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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
County: Essex
Place of Formation: New York
Address: 55 BARN ROAD, STE 204, LAKE PLACID, NY, United States, 12946
Address ZIP Code: 12946
Principal Address: 55 BARN RD, STE 204, LAKE PLACID, NY, United States, 12946
Principal Address ZIP Code: 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

Date of last update: 06 Nov 2024

Sources: New York Secretary of State