| 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
| 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 | |||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-07-16 |
| Name of individual signing | KELLY GONYO |
| 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 |
| 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 |
| Name | Role | Address |
|---|---|---|
| KELLY GONYO | DOS Process Agent | 55 BARN ROAD, STE 204, LAKE PLACID, NY, United States, 12946 |
| Name | Role | Address |
|---|---|---|
| KELLY GONYO | Agent | 55 BARN ROAD, LAKE PLACID, NY, 12046 |
| Name | Role | Address |
|---|---|---|
| KELLY MARIE GONYO | Chief Executive Officer | 55 BARN RD, STE 204, LAKE PLACID, NY, United States, 12946 |
| 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) |
| 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 |
Date of last update: 24 Nov 2024
Sources: New York Secretary of State
