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  5. PRK INSURANCE AGENCY INC.

PRK INSURANCE AGENCY INC.

Company Details

Name: PRK INSURANCE AGENCY INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 23 Feb 2004 (21 years ago)
Entity Number: 3016717
ZIP code: 11706
County: Nassau
Place of Formation: New York
Address: 325 PINE DR, BAY SHORE, NY, United States, 11706

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRK INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST 2023 550858745 2024-04-18 PRK INSURANCE AGENCY INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 5167999001
Plan sponsor’s address 425 BROADHOLLOW RD, SUITE 415, MELVILLE, NY, 11747

Signature of
Role Plan administrator
Date 2024-04-18
Name of individual signing GERARD KLEINFELDER
PRK INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST 2022 550858745 2023-05-04 PRK INSURANCE AGENCY INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 5167999001
Plan sponsor’s address 4770 SUNRISE HWY, MASSAPEQUA PARK, NY, 11762

Signature of
Role Plan administrator
Date 2023-05-04
Name of individual signing GERARD KLEINFELDER
PRK INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST 2021 550858745 2022-05-18 PRK INSURANCE AGENCY INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 5167999001
Plan sponsor’s address 4770 SUNRISE HWY, MASSAPEQUA PARK, NY, 11762

Signature of
Role Plan administrator
Date 2022-05-18
Name of individual signing GERARD KLEINFELDER
PRK INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST 2020 550858745 2021-06-08 PRK INSURANCE AGENCY INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 5167999001
Plan sponsor’s address 4770 SUNRISE HWY, MASSAPEQUA PARK, NY, 11762

Signature of
Role Plan administrator
Date 2021-06-08
Name of individual signing DOROTHY HODGE
PRK INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST 2019 550858745 2020-04-01 PRK INSURANCE AGENCY INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 5167999001
Plan sponsor’s address 4770 SUNRISE HWY, MASSAPEQUA PARK, NY, 11762

Signature of
Role Plan administrator
Date 2020-04-01
Name of individual signing DOROTHY HODGE
PRK INSURANCE AGENCY INC. 401 K PROFIT SHARING PLAN TRUST 2018 550858745 2019-03-07 PRK INSURANCE AGENCY INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 5167999001
Plan sponsor’s address 4770 SUNRISE HWY, MASSAPEQUA PARK, NY, 11762

Signature of
Role Plan administrator
Date 2019-03-06
Name of individual signing DOROTHY HODGE
PRK INSURANCE AGENCY INC. 401 K PROFIT SHARING PLAN TRUST 2017 550858745 2018-07-09 PRK INSURANCE AGENCY INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 5167999001
Plan sponsor’s address 4770 SUNRISE HWY, MASSAPEQUA PARK, NY, 11762

Signature of
Role Plan administrator
Date 2018-07-09
Name of individual signing DOROTHY HODGE
PRK INSURANCE AGENCY INC. 401 K PROFIT SHARING PLAN TRUST 2016 550858745 2017-05-05 PRK INSURANCE AGENCY INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 5167999001
Plan sponsor’s address 4770 SUNRISE HWY, MASSAPEQUA PARK, NY, 11762

Signature of
Role Plan administrator
Date 2017-05-05
Name of individual signing DOROTHY HODGE
PRK INSURANCE AGENCY, INC. EMPLOYEES SAVINGS TRUST 2014 550858745 2015-05-04 PRK INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 5167999001
Plan sponsor’s address 4770 SUNRISE HWY, SUITE 200, MASSAPEQUA PARK, NY, 11762

Signature of
Role Plan administrator
Date 2015-05-04
Name of individual signing GERARD KLEINFELDER
PRK INSURANCE AGENCY, INC. EMPLOYEES SAVINGS TRUST 2013 550858745 2014-10-06 PRK INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 5167999001
Plan sponsor’s address 4770 SUNRISE HWY, SUITE 200, MASSAPEQUA PARK, NY, 11762

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing GERARD KLEINFELDER

Chief Executive Officer

Name Role Address
GERARD KLEINFELDER Chief Executive Officer 4770 SUNRISE HWY, STE 200, MASSAPQUA PARK, NY, United States, 11762

DOS Process Agent

Name Role Address
GERARD KLEINFELDER DOS Process Agent 325 PINE DR, BAY SHORE, NY, United States, 11706

History

Start date End date Type Value
2004-04-27 2006-02-28 Address 325 PINE DRIVE, BAY SHORE, NY, 11706, USA (Type of address: Service of Process)
2004-02-23 2004-04-27 Address 503A HICKSVILLE ROAD, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140529002235 2014-05-29 BIENNIAL STATEMENT 2014-02-01
120510002408 2012-05-10 BIENNIAL STATEMENT 2012-02-01
100825000672 2010-08-25 CERTIFICATE OF AMENDMENT 2010-08-25
100514002674 2010-05-14 BIENNIAL STATEMENT 2010-02-01
080226002082 2008-02-26 BIENNIAL STATEMENT 2008-02-01
060228002887 2006-02-28 BIENNIAL STATEMENT 2006-02-01
040427000794 2004-04-27 CERTIFICATE OF CHANGE 2004-04-27
040223001141 2004-02-23 CERTIFICATE OF INCORPORATION 2004-02-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: New York Secretary of State

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