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  5. MARIA LUCIC INSURANCE AGENCY INC.

MARIA LUCIC INSURANCE AGENCY INC.

Company Details

Name: MARIA LUCIC INSURANCE AGENCY INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 17 Aug 2010 (14 years ago)
Entity Number: 3985638
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 116-19 QUEENS BLVD, FOREST HILLS, NY, United States, 11375
Principal Address: 11619 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

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
MARIA LUCIC INSURANCE AGENCY, INC 401(K) 2020 273316001 2021-05-11 MARIA LUCIC INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 7182682200
Plan sponsor’s address 116-19 QUEENS BLVD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2021-05-11
Name of individual signing MARIA LUCIC
Role Employer/plan sponsor
Date 2021-05-11
Name of individual signing MARIA LUCIC
MARIA LUCIC INSURANCE AGENCY, INC 401(K) 2019 273316001 2020-06-18 MARIA LUCIC INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 7182682200
Plan sponsor’s address 116-19 QUEENS BLVD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing MARIA LUCIC
Role Employer/plan sponsor
Date 2020-06-18
Name of individual signing MARIA LUCI
MARIA LUCIC INSURANCE AGENCY, INC 401(K) 2018 273316001 2019-05-09 MARIA LUCIC INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 7182682200
Plan sponsor’s address 116-19 QUEENS BLVD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2019-05-09
Name of individual signing MARIA LUCIC
Role Employer/plan sponsor
Date 2019-05-09
Name of individual signing MARIA LUCIC
MARIA LUCIC INSURANCE AGENCY, INC 401(K) 2017 273316001 2018-07-13 MARIA LUCIC INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 7182682200
Plan sponsor’s address 116-19 QUEENS BLVD, FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2018-07-13
Name of individual signing MARIA LUCIC
MARIA LUCIC INSURANCE AGENCY, INC 401(K) 2016 273316001 2017-05-31 MARIA LUCIC INSURANCE AGENCY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 7182682200
Plan sponsor’s address 109 TULLAMORE ROAD, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2017-05-31
Name of individual signing MARIA LUCIC
Role Employer/plan sponsor
Date 2017-05-31
Name of individual signing MARIA LUCIC
MARIA LUCIC INSURANCE AGENCY, INC 40(K) 2015 273316001 2016-05-19 MARIA LUCIC INSURANCE AGENCY, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 7182682200
Plan sponsor’s address 109 TULLAMORE ROAD, GARDEN CITY, NY, 11530

Signature of
Role Plan administrator
Date 2016-05-19
Name of individual signing MARIA LUCIC
Role Employer/plan sponsor
Date 2016-05-19
Name of individual signing MARIA LUCIC
MARIA LUCIC INSURANCE AGENCY, INC. 401(K) PLAN 2014 273316001 2015-03-16 MARIA LUCIC INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 7182682200
Plan sponsor’s address 116-19 QUEENS BLVD., FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2015-03-16
Name of individual signing MARIA LUCIC
Role Employer/plan sponsor
Date 2015-03-16
Name of individual signing MARIA LUCIC
MARIA LUCIC INSURANCE AGENCY, INC. 401(K) PLAN 2013 273316001 2014-06-23 MARIA LUCIC INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 7182682200
Plan sponsor’s address 116-19 QUEENS BLVD., FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2014-06-23
Name of individual signing MARIA LUCIC
Role Employer/plan sponsor
Date 2014-06-23
Name of individual signing MARIA LUCIC
MARIA LUCIC INSURANCE AGENCY, INC. 401(K) PLAN 2012 273316001 2013-06-18 MARIA LUCIC INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 7182682200
Plan sponsor’s address 116-19 QUEENS BLVD., FOREST HILLS, NY, 11375

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing MARIA LUCIC
Role Employer/plan sponsor
Date 2013-06-18
Name of individual signing MARIA LUCIC
MARIA LUCIC 401(K) PLAN 2011 273316001 2012-05-31 MARIA LUCIC INSURANCE AGENCY, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 7182682200
Plan sponsor’s address 116-19 QUEENS BLVD., FOREST HILLS, NY, 11375

Plan administrator’s name and address
Administrator’s EIN 273316001
Plan administrator’s name MARIA LUCIC INSURANCE AGENCY, INC.
Plan administrator’s address 116-19 QUEENS BLVD., FOREST HILLS, NY, 11375
Administrator’s telephone number 7182682200

Signature of
Role Plan administrator
Date 2012-05-31
Name of individual signing MARIA LUCIC
Role Employer/plan sponsor
Date 2012-05-31
Name of individual signing MARIA LUCIC

DOS Process Agent

Name Role Address
MARIA LUCIC INSURANCE AGENCY INC. DOS Process Agent 116-19 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

Chief Executive Officer

Name Role Address
MARIA LUCIC Chief Executive Officer 11619 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

History

Start date End date Type Value
2010-08-17 2020-08-03 Address 116-19 QUEENS BLVD, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200803063395 2020-08-03 BIENNIAL STATEMENT 2020-08-01
180806006727 2018-08-06 BIENNIAL STATEMENT 2018-08-01
160802007280 2016-08-02 BIENNIAL STATEMENT 2016-08-01
140805006759 2014-08-05 BIENNIAL STATEMENT 2014-08-01
120809006526 2012-08-09 BIENNIAL STATEMENT 2012-08-01
100817000532 2010-08-17 CERTIFICATE OF INCORPORATION 2010-08-17

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: New York Secretary of State

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