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  5. NORTHERN INSURING AGENCY, INC.

NORTHERN INSURING AGENCY, INC.

Headquarter

Company Details

Name: NORTHERN INSURING AGENCY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 19 Jun 1930 (95 years ago)
Entity Number: 39109
ZIP code: 12901
County: Clinton
Place of Formation: New York
Address: PO BOX 789,171 MARGARET STREET, PLATTSBURGH, NY, United States, 12901
Principal Address: 171 MARGARET STREET, PLATTSBURGH, NY, United States, 12901

Shares Details

Shares issued 0

Share Par Value 50000

Type CAP

Links between entities

Type Company Name Company Number State
Headquarter of NORTHERN INSURING AGENCY, INC., IDAHO 632410 IDAHO

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHERN INSURING AGENCY, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2023 140934870 2024-06-20 NORTHERN INSURING AGENCY, INC. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-12-31
Business code 524210
Sponsor’s telephone number 5185617000
Plan sponsor’s address 171 MARGARET STREET, POST OFFICE BOX 789, PLATTSBURGH, NY, 129010789

Signature of
Role Plan administrator
Date 2024-06-18
Name of individual signing RODERIC GILTZ
Role Employer/plan sponsor
Date 2024-06-18
Name of individual signing RODERIC GILTZ
NORTHERN INSURING AGENCY, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2022 140934870 2023-06-01 NORTHERN INSURING AGENCY, INC. 48
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-12-31
Business code 524210
Sponsor’s telephone number 5185617000
Plan sponsor’s address 171 MARGARET STREET, POST OFFICE BOX 789, PLATTSBURGH, NY, 129010789

Signature of
Role Plan administrator
Date 2023-06-01
Name of individual signing RODERIC GILTZ
Role Employer/plan sponsor
Date 2023-06-01
Name of individual signing RODERIC GILTZ
NORTHERN INSURING AGENCY, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2021 140934870 2022-06-07 NORTHERN INSURING AGENCY, INC. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-12-31
Business code 524210
Sponsor’s telephone number 5185617000
Plan sponsor’s address 171 MARGARET STREET, POST OFFICE BOX 789, PLATTSBURGH, NY, 129010789

Signature of
Role Plan administrator
Date 2022-06-07
Name of individual signing RODERIC GILTZ
Role Employer/plan sponsor
Date 2022-06-07
Name of individual signing RODERIC GILTZ
NORTHERN INSURING AGENCY, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2020 140934870 2021-06-16 NORTHERN INSURING AGENCY, INC. 51
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-12-31
Business code 524210
Sponsor’s telephone number 5185617000
Plan sponsor’s address 171 MARGARET STREET, POST OFFICE BOX 789, PLATTSBURGH, NY, 129010789

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing RODERIC GILTZ
Role Employer/plan sponsor
Date 2021-06-16
Name of individual signing RODERIC GILTZ
NORTHERN INSURING AGENCY, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2019 140934870 2020-06-10 NORTHERN INSURING AGENCY, INC. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-12-31
Business code 524210
Sponsor’s telephone number 5185617000
Plan sponsor’s address 171 MARGARET STREET, POST OFFICE BOX 789, PLATTSBURGH, NY, 129010789

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing RODERIC GILTZ
Role Employer/plan sponsor
Date 2020-06-10
Name of individual signing RODERIC GILTZ
NORTHERN INSURING AGENCY, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2018 140934870 2019-05-15 NORTHERN INSURING AGENCY, INC. 48
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-12-31
Business code 524210
Sponsor’s telephone number 5185617000
Plan sponsor’s address 171 MARGARET STREET, POST OFFICE BOX 789, PLATTSBURGH, NY, 129010789

Signature of
Role Plan administrator
Date 2019-05-14
Name of individual signing RODERIC GILTZ
Role Employer/plan sponsor
Date 2019-05-14
Name of individual signing RODERIC GILTZ
NORTHERN INSURING AGENCY, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2017 140934870 2018-06-19 NORTHERN INSURING AGENCY, INC. 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-12-31
Business code 524210
Sponsor’s telephone number 5185617000
Plan sponsor’s address 171 MARGARET STREET, POST OFFICE BOX 789, PLATTSBURGH, NY, 129010789

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing RODERIC GILTZ
Role Employer/plan sponsor
Date 2018-06-19
Name of individual signing RODERIC GILTZ
NORTHERN INSURING AGENCY, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2016 140934870 2017-05-08 NORTHERN INSURING AGENCY, INC. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-12-31
Business code 524210
Sponsor’s telephone number 5185617000
Plan sponsor’s address 171 MARGARET STREET, POST OFFICE BOX 789, PLATTSBURGH, NY, 129010789

Signature of
Role Plan administrator
Date 2017-05-08
Name of individual signing RODERIC GILTZ
Role Employer/plan sponsor
Date 2017-05-08
Name of individual signing RODERIC GILTZ
NORTHERN INSURING AGENCY, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2015 140934870 2016-05-09 NORTHERN INSURING AGENCY, INC. 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-12-31
Business code 524210
Sponsor’s telephone number 5185617000
Plan sponsor’s address 171 MARGARET STREET, POST OFFICE BOX 789, PLATTSBURGH, NY, 129010789

Signature of
Role Plan administrator
Date 2016-05-09
Name of individual signing RODERIC GILTZ
Role Employer/plan sponsor
Date 2016-05-09
Name of individual signing RODERIC GILTZ
NORTHERN INSURING AGENCY, INC. EMPLOYEES' RETIREMENT SAVINGS PLAN 2014 140934870 2015-04-29 NORTHERN INSURING AGENCY, INC. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-12-31
Business code 524210
Sponsor’s telephone number 5185617000
Plan sponsor’s address 171 MARGARET STREET, POST OFFICE BOX 789, PLATTSBURGH, NY, 129010789

Signature of
Role Plan administrator
Date 2015-04-28
Name of individual signing RODERIC GILTZ
Role Employer/plan sponsor
Date 2015-04-28
Name of individual signing RODERIC GILTZ

DOS Process Agent

Name Role Address
NORTHERN INSURING AGENCY, INC. DOS Process Agent PO BOX 789,171 MARGARET STREET, PLATTSBURGH, NY, United States, 12901

Chief Executive Officer

Name Role Address
DEENA G MCCULLOUGH Chief Executive Officer PO BOX 789,, 171 MARGARET STREET, PLATTSBURGH, NY, United States, 12901

History

Start date End date Type Value
2025-02-05 2025-02-05 Shares Share type: NO PAR VALUE, Number of shares: 5000, Par value: 0
2024-08-23 2025-02-05 Shares Share type: NO PAR VALUE, Number of shares: 5000, Par value: 0
2024-08-23 2024-08-23 Address PO BOX 789,, 171 MARGARET STREET, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
2024-08-12 2024-08-12 Shares Share type: NO PAR VALUE, Number of shares: 5000, Par value: 0
2024-08-12 2024-08-23 Shares Share type: NO PAR VALUE, Number of shares: 5000, Par value: 0
2021-09-01 2024-08-12 Shares Share type: NO PAR VALUE, Number of shares: 5000, Par value: 0
2021-05-04 2024-08-23 Address PO BOX 789,171 MARGARET STREET, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
2019-01-29 2021-05-04 Address PO BOX 789,171 MARGARET STREET, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)
2019-01-29 2024-08-23 Address PO BOX 789,, 171 MARGARET STREET, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
2014-12-17 2021-09-01 Shares Share type: NO PAR VALUE, Number of shares: 5000, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240823001145 2024-08-23 BIENNIAL STATEMENT 2024-08-23
210504061293 2021-05-04 BIENNIAL STATEMENT 2020-06-01
190129002023 2019-01-29 BIENNIAL STATEMENT 2018-06-01
141217000783 2014-12-17 CERTIFICATE OF AMENDMENT 2014-12-17
120606006388 2012-06-06 BIENNIAL STATEMENT 2012-06-01
100628002201 2010-06-28 BIENNIAL STATEMENT 2010-06-01
080616002493 2008-06-16 BIENNIAL STATEMENT 2008-06-01
060524003849 2006-05-24 BIENNIAL STATEMENT 2006-06-01
040709002750 2004-07-09 BIENNIAL STATEMENT 2004-06-01
020523002623 2002-05-23 BIENNIAL STATEMENT 2002-06-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5142127004 2020-04-05 0248 PPP 171 Margaret Street, PLATTSBURGH, NY, 12901-1837
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 516200
Loan Approval Amount (current) 516200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 50351
Servicing Lender Name Champlain National Bank
Servicing Lender Address 7558 Court St, ELIZABETHTOWN, NY, 12932
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PLATTSBURGH, CLINTON, NY, 12901-1837
Project Congressional District NY-21
Number of Employees 36
NAICS code 524210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 50351
Originating Lender Name Champlain National Bank
Originating Lender Address ELIZABETHTOWN, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 482420.61
Forgiveness Paid Date 2021-06-18

Related by officers

No related officers

Related by address

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Date of last update: 02 Mar 2025

Sources: New York Secretary of State

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