE 20, MADISON, NY, United States, 13402 |
| Address: | PO BOX 285, MADISON, NY, United States, 13402 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TANNER INSURANCE AGENCY INC 401K PLAN | 2010 | 161542341 | 2011-07-27 | TANNER INSURANCE AGENCY INC | 8 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 161542341 |
| Plan administrator’s name | TANNER INSURANCE AGENCY INC |
| Plan administrator’s address | 7324 STATE ROUTE 20, MADISON, NY, 13402 |
| Administrator’s telephone number | 3158937790 |
Number of participants as of the end of the plan year
| Active participants | 8 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 7 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-27 |
| Name of individual signing | KEITH PEAVEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 3158937790 |
| Plan sponsor’s mailing address | 7324 STATE ROUTE 20, MADISON, NY, 13402 |
| Plan sponsor’s address | 7324 STATE ROUTE 20, MADISON, NY, 13402 |
Plan administrator’s name and address
| Administrator’s EIN | 161542341 |
| Plan administrator’s name | TANNER INSURANCE AGENCY, INC. |
| Plan administrator’s address | 7324 STATE ROUTE 20, MADISON, NY, 13402 |
| Administrator’s telephone number | 3158937790 |
Number of participants as of the end of the plan year
| Active participants | 8 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 5 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-13 |
| Name of individual signing | KEITH PEAVEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KEITH R. PEAVEY | Chief Executive Officer | PO BOX 285, MADISON, NY, United States, 13402 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | PO BOX 285, MADISON, NY, United States, 13402 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2004-01-06 | 2008-01-10 | Address | 7324 RT 20, MADISON, NY, 13402, USA (Type of address: Principal Executive Office) |
| 2000-01-28 | 2002-01-22 | Address | PO BOX 285, MADISON, NY, 13402, USA (Type of address: Chief Executive Officer) |
| 2000-01-28 | 2004-01-06 | Address | 7320 ROUTE 20, MADISON, NY, 13402, USA (Type of address: Principal Executive Office) |
| 1998-01-09 | 2000-01-28 | Address | 3259 CENTER ROAD, MADISON, NY, 13420, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 140210002124 | 2014-02-10 | BIENNIAL STATEMENT | 2014-01-01 |
| 120126002287 | 2012-01-26 | BIENNIAL STATEMENT | 2012-01-01 |
| 100119002617 | 2010-01-19 | BIENNIAL STATEMENT | 2010-01-01 |
| 080110002922 | 2008-01-10 | BIENNIAL STATEMENT | 2008-01-01 |
| 060201002419 | 2006-02-01 | BIENNIAL STATEMENT | 2006-01-01 |
| 040106002788 | 2004-01-06 | BIENNIAL STATEMENT | 2004-01-01 |
| 020122002337 | 2002-01-22 | BIENNIAL STATEMENT | 2002-01-01 |
| 000128002401 | 2000-01-28 | BIENNIAL STATEMENT | 2000-01-01 |
| 980109000213 | 1998-01-09 | CERTIFICATE OF INCORPORATION | 1998-01-09 |
Date of last update: 17 Dec 2024
Sources: New York Secretary of State
