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  5. AUSTIN INSURANCE AGENCY, LLC

AUSTIN INSURANCE AGENCY, LLC

Company Details

Entity Name: AUSTIN INSURANCE AGENCY, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Forfeited
Date Formed: 25 Apr 2000
Business ALEI: 0649971
Annual report due: 31 Mar 2020
Business address: 761 WASHINGTON ST., MIDDLETOWN, CT, 06457, United States
Mailing address: 761 WASHIINGTON ST., MIDDLETOWN, CT, United States, 06457
ZIP code: 06457
County: Middlesex
Place of Formation: CONNECTICUT
E-Mail: JAUSTININS@AOL.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AUSTIN INSURANCE AGENCY, LLC PROFIT SHARING PLAN 2016 061579160 2017-10-11 AUSTIN INSURANCE AGENCY, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8603441440
Plan sponsor’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 064572903
AUSTIN INSURANCE AGENCY, LLC PROFIT SHARING PLAN 2016 061579160 2017-11-16 AUSTIN INSURANCE AGENCY, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8603441440
Plan sponsor’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 064572903
AUSTIN INSURANCE AGENCY, LLC PROFIT SHARING PLAN 2015 061579160 2016-06-23 AUSTIN INSURANCE AGENCY, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8603441440
Plan sponsor’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 064572903
AUSTIN INSURANCE AGENCY, LLC PROFIT SHARING PLAN 2014 061579160 2015-09-16 AUSTIN INSURANCE AGENCY, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8603441440
Plan sponsor’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 06457
AUSTIN INSURANCE AGENCY, LLC PROFIT SHARING PLAN 2013 061579160 2014-05-01 AUSTIN INSURANCE AGENCY, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8603441440
Plan sponsor’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 06457
AUSTIN INSURANCE AGENCY, LLC PROFIT SHARING PLAN 2012 061579160 2013-04-19 AUSTIN INSURANCE AGENCY, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8603441440
Plan sponsor’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2013-04-19
Name of individual signing JEFFREY AUSTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-19
Name of individual signing JEFFREY AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN INSURANCE AGENCY, LLC PROFIT SHARING PLAN 2011 061579160 2012-05-01 AUSTIN INSURANCE AGENCY, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8603441440
Plan sponsor’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 06457

Plan administrator’s name and address
Administrator’s EIN 061579160
Plan administrator’s name AUSTIN INSURANCE AGENCY, LLC
Plan administrator’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603441440

Signature of
Role Plan administrator
Date 2012-05-01
Name of individual signing JEFFREY AUSTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-01
Name of individual signing JEFFREY AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN INSURANCE AGENCY, LLC PROFIT SHARING PLAN 2010 061579160 2011-05-23 AUSTIN INSURANCE AGENCY, LLC 2
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8603441440
Plan sponsor’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 06457

Plan administrator’s name and address
Administrator’s EIN 061579160
Plan administrator’s name AUSTIN INSURANCE AGENCY, LLC
Plan administrator’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603441440

Signature of
Role Plan administrator
Date 2011-05-23
Name of individual signing JEFF AUSTIN
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-05-23
Name of individual signing JEFF AUSTIN
Valid signature Filed with incorrect/unrecognized electronic signature
AUSTIN INSURANCE AGENCY, LLC PROFIT SHARING PLAN 2010 061579160 2011-05-23 AUSTIN INSURANCE AGENCY, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8603441440
Plan sponsor’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 06457

Plan administrator’s name and address
Administrator’s EIN 061579160
Plan administrator’s name AUSTIN INSURANCE AGENCY, LLC
Plan administrator’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603441440

Signature of
Role Plan administrator
Date 2011-05-23
Name of individual signing JEFFREY AUSTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-23
Name of individual signing JEFFREY AUSTIN
Valid signature Filed with authorized/valid electronic signature
AUSTIN INSURANCE AGENCY, LLC PROFIT SHARING PLAN 2009 061579160 2010-06-30 AUSTIN INSURANCE AGENCY, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8603441440
Plan sponsor’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 06457

Plan administrator’s name and address
Administrator’s EIN 061579160
Plan administrator’s name AUSTIN INSURANCE AGENCY, LLC
Plan administrator’s address 761 WASHINGTON ST, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603441440

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing JEFF AUSTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-30
Name of individual signing JEFF AUSTIN
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address E-Mail Residence address
JEFFREY S. AUSTIN Officer 761 WASHINGTON ST, MIDDLETOWN, CT, 06457, United States JAUSTININS@AOL.COM 6 BUTTERNUT KNOLL, MIDDLETOWN, CT, 06457, United States

Agent

Name Role Business address E-Mail Residence address
JEFFREY S. AUSTIN Agent 761 WASHINGTON ST., MIDDLETOWN, CT, 06457, United States JAUSTININS@AOL.COM 6 BUTTERNUT KNOLL, MIDDLETOWN, CT, 06457, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012035433 2023-10-27 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011896083 2023-07-24 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0006661883 2019-10-16 No data Annual Report Annual Report 2016
0006661887 2019-10-16 No data Annual Report Annual Report 2018
0006661888 2019-10-16 No data Annual Report Annual Report 2019
0006661880 2019-10-16 No data Annual Report Annual Report 2014
0006661878 2019-10-16 No data Annual Report Annual Report 2013
0006661885 2019-10-16 No data Annual Report Annual Report 2017
0006661882 2019-10-16 No data Annual Report Annual Report 2015
0006661876 2019-10-16 No data Annual Report Annual Report 2012

Related by officers

No related officers

Related by address

761 WASHINGTON ST., MIDDLETOWN, CT, 06457, United States

MICHAEL VAJDA, D.C., LLC

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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