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  5. PETER M KELLY INSURANCE AGENCY, INC.

PETER M KELLY INSURANCE AGENCY, INC.

Company Details

Name: PETER M KELLY INSURANCE AGENCY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 05 Oct 2006 (19 years ago)
Entity Number: 3420738
ZIP code: 12207
County: Nassau
Place of Formation: New York
Principal Address: 349 MERRICK RD, LYNBROOK, NY, United States, 11563
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

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
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN 2023 205703123 2024-04-26 PETER M. KELLY INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5165995400
Plan sponsor’s address 349 MERRICK RD., LYNBROOK, NY, 11563

Signature of
Role Plan administrator
Date 2024-04-26
Name of individual signing PETER KELLY
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN 2023 205703123 2024-12-13 PETER M. KELLY INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5165995400
Plan sponsor’s address 349 MERRICK RD., LYNBROOK, NY, 11563

Signature of
Role Plan administrator
Date 2024-12-13
Name of individual signing PETER KELLY
Valid signature Filed with authorized/valid electronic signature
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN 2022 205703123 2023-06-05 PETER M. KELLY INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5165995400
Plan sponsor’s address 349 MERRICK RD., LYNBROOK, NY, 11563

Signature of
Role Plan administrator
Date 2023-06-05
Name of individual signing PETER KELLY
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN 2021 205703123 2022-05-20 PETER M. KELLY INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5165995400
Plan sponsor’s address 349 MERRICK RD., LYNBROOK, NY, 11563

Signature of
Role Plan administrator
Date 2022-05-20
Name of individual signing PETER KELLY
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN 2020 205703123 2021-04-28 PETER M. KELLY INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5165995400
Plan sponsor’s address 349 MERRICK RD., LYNBROOK, NY, 11563

Signature of
Role Plan administrator
Date 2021-04-28
Name of individual signing PETER KELLY
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN 2019 205703123 2020-06-14 PETER M. KELLY INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5165995400
Plan sponsor’s address 349 MERRICK RD., LYNBROOK, NY, 11563

Signature of
Role Plan administrator
Date 2020-06-14
Name of individual signing PETER KELLY
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN 2018 205703123 2019-05-14 PETER M. KELLY INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5165995400
Plan sponsor’s address 349 MERRICK RD., LYNBROOK, NY, 11563

Signature of
Role Plan administrator
Date 2019-05-14
Name of individual signing PETER KELLY
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN 2017 205703123 2018-05-18 PETER M. KELLY INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5165995400
Plan sponsor’s address 349 MERRICK RD., LYNBROOK, NY, 11563

Signature of
Role Plan administrator
Date 2018-05-18
Name of individual signing PETER KELLY
PETER M. KELLY INSURANCE AGENCY, INC 401(K) PLAN 2016 205703123 2017-05-18 PETER M. KELLY INSURANCE AGENCY, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5165995400
Plan sponsor’s address 349 MERRICK RD., LYNBROOK, NY, 11563

Signature of
Role Plan administrator
Date 2017-05-18
Name of individual signing PETER KELLY
PETER M. KELLY INSURANCE AGENCY, INC. 401(K) PLAN 2015 205703123 2016-05-19 PETER M. KELLY INSURANCE AGENCY, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 524210
Sponsor’s telephone number 5165995400
Plan sponsor’s address 349 MERRICK RD., LYNBROOK, NY, 11563

Signature of
Role Plan administrator
Date 2016-05-19
Name of individual signing PETER KELLY

DOS Process Agent

Name Role Address
C/O CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

Chief Executive Officer

Name Role Address
PETER KELLY Chief Executive Officer 349 MERRICK RD, LYNBROOK, NY, United States, 11563

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 80 STATE STREET, ALBANY, NY, 12207

History

Start date End date Type Value
2006-10-05 2020-11-04 Address 80 STATE STREET, ALBANY, NY, 12207, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201104061336 2020-11-04 BIENNIAL STATEMENT 2020-10-01
181113007290 2018-11-13 BIENNIAL STATEMENT 2018-10-01
161003006507 2016-10-03 BIENNIAL STATEMENT 2016-10-01
141006006740 2014-10-06 BIENNIAL STATEMENT 2014-10-01
130611000511 2013-06-11 CERTIFICATE OF AMENDMENT 2013-06-11
121009007177 2012-10-09 BIENNIAL STATEMENT 2012-10-01
101018002046 2010-10-18 BIENNIAL STATEMENT 2010-10-01
081016002323 2008-10-16 BIENNIAL STATEMENT 2008-10-01
061005000023 2006-10-05 CERTIFICATE OF INCORPORATION 2006-10-05

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2901787208 2020-04-16 0235 PPP 349 MERRICK RD, LYNBROOK, NY, 11563
Loan Status Date 2021-04-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 100000
Loan Approval Amount (current) 100000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LYNBROOK, NASSAU, NY, 11563-0001
Project Congressional District NY-04
Number of Employees 8
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 100903.78
Forgiveness Paid Date 2021-03-16

Related by officers

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PETER KELLY

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CORPORATION SERVICE COMPANY

B&E TRANSPORTATION "AZERBAIJAN AIRLINES" CLOSED JOINT STOCK COMPANY "E" THE SOLUTION ASSOCIATES, LLC "KIM INTERNATIOANL 1" PACIFIC KING SHIPPING PTE. LTD. #EAZYWORK FITNESS, LLC AYDIN ARJOMAND PHOTOGRAPHY, LLC 'HOOD GARAGE, LLC

Related by address

349 MERRICK RD, LYNBROOK, NY, United States, 11563

R&A HOME IMPROVEMENTS INC.

80 STATE STREET, ALBANY, NY, United States, 12207

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State

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