Search icon

BLUE LINE INSURANCE AGENCY, INC.

Company Details

Name: BLUE LINE INSURANCE AGENCY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 04 Dec 2014 (10 years ago)
Entity Number: 4675712
ZIP code: 12946
County: Essex
Place of Formation: New York
Address: 55 BARN ROAD, STE 204, LAKE PLACID, NY, United States, 12946
Principal Address: 55 BARN RD, STE 204, LAKE PLACID, NY, United States, 12946

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
BLUE LINE INSURANCE AGENCY 401(K) 2023 472623010 2024-07-16 BLUE LINE INSURANCE AGENCY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 524210
Sponsor’s telephone number 5185234321
Plan sponsor’s address 55 BARN RD STE 204, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2024-07-16
Name of individual signing KELLY GONYO
BLUE LINE INSURANCE AGENCY 401(K) 2022 472623010 2023-07-12 BLUE LINE INSURANCE AGENCY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 524210
Sponsor’s telephone number 5185234321
Plan sponsor’s address 55 BARN RD STE 204, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2023-07-12
Name of individual signing KELLY GONYO
BLUE LINE INSURANCE AGENCY 401(K) 2021 472623010 2022-06-29 BLUE LINE INSURANCE AGENCY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 524210
Sponsor’s telephone number 5185234321
Plan sponsor’s address 55 BARN RD STE 204, LAKE PLACID, NY, 12946

Signature of

Role Plan administrator
Date 2022-06-29
Name of individual signing KELLY GONYO

DOS Process Agent

Name Role Address
KELLY GONYO DOS Process Agent 55 BARN ROAD, STE 204, LAKE PLACID, NY, United States, 12946

Agent

Name Role Address
KELLY GONYO Agent 55 BARN ROAD, LAKE PLACID, NY, 12046

Chief Executive Officer

Name Role Address
KELLY MARIE GONYO Chief Executive Officer 55 BARN RD, STE 204, LAKE PLACID, NY, United States, 12946

History

Start date End date Type Value
2018-07-05 2020-12-03 Address 55 BARN ROAD, STE 204, LAKE PLACID, NY, 12946, USA (Type of address: Service of Process)
2014-12-04 2018-07-05 Address 55 BARN ROAD, LAKE PLACID, NY, 12946, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201203060449 2020-12-03 BIENNIAL STATEMENT 2020-12-01
180705006535 2018-07-05 BIENNIAL STATEMENT 2016-12-01
141204000840 2014-12-04 CERTIFICATE OF INCORPORATION 2014-12-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1992557100 2020-04-10 0248 PPP 55 BARN RD STE 204, LAKE PLACID, NY, 12946-1010
Loan Status Date 2021-04-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 58200
Loan Approval Amount (current) 58200
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 LAKE PLACID, ESSEX, NY, 12946-1010
Project Congressional District NY-21
Number of Employees 8
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 58748.05
Forgiveness Paid Date 2021-03-29

Date of last update: 25 Mar 2025

Sources: New York Secretary of State