| Name: | LARSEN & ASSOCIATES INSURANCE AGENCY, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Active |
| Date of registration: | 08 Apr 2003 (22 years ago) |
| Entity Number: | 2892108 |
| County: | Erie |
| Place of Formation: | New York |
| Address: | 95 MILTON, WILLIAMSVILLE, NY, United States, 14221 |
| Address ZIP Code: | 14221 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LARSEN RETIREMENT | 2011 | 830351386 | 2012-07-31 | LARSEN & ASSOCIATES INSURANCE AGENCY INC | 4 | |||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 830351386 |
| Plan administrator’s name | LARSEN & ASSOCIATES INSURANCE AGENCY INC |
| Plan administrator’s address | 8665 SHERIDAN DR, WILLIAMSVILLE, NY, 14221 |
Number of participants as of the end of the plan year
| Active participants | 4 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-31 |
| Name of individual signing | THOMAS LARSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 95 MILTON, WILLIAMSVILLE, NY, United States, 14221 |
| Name | Role | Address |
|---|---|---|
| THOMAS LARSEN | Agent | 95 MILTON, WILLIAMSVILLE, NY, 14221 |
| Name | Role | Address |
|---|---|---|
| THOMAS E. LARSEN | Chief Executive Officer | 6351 TRANSIT RD, DEPEW, NY, United States, 14043 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 070409002239 | 2007-04-09 | BIENNIAL STATEMENT | 2007-04-01 |
| 050620002063 | 2005-06-20 | BIENNIAL STATEMENT | 2005-04-01 |
| 030408000677 | 2003-04-08 | CERTIFICATE OF INCORPORATION | 2003-04-08 |
Date of last update: 11 Nov 2024
Sources: New York Secretary of State
