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ADMIRAL INSURANCE BROKERAGE CORP.

Company Details

Name: ADMIRAL INSURANCE BROKERAGE CORP.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 26 Sep 1996 (28 years ago)
Entity Number: 2069412
County: Kings
Place of Formation: New York
Address: 6833 SHORE ROAD SUITE 1, SUITE 1, BROOKLYN, NY, United States, 11220
Address ZIP Code: 11220
Principal Address: 6833 SHORE ROAD, SUITE 1, BROOKLYN, NY, United States, 11220
Principal Address ZIP Code: 11220

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
ADMIRAL INSURANCE BROKERAGE CORP. 401(K) PROFIT SHARING PLAN 2023 113347136 2024-09-18 ADMIRAL INSURANCE BROKERAGE CORP. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7182418500
Plan sponsor’s address 6833 SHORE ROAD, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2024-09-17
Name of individual signing KEVIN BERNTSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-17
Name of individual signing KEVIN BERNTSEN
Valid signature Filed with authorized/valid electronic signature
ADMIRAL INSURANCE BROKERAGE CORP. 401(K) PROFIT SHARING PLAN 2022 113347136 2023-08-16 ADMIRAL INSURANCE BROKERAGE CORP. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7182418500
Plan sponsor’s address 6833 SHORE ROAD, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2023-08-15
Name of individual signing KEVIN BERNTSEN
Role Employer/plan sponsor
Date 2023-08-15
Name of individual signing KEVIN BERNTSEN
ADMIRAL INSURANCE BROKERAGE CORP. 401(K) PROFIT SHARING PLAN 2021 113347136 2022-10-11 ADMIRAL INSURANCE BROKERAGE CORP. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7182418500
Plan sponsor’s address 6833 SHORE ROAD, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing KEVIN BERNTSEN
Role Employer/plan sponsor
Date 2022-10-11
Name of individual signing KEVIN BERNTSEN
ADMIRAL INSURANCE BROKERAGE CORP. 401(K) PROFIT SHARING PLAN 2020 113347136 2021-06-08 ADMIRAL INSURANCE BROKERAGE CORP. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7182418500
Plan sponsor’s address 6833 SHORE ROAD, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2021-06-08
Name of individual signing KEVIN BERNTSEN
Role Employer/plan sponsor
Date 2021-06-08
Name of individual signing KEVIN BERNTSEN
ADMIRAL INSURANCE BROKERAGE CORP. 401(K) PROFIT SHARING PLAN 2019 113347136 2020-06-11 ADMIRAL INSURANCE BROKERAGE CORP. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7182418500
Plan sponsor’s address 6833 SHORE ROAD, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2020-06-11
Name of individual signing KEVIN BERNTSEN
Role Employer/plan sponsor
Date 2020-06-11
Name of individual signing KEVIN BERNTSEN
ADMIRAL INSURANCE BROKERAGE CORP. 401(K) PROFIT SHARING PLAN 2018 113347136 2019-04-05 ADMIRAL INSURANCE BROKERAGE CORP. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7182418500
Plan sponsor’s address 6833 SHORE ROAD, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2019-04-05
Name of individual signing KEVIN BERNTSEN
Role Employer/plan sponsor
Date 2019-04-05
Name of individual signing KEVIN BERNTSEN
ADMIRAL INSURANCE BROKERAGE CORP. 401(K) PROFIT SHARING PLAN 2017 113347136 2018-04-27 ADMIRAL INSURANCE BROKERAGE CORP. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7182418500
Plan sponsor’s address 6833 SHORE ROAD, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2018-04-27
Name of individual signing KEVIN BERNTSEN
Role Employer/plan sponsor
Date 2018-04-27
Name of individual signing KEVIN BERNTSEN
ADMIRAL INSURANCE BROKERAGE CORP. 401(K) PROFIT SHARING PLAN 2016 113347136 2017-06-22 ADMIRAL INSURANCE BROKERAGE CORP. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7182418500
Plan sponsor’s address 6833 SHORE ROAD, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2017-06-22
Name of individual signing KEVIN BERNTSEN
Role Employer/plan sponsor
Date 2017-06-22
Name of individual signing KEVIN BERNTSEN
ADMIRAL INSURANCE BROKERAGE CORP. 401(K) PROFIT SHARING PLAN 2015 113347136 2016-05-13 ADMIRAL INSURANCE BROKERAGE CORP. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7182418500
Plan sponsor’s address 6833 SHORE ROAD, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2016-05-13
Name of individual signing KEVIN BERNTSEN
Role Employer/plan sponsor
Date 2016-05-13
Name of individual signing KEVIN BERNTSEN
ADMIRAL INSURANCE BROKERAGE CORP. 401(K) PROFIT SHARING PLAN 2014 113347136 2015-06-01 ADMIRAL INSURANCE BROKERAGE CORP. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7182418500
Plan sponsor’s address 6833 SHORE ROAD, BROOKLYN, NY, 11220

Signature of

Role Plan administrator
Date 2015-06-01
Name of individual signing KEVIN BERNTSEN
Role Employer/plan sponsor
Date 2015-06-01
Name of individual signing KEVIN BERNTSEN

DOS Process Agent

Name Role Address
ADMIRAL INSURANCE BROKERAGE CORP. DOS Process Agent 6833 SHORE ROAD SUITE 1, SUITE 1, BROOKLYN, NY, United States, 11220

Chief Executive Officer

Name Role Address
PETER EVANGELISTA Chief Executive Officer 6833 SHORE ROAD, SUITE 1, BROOKLYN, NY, United States, 11220

History

Start date End date Type Value
2022-04-12 2022-06-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-03-29 2022-04-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2015-11-20 2019-09-04 Address 6833 SHORE ROAD, SUITE 1, BROOKLYN, NY, 11220, USA (Type of address: Service of Process)
2004-10-14 2015-11-20 Address 5507 AVENUE N, BROOKLYN, NY, 11234, USA (Type of address: Principal Executive Office)
2004-10-14 2015-11-20 Address 5507 AVENUE N, BROOKLYN, NY, 11234, USA (Type of address: Service of Process)
2004-10-14 2015-11-20 Address 5507 AVENUE N, BROOKLYN, NY, 11234, USA (Type of address: Chief Executive Officer)
2000-09-08 2004-10-14 Address 5318 AVE N, BROOKLYN, NY, 11234, USA (Type of address: Principal Executive Office)
2000-09-08 2004-10-14 Address 5318 AVE N, BROOKLYN, NY, 11234, USA (Type of address: Chief Executive Officer)
2000-09-08 2004-10-14 Address 5318 AVE N, BROOKLYN, NY, 11234, USA (Type of address: Service of Process)
1996-09-26 2000-09-08 Address 4717 AVENUE N, BROOKLYN, NY, 11234, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200901060385 2020-09-01 BIENNIAL STATEMENT 2020-09-01
190904061317 2019-09-04 BIENNIAL STATEMENT 2018-09-01
170117006592 2017-01-17 BIENNIAL STATEMENT 2016-09-01
151120006061 2015-11-20 BIENNIAL STATEMENT 2014-09-01
101110002326 2010-11-10 BIENNIAL STATEMENT 2010-09-01
080905002374 2008-09-05 BIENNIAL STATEMENT 2008-09-01
060822002742 2006-08-22 BIENNIAL STATEMENT 2006-09-01
041014002427 2004-10-14 BIENNIAL STATEMENT 2004-09-01
021016002613 2002-10-16 BIENNIAL STATEMENT 2002-09-01
000908002218 2000-09-08 BIENNIAL STATEMENT 2000-09-01

Date of last update: 13 Nov 2024

Sources: New York Secretary of State