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  5. MAXIMUS INSURANCE AGENCY INC.

MAXIMUS INSURANCE AGENCY INC.

Company Details

Name: MAXIMUS INSURANCE AGENCY INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 27 Feb 2008 (17 years ago)
Entity Number: 3636993
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 684 BROADWAY, MASSAPEQUA, N.Y., MASSAPEQUA, NY, United States, 11758
Principal Address: 684 BROADWAY, MASSAPEQUA, NY, United States, 11758

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
MAXIMUS INSURANCE AGENCY 401(K) PLAN 2023 262104964 2024-05-16 MAXIMUS INSURANCE AGENCY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 5163084060
Plan sponsor’s address 684 BROADWAY, MASSAPEQUA, NY, 11758
MAXIMUS INSURANCE AGENCY 401(K) PLAN 2022 262104964 2023-04-03 MAXIMUS INSURANCE AGENCY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 5163084060
Plan sponsor’s address 684 BROADWAY, MASSAPEQUA, NY, 11758

Signature of
Role Plan administrator
Date 2023-04-01
Name of individual signing LUIGI ERRICO
Role Employer/plan sponsor
Date 2023-04-01
Name of individual signing LUIGI ERRICO
MAXIMUS INSURANCE AGENCY 401(K) PLAN 2021 262104964 2022-04-01 MAXIMUS INSURANCE AGENCY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 5163084060
Plan sponsor’s address 684 BROADWAY, MASSAPEQUA, NY, 11758

Signature of
Role Plan administrator
Date 2022-04-01
Name of individual signing LUIGI ERRICO
Role Employer/plan sponsor
Date 2022-04-01
Name of individual signing LUIGI ERRICO
MAXIMUS INSURANCE AGENCY 401(K) PLAN 2020 262104964 2021-05-19 MAXIMUS INSURANCE AGENCY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 5163084060
Plan sponsor’s address 684 BROADWAY, MASSAPEQUA, NY, 11758

Signature of
Role Plan administrator
Date 2021-05-18
Name of individual signing LUIGI ERRICO
Role Employer/plan sponsor
Date 2021-05-18
Name of individual signing LUIGI ERRICO
MAXIMUS INSURANCE AGENCY 401(K) PLAN 2019 262104964 2020-04-06 MAXIMUS INSURANCE AGENCY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 5163084060
Plan sponsor’s address 684 BROADWAY, MASSAPEQUA, NY, 11758

Signature of
Role Plan administrator
Date 2020-04-02
Name of individual signing LUIGI ERRICO
Role Employer/plan sponsor
Date 2020-04-02
Name of individual signing LUIGI ERRICO
MAXIMUS INSURANCE AGENCY 401(K) PLAN 2018 262104964 2019-05-01 MAXIMUS INSURANCE AGENCY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 5163084060
Plan sponsor’s address 684 BROADWAY, MASSAPEQUA, NY, 11758

Signature of
Role Plan administrator
Date 2019-05-01
Name of individual signing LUIGI ERRICO
Role Employer/plan sponsor
Date 2019-05-01
Name of individual signing LUIGI ERRICO
MAXIMUS INSURANCE AGENCY 401(K) PLAN 2017 262104964 2018-06-07 MAXIMUS INSURANCE AGENCY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 5163084060
Plan sponsor’s address 684 BROADWAY, MASSAPEQUA, NY, 11758

Signature of
Role Plan administrator
Date 2018-06-06
Name of individual signing LUIGI ERRICO
Role Employer/plan sponsor
Date 2018-06-06
Name of individual signing LUIGI ERRICO
MAXIMUS INSURANCE AGENCY 401(K) PLAN 2016 262104964 2017-07-12 MAXIMUS INSURANCE AGENCY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 5163084060
Plan sponsor’s address 684 BROADWAY, MASSAPEQUA, NY, 11758

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing LUIGI ERRICO
MAXIMUS INSURANCE AGENCY 401(K) PLAN 2015 262104964 2016-05-24 MAXIMUS INSURANCE AGENCY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 5163084060
Plan sponsor’s address 684 BROADWAY, MASSAPEQUA, NY, 11758

Signature of
Role Plan administrator
Date 2016-05-24
Name of individual signing LUIGI ERRICO
MAXIMUS INSURANCE AGENCY 401(K) PLAN 2014 262104964 2015-07-14 MAXIMUS INSURANCE AGENCY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 5163084060
Plan sponsor’s address 684 BROADWAY, MASSAPEQUA, NY, 11758

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing LUIGI ERRICO

DOS Process Agent

Name Role Address
ROSEDALE & DRAGALA DOS Process Agent 684 BROADWAY, MASSAPEQUA, N.Y., MASSAPEQUA, NY, United States, 11758

Chief Executive Officer

Name Role Address
LUIGI GINO ERRICO Chief Executive Officer C/O MAXIMUS INSURANCE, 684 BROADWAY, MASSAPEQUA, NY, United States, 11758

History

Start date End date Type Value
2023-12-13 2023-12-13 Address C/O MAXIMUS INSURANCE, 684 BROADWAY, MASSAPEQUA, NY, 11758, USA (Type of address: Chief Executive Officer)
2018-05-07 2023-12-13 Address 684 BROADWAY, MASSAPEQUA, N.Y., MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)
2014-04-16 2023-12-13 Address C/O MAXIMUS INSURANCE, 684 BROADWAY, MASSAPEQUA, NY, 11758, USA (Type of address: Chief Executive Officer)
2012-03-16 2014-04-16 Address C/O MAXIMUS INSURANCE, 684 BROADWAY, MASSAPEQUA, NY, 11758, USA (Type of address: Chief Executive Officer)
2012-03-16 2018-05-07 Address 2001 GROVE STREET, WANTAGH, NY, 11793, USA (Type of address: Service of Process)
2010-03-19 2012-03-16 Address 2001 GROVE ST, WANTAGH, NY, 11793, USA (Type of address: Principal Executive Office)
2010-03-19 2012-03-16 Address C/O MAXIMUS INSURANCE, 2001 GROVE ST, WANTAGH, NY, 11793, USA (Type of address: Chief Executive Officer)
2008-02-27 2012-03-16 Address 2001 GROVE STREET, WANTAGH, NY, 11793, USA (Type of address: Service of Process)
2008-02-27 2023-12-13 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
231213024593 2023-12-13 BIENNIAL STATEMENT 2023-12-13
200210060414 2020-02-10 BIENNIAL STATEMENT 2020-02-01
180507006653 2018-05-07 BIENNIAL STATEMENT 2018-02-01
140416002668 2014-04-16 BIENNIAL STATEMENT 2014-02-01
120316002940 2012-03-16 BIENNIAL STATEMENT 2012-02-01
100319002716 2010-03-19 BIENNIAL STATEMENT 2010-02-01
080227000638 2008-02-27 CERTIFICATE OF INCORPORATION 2008-02-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4773348303 2021-01-23 0235 PPS 684 Broadway, Massapequa, NY, 11758-2319
Loan Status Date 2021-10-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 94795
Loan Approval Amount (current) 94795
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Massapequa, NASSAU, NY, 11758-2319
Project Congressional District NY-03
Number of Employees 9
NAICS code 524210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 95288.45
Forgiveness Paid Date 2021-08-09
2174667101 2020-04-10 0235 PPP 684 Broadway, MASSAPEQUA, NY, 11758-2319
Loan Status Date 2021-03-02
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 94795
Loan Approval Amount (current) 94795
Undisbursed Amount 0
Franchise Name -
Lender Location ID 46391
Servicing Lender Name Manufacturers and Traders Trust Company
Servicing Lender Address One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MASSAPEQUA, NASSAU, NY, 11758-2319
Project Congressional District NY-03
Number of Employees 10
NAICS code 524210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 46391
Originating Lender Name Manufacturers and Traders Trust Company
Originating Lender Address BUFFALO, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 95322.22
Forgiveness Paid Date 2020-11-05

Related by officers

No related officers

Related by address

684 BROADWAY, MASSAPEQUA, NY, United States, 11758

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State

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