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  5. EBNY INSURANCE SERVICES, INC.

EBNY INSURANCE SERVICES, INC.

Company Details

Name: EBNY INSURANCE SERVICES, INC.
Jurisdiction: New York
Legal type: FOREIGN BUSINESS CORPORATION
Status: Active
Date of registration: 17 Oct 2006 (18 years ago)
Entity Number: 3425129
ZIP code: 10011
County: New York
Place of Formation: New Jersey
Address: 80 Fifth Avenue, Suite 1403, New York, NY, United States, 10011
Principal Address: 80 FIFTH AVE, STE 1403, NEW YORK, NY, United States, 10011

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EBNY INSURANCE SERVICES INC. 401(K) P/S PLAN 2023 205259605 2024-05-14 EBNY INSURANCE SERVICES INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2122692625
Plan sponsor’s address 80 5TH AVE RM 1403, NEW YORK, NY, 10011

Signature of
Role Plan administrator
Date 2024-05-14
Name of individual signing KYLE KAUTZMANN
Role Employer/plan sponsor
Date 2024-05-14
Name of individual signing KYLE KAUTZMANN
EBNY INSURANCE SERVICES INC. 401(K) P/S PLAN 2022 205259605 2023-04-20 EBNY INSURANCE SERVICES INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2122692625
Plan sponsor’s address 80 5TH AVE RM 1403, NEW YORK, NY, 10011

Plan administrator’s name and address
Administrator’s EIN 205259605
Plan administrator’s name EBNY INSURANCE SERVICES INC.
Plan administrator’s address 80 5TH AVE RM 1403, NEW YORK, NY, 10011
Administrator’s telephone number 2122692625

Signature of
Role Plan administrator
Date 2023-04-20
Name of individual signing KYLE KAUTZMANN
EBNY INSURANCE SERVICES INC. 401(K) P/S PLAN 2021 205259605 2022-04-14 EBNY INSURANCE SERVICES INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2122692625
Plan sponsor’s address 80 5TH AVE RM 1403, NEW YORK, NY, 10011

Plan administrator’s name and address
Administrator’s EIN 205259605
Plan administrator’s name EBNY INSURANCE SERVICES INC.
Plan administrator’s address 80 5TH AVE RM 1403, NEW YORK, NY, 10011
Administrator’s telephone number 2122692625

Signature of
Role Plan administrator
Date 2022-04-14
Name of individual signing KYLE KAUTZMANN
EBNY INSURANCE SERVICES INC. 401(K) P/S PLAN 2020 205259605 2021-03-30 EBNY INSURANCE SERVICES INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2122692625
Plan sponsor’s address 80 5TH AVE RM 1403, NEW YORK, NY, 10011

Plan administrator’s name and address
Administrator’s EIN 205259605
Plan administrator’s name EBNY INSURANCE SERVICES INC.
Plan administrator’s address 80 5TH AVE RM 1403, NEW YORK, NY, 10011
Administrator’s telephone number 2122692625

Signature of
Role Plan administrator
Date 2021-03-30
Name of individual signing KYLE KAUTZMANN
EBNY INSURANCE SERVICES INC. 401(K) P/S PLAN 2019 205259605 2020-04-28 EBNY INSURANCE SERVICES INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2122692625
Plan sponsor’s address 80 5TH AVE RM 1403, NEW YORK, NY, 10011

Plan administrator’s name and address
Administrator’s EIN 205259605
Plan administrator’s name EBNY INSURANCE SERVICES INC.
Plan administrator’s address 80 5TH AVE RM 1403, NEW YORK, NY, 10011
Administrator’s telephone number 2122692625

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing KYLE KAUTZMANN
EBNY INSURANCE SERVICES INC. 401(K) P/S PLAN 2018 205259605 2019-02-21 EBNY INSURANCE SERVICES INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 2122692625
Plan sponsor’s address 80 5TH AVE RM 1403, NEW YORK, NY, 10011

Plan administrator’s name and address
Administrator’s EIN 205259605
Plan administrator’s name EBNY INSURANCE SERVICES INC.
Plan administrator’s address 80 5TH AVE RM 1403, NEW YORK, NY, 10011
Administrator’s telephone number 2122692625

Signature of
Role Plan administrator
Date 2019-02-21
Name of individual signing KYLE KAUTZMANN

Chief Executive Officer

Name Role Address
KYLE KAUTZMANN Chief Executive Officer 80 FIFTH AVE, STE 1403, NEW YORK, NY, United States, 10011

DOS Process Agent

Name Role Address
INCORPORATE USA, INC. DOS Process Agent 80 Fifth Avenue, Suite 1403, New York, NY, United States, 10011

History

Start date End date Type Value
2024-03-12 2024-03-12 Address 80 FIFTH AVE, STE 1403, NEW YORK, NY, 10011, USA (Type of address: Chief Executive Officer)
2020-10-06 2024-03-12 Address 3150 SANDY RIDGE DR., CLEARWATER, FL, 33761, USA (Type of address: Service of Process)
2012-10-05 2024-03-12 Address 80 FIFTH AVE, STE 1403, NEW YORK, NY, 10011, USA (Type of address: Chief Executive Officer)
2010-10-14 2012-10-05 Address 80 FIFTH AVE, STE 1403, NEW YORK, NY, 10011, USA (Type of address: Chief Executive Officer)
2008-12-10 2010-10-14 Address 62 WILLIAM STREET, 4TH FLOOR, NEW YORK, NY, 10005, USA (Type of address: Chief Executive Officer)
2008-12-10 2010-10-14 Address 62 WILLIAM STREET, 4TH FLOOR, NEW YORK, NY, 10005, USA (Type of address: Principal Executive Office)
2006-10-17 2020-10-06 Address 3150 SANDY RIDGE DR., CLEARWATER, FL, 33761, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240312003701 2024-03-12 BIENNIAL STATEMENT 2024-03-12
201006060381 2020-10-06 BIENNIAL STATEMENT 2020-10-01
181002007122 2018-10-02 BIENNIAL STATEMENT 2018-10-01
161003007756 2016-10-03 BIENNIAL STATEMENT 2016-10-01
141001006365 2014-10-01 BIENNIAL STATEMENT 2014-10-01
121005006564 2012-10-05 BIENNIAL STATEMENT 2012-10-01
101014002432 2010-10-14 BIENNIAL STATEMENT 2010-10-01
081210002647 2008-12-10 BIENNIAL STATEMENT 2008-10-01
061017000184 2006-10-17 APPLICATION OF AUTHORITY 2006-10-17

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 18 Jan 2025

Sources: New York Secretary of State

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