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BRIAN J. STOUT INSURANCE AGENCY, INC.

Company Details

Name: BRIAN J. STOUT INSURANCE AGENCY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 08 Jul 2008 (17 years ago)
Entity Number: 3693470
ZIP code: 13732
County: Tioga
Place of Formation: New York
Address: 8960 STATE ROUTE 434, APALACHIN, NY, United States, 13732

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
EMPIRE INSURANCE AGENCY 401(K) PLAN 2023 300500919 2024-07-03 BRIAN J STOUT INSURANCE AGENCY INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 524210
Sponsor’s telephone number 6077240404
Plan sponsor’s address 4100 VESTAL ROAD, SUITE 102, VESTAL, NY, 13850
EMPIRE INSURANCE AGENCY 401(K) PLAN 2022 300500919 2023-08-10 BRIAN J STOUT INSURANCE AGENCY INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 524210
Sponsor’s telephone number 6077240404
Plan sponsor’s address 4100 VESTAL ROAD, SUITE 102, VESTAL, NY, 13850

Signature of

Role Plan administrator
Date 2023-08-10
Name of individual signing BRIAN STOUT
EMPIRE INSURANCE AGENCY 401(K) PLAN 2021 300500919 2022-08-22 BRIAN J STOUT INSURANCE AGENCY INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 524210
Sponsor’s telephone number 6077240404
Plan sponsor’s address 4100 VESTAL ROAD, SUITE 102, VESTAL, NY, 13850

Signature of

Role Plan administrator
Date 2022-08-22
Name of individual signing BRIAN STOUT
EMPIRE INSURANCE AGENCY 401(K) PLAN 2020 300500919 2021-06-30 BRIAN J STOUT INSURANCE AGENCY INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 524210
Sponsor’s telephone number 6077240404
Plan sponsor’s address 4100 VESTAL ROAD, SUITE 102, VESTAL, NY, 13850

Signature of

Role Plan administrator
Date 2021-06-30
Name of individual signing BRIAN STOUT
EMPIRE INSURANCE AGENCY 401(K) PLAN 2019 300500919 2020-06-23 BRIAN J STOUT INSURANCE AGENCY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 524210
Sponsor’s telephone number 6077240404
Plan sponsor’s address 4100 VESTAL ROAD, SUITE 102, VESTAL, NY, 13850

Signature of

Role Plan administrator
Date 2020-06-23
Name of individual signing BRIAN STOUT
EMPIRE INSURANCE AGENCY 401(K) PLAN 2017 300500919 2018-05-02 BRIAN J. STOUT INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 524210
Sponsor’s telephone number 8888534777
Plan sponsor’s address 4100 VESTAL ROAD SUITE 102, VESTAL, NY, 13850

Signature of

Role Plan administrator
Date 2018-05-02
Name of individual signing BRIAN STOUT

Chief Executive Officer

Name Role Address
BRIAN J. STOUT Chief Executive Officer 8960 STATE ROUTE 434, APALACHIN, NY, United States, 13732

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 8960 STATE ROUTE 434, APALACHIN, NY, United States, 13732

Filings

Filing Number Date Filed Type Effective Date
100614002465 2010-06-14 BIENNIAL STATEMENT 2010-07-01
080708000330 2008-07-08 CERTIFICATE OF INCORPORATION 2008-07-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4635407009 2020-04-04 0248 PPP 4100 Vestal Rd Suite 102, VESTAL, NY, 13850-3510
Loan Status Date 2020-12-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64700
Loan Approval Amount (current) 64700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50265
Servicing Lender Name Tioga State Bank, National Association
Servicing Lender Address 1 N Main St, SPENCER, NY, 14883-9100
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address VESTAL, BROOME, NY, 13850-3510
Project Congressional District NY-19
Number of Employees 4
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 50265
Originating Lender Name Tioga State Bank, National Association
Originating Lender Address SPENCER, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 65064.84
Forgiveness Paid Date 2020-11-02
1579558310 2021-01-19 0248 PPS 4100 Vestal Rd Ste 102, Vestal, NY, 13850-3524
Loan Status Date 2021-09-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64750.85
Loan Approval Amount (current) 64750.85
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50265
Servicing Lender Name Tioga State Bank, National Association
Servicing Lender Address 1 N Main St, SPENCER, NY, 14883-9100
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Vestal, BROOME, NY, 13850-3524
Project Congressional District NY-19
Number of Employees 4
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 50265
Originating Lender Name Tioga State Bank, National Association
Originating Lender Address SPENCER, NY
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 65132.16
Forgiveness Paid Date 2021-08-23

Date of last update: 28 Mar 2025

Sources: New York Secretary of State