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THE ELLIOTT INSURANCE GROUP, INC.

Company Details

Entity Name: THE ELLIOTT INSURANCE GROUP, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Forfeited
Date Formed: 09 Feb 1999
Business ALEI: 0613370
Business address: 176 LANING ST, SOUTHINGTON, CT, 06489
ZIP code: 06489
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 1000
E-Mail: dcarbone@elliottinsgroup.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELLIOTT INSURANCE GROUP 401K PLAN 2013 061347325 2014-10-15 ELLIOTT INSURANCE GROUP 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 8602760055
Plan sponsor’s address 176 LANING STREET, SOUTHINGTON, CT, 06489

Plan administrator’s name and address

Administrator’s EIN 061347325
Plan administrator’s name ELLIOTT INSURANGE GROUP
Plan administrator’s address 176 LANING ST, SOUTHINGTON, CT, 06489
Administrator’s telephone number 8602760055

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing DINO T CARBONE
Valid signature Filed with authorized/valid electronic signature
ELLIOTT INSURANCE GROUP 401K PLAN 2013 061347325 2014-10-13 ELLIOTT INSURANCE GROUP 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 8602760055
Plan sponsor’s address 176 LANING STREET, SOUTHINGTON, CT, 06489

Plan administrator’s name and address

Administrator’s EIN 061347325
Plan administrator’s name ELLIOTT INSURANCE GROUP
Plan administrator’s address 176 LANING STREET, SOUTHINGTON, CT, 06489
Administrator’s telephone number 8602760055

Signature of

Role Plan administrator
Date 2014-10-13
Name of individual signing DINO T CARBONE
Valid signature Filed with authorized/valid electronic signature
ELLIOTT INSURANCE GROUP 401K PLAN 2012 061347325 2013-10-15 ELLIOTT INSURANCE GROUP 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 8602760055
Plan sponsor’s address 176 LANING STREET, SOUTHINGTON, CT, 06489

Plan administrator’s name and address

Administrator’s EIN 061347325
Plan administrator’s name ELLIOTT INSURANCE GROUP
Plan administrator’s address 176 LANING STREET, SOUTHINGTON, CT, 06489
Administrator’s telephone number 8602760055

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing DINO T CARBONE
Valid signature Filed with authorized/valid electronic signature
ELLIOTT INSURANCE GROUP 401K PLAN 2011 061347325 2012-10-15 ELLIOTT INSURANCE GROUP 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 8602760055
Plan sponsor’s address 176 LANING STREET, SOUTHINGTON, CT, 06489

Plan administrator’s name and address

Administrator’s EIN 061347325
Plan administrator’s name ELLIOTT INSURANCE GROUP
Plan administrator’s address 176 LANING STREET, SOUTHINGTON, CT, 06489
Administrator’s telephone number 8602760055

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing DINO T CARBONE
Valid signature Filed with authorized/valid electronic signature
ELLIOTT INSURANCE GROUP 401K PLAN 2010 061347325 2011-07-18 ELLIOTT INSURANCE GROUP 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 8602760055
Plan sponsor’s address 176 LANING STREET, SOUTHINGTON, CT, 06489

Plan administrator’s name and address

Administrator’s EIN 061347325
Plan administrator’s name ELLIOTT INSURANCE GROUP
Plan administrator’s address 176 LANING STREET, SOUTHINGTON, CT, 06489
Administrator’s telephone number 8602760055

Signature of

Role Plan administrator
Date 2011-07-18
Name of individual signing BOB SINAGRA
Valid signature Filed with authorized/valid electronic signature
ELLIOTT INSURANCE GROUP 401K PLAN 2009 061347325 2010-08-05 ELLIOTT INSURANCE GROUP 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 8602760055
Plan sponsor’s address 876 SOUTH MAIN STREET, PLANTSVILLE, CT, 06479

Plan administrator’s name and address

Administrator’s EIN 061347325
Plan administrator’s name ELLIOTT INSURANCE GROUP
Plan administrator’s address 876 SOUTH MAIN STREET, PLANTSVILLE, CT, 06479
Administrator’s telephone number 8602760055

Signature of

Role Plan administrator
Date 2010-07-30
Name of individual signing DINO T. CARBONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing DINO T. CARBONE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
DINO T CARBONE Agent 876 SOUTH MAIN ST, PLANTSVILLE, CT, 06479, United States dcarbone@elliottinsgroup.com 80 CARTER LANE, PLANTSVILLE, CT, 06479, United States

Officer

Name Role Business address E-Mail Residence address
GARY S. CARDELLA Officer 176 LANING ST, SOUTHINGTON, CT, 06489, United States No data 71 TAVERN CIRCLE, MIDDLETOWN, CT, 06457, United States
DINO T CARBONE Officer 176 LANING ST, SOUTHINGTON, CT, 06489, United States dcarbone@elliottinsgroup.com 80 CARTER LANE, PLANTSVILLE, CT, 06479, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011025685 2022-10-03 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0010662172 2022-06-29 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0004512030 2012-01-26 No data Annual Report Annual Report 2012
0004325862 2011-02-16 No data Annual Report Annual Report 2011
0004138160 2010-02-22 No data Annual Report Annual Report 2010
0003892021 2009-02-17 No data Annual Report Annual Report 2009
0003649911 2008-02-22 No data Annual Report Annual Report 2008
0003413501 2007-03-12 No data Annual Report Annual Report 2007
0003413499 2007-03-12 No data Annual Report Annual Report 2006
0003020041 2005-03-04 No data Annual Report Annual Report 2005

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website