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JMG INSURANCE CORP

Headquarter

Company Details

Entity Name: JMG INSURANCE CORP
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Date Formed: 18 Jan 1994 (Companies founded in January 1994)
Business ALEI: 0294133
Annual report due: 18 Jan 2025
NAICS code: 524210 - Insurance Agencies and Brokerages
Business address: 29 HAVILAND STREET, NORWALK, CT, 06854, United States
Mailing address: 29 HAVILAND STREET, NORWALK, CT, United States, 06854
ZIP code: 06854 (Companies in Fairfield, 06854)
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 10000
E-Mail: JREED@JMG.COM

Links between entities

Type Company Name Company Number State
Headquarter of JMG INSURANCE CORP 000-929-068 ALABAMA
Headquarter of JMG INSURANCE CORP 3810337 IDAHO
Headquarter of JMG INSURANCE CORP 0666840 KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JMG INSURANCE CORP 2022 061387805 2023-07-31 JMG INSURANCE CORP 179
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 524210
Sponsor’s telephone number 2037218515
Plan sponsor’s DBA name JMG INSURANCE CORP
Plan sponsor’s mailing address 29 HAVILAND ST, NORWALK, CT, 068543056
Plan sponsor’s address 29 HAVILAND ST, NORWALK, CT, 068543056

Number of participants as of the end of the plan year

Active participants 179

Signature of

Role Plan administrator
Date 2023-07-31
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature
JMG INSURANCE CORP 2021 061387805 2022-06-16 JMG INSURANCE CORP 174
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 524210
Sponsor’s telephone number 2037218515
Plan sponsor’s mailing address 29 HAVILAND ST, NORWALK, CT, 068543056
Plan sponsor’s address 29 HAVILAND ST, NORWALK, CT, 068543056

Number of participants as of the end of the plan year

Active participants 174

Signature of

Role Plan administrator
Date 2022-06-16
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature
JMG INSURANCE CORP 2020 061387805 2021-04-12 JMG INSURANCE CORP 151
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 2037218515
Plan sponsor’s DBA name THE JOHN M. GLOVER AGENCY
Plan sponsor’s mailing address 29 HAVILAND ST, NORWALK, CT, 06854
Plan sponsor’s address 29 HAVILAND ST, NORWALK, CT, 06854

Number of participants as of the end of the plan year

Active participants 151

Signature of

Role Plan administrator
Date 2021-04-12
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature
JMG INSURANCE CORP 2020 061387805 2021-04-12 JMG INSURANCE CORP 151
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 2037218515
Plan sponsor’s DBA name THE JOHN M. GLOVER AGENCY
Plan sponsor’s mailing address 29 HAVILAND ST, NORWALK, CT, 06854
Plan sponsor’s address 29 HAVILAND ST, NORWALK, CT, 06854

Number of participants as of the end of the plan year

Active participants 151

Signature of

Role Plan administrator
Date 2021-04-12
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature
FORLIVIO ACQUISITION CORP 2019 061387805 2021-04-12 FORLIVIO ACQUISITION CORP 151
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-01-01
Business code 524210
Sponsor’s telephone number 2037218515
Plan sponsor’s DBA name THE JOHN M. GLOVER AGENCY
Plan sponsor’s mailing address 29 HAVILAND ST, NORWALK, CT, 06854
Plan sponsor’s address 29 HAVILAND ST, NORWALK, CT, 06854

Number of participants as of the end of the plan year

Active participants 151

Signature of

Role Plan administrator
Date 2021-04-12
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature
FORLIVIO ACQUISITION CORP 2017 061387805 2018-04-03 FORLIVIO ACQUISITION CORP 132
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 2037218515
Plan sponsor’s DBA name THE JOHN M. GLOVER AGENCY
Plan sponsor’s mailing address PO BOX 700, NORWALK, CT, 068520700
Plan sponsor’s address PO BOX 700, NORWALK, CT, 068520700

Number of participants as of the end of the plan year

Active participants 132

Signature of

Role Plan administrator
Date 2018-04-03
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature
FORLIVIO ACQUISITION CORP 2016 061387805 2018-04-03 FORLIVIO ACQUISITION CORP 136
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-01-01
Business code 524210
Sponsor’s telephone number 2037218515
Plan sponsor’s DBA name THE JOHN M. GLOVER AGENCY
Plan sponsor’s mailing address PO BOX 700, NORWALK, CT, 068520700
Plan sponsor’s address PO BOX 700, NORWALK, CT, 068520700

Number of participants as of the end of the plan year

Active participants 136

Signature of

Role Plan administrator
Date 2018-04-03
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature
FORLIVIO ACQUISITION CORP 2015 061387805 2016-03-22 FORLIVIO ACQUISITION CORP 148
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 2037218515
Plan sponsor’s DBA name THE JOHN M. GLOVER AGENCY
Plan sponsor’s mailing address PO BOX 700, NORWALK, CT, 068520700
Plan sponsor’s address PO BOX 700, NORWALK, CT, 068520700

Number of participants as of the end of the plan year

Active participants 148

Signature of

Role Plan administrator
Date 2016-03-22
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature
FORLIVIO ACQUISITION CORP 2014 061387805 2015-06-03 FORLIVIO ACQUISITION CORP 145
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2037218515
Plan sponsor’s DBA name THE JOHN M. GLOVER AGENCY
Plan sponsor’s mailing address P.O. BOX 700, NORWALK, CT, 06852
Plan sponsor’s address P.O. BOX 700, NORWALK, CT, 06852

Number of participants as of the end of the plan year

Active participants 145

Signature of

Role Plan administrator
Date 2015-06-03
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-03
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature
FORLIVIO ACQUISITION CORP 2013 061387805 2015-06-03 FORLIVIO ACQUISITION CORP 129
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2037218515
Plan sponsor’s DBA name THE JOHN M. GLOVER AGENCY
Plan sponsor’s mailing address P.O. BOX 700, NORWALK, CT, 06852
Plan sponsor’s address P.O. BOX 700, NORWALK, CT, 06852

Number of participants as of the end of the plan year

Active participants 129

Signature of

Role Plan administrator
Date 2015-06-03
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-03
Name of individual signing SUE ELLEN MARTINO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
JOHN O. FORLIVIO Agent 29 HAVILAND STREET, SOUTH NORWALK, CT, 06854, United States 29 HAVILAND STREET, SOUTH NORWALK, CT, 06854, United States +1 203-451-0431 jreed@jmg.com 153 HOYT STREET, DARIEN, CT, 06820, United States

Officer

Name Role Business address Residence address
BEATA DZIEMIAN Officer 29 Haviland Street, NORWALK, CT, 06854, United States 358 SOUNDVIEW AVENUE, STAMFORD, CT, 06902, United States
JOHN O FORLIVIII Officer 29 HAVILAND STREET, NORWALK, CT, 06854, United States 328 Hoyt Street, Darien, CT, 06820, United States
FRANCESCA FORLIVIO LIPP Officer 29 HAVILAND STREET, NORWALK, CT, 06854, United States 153 HOYT STREET, DARIEN, CT, 06820, United States
P. DAVID ABARZUA Officer 29 HAVILAND STREET, NORWALK, CT, 06854, United States 4 PATRICIA LANE, NEWTOWN, CT, 06470, United States
JOHN W. GRIFFIN Officer 29 HAVILAND STREET, NORWALK, CT, 06854, United States 50 BEVERLY ROAD, WHITE PLAINS, NY, 10605, United States
JOHN REILLY Officer 29 HAVILAND STREET, NORWALK, CT, 06854, United States ROUND HILL ROAD, NAUGATUCK, CT, 06770, United States
STEPHEN ALBANESI Officer 29 HAVILAND STREET, NORWALK, CT, 06854, United States 36 MARCARDON AVE, RIDGEFIELD, CT, 06877, United States
CHRISTOS KATHRAKIS Officer 29 HAVILAND STREET, NORWALK, CT, 06854, United States 19 BENEDICT COURT, NORWALK, CT, 06850, United States
ROBERT PRUSS Officer 29 HAVILAND STREET, NORWALK, CT, 06854, United States 7 JUNE ROAD, NEW MILFORD, CT, 06776, United States
LAURIE ANN KING Officer 29 HAVILAND STREET, NORWALK, CT, 06851, United States 154 SCHOOLSIDE LANE, GUILFORD, CT, 06437, United States

Director

Name Role Business address Phone E-Mail Residence address
JOHN O. FORLIVIO Director 29 HAVILAND STREET, NORWALK, CT, 06854, United States +1 203-451-0431 jreed@jmg.com 153 HOYT STREET, DARIEN, CT, 06820, United States

History

Type Old value New value Date of change
Name change FORLIVIO ACQUISITION CORP. JMG INSURANCE CORP 2019-10-24

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012357705 2024-01-15 No data Annual Report Annual Report No data
BF-0011253251 2023-03-13 No data Annual Report Annual Report No data
BF-0010177536 2022-03-10 No data Annual Report Annual Report 2022
0007219584 2021-03-11 No data Annual Report Annual Report 2021
0006725649 2020-01-17 No data Annual Report Annual Report 2020
0006666913 2019-10-24 2019-10-24 Amendment Amend Name No data
0006296020 2018-12-19 No data Annual Report Annual Report 2019
0006236967 2018-08-23 No data Annual Report Annual Report 2018
0005742650 2017-01-17 No data Annual Report Annual Report 2017
0005480559 2016-02-03 No data Annual Report Annual Report 2016

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website