| Entity Name: | ZTA INSURANCE, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 12 Oct 2004 (Companies founded in October 2004) |
| Business ALEI: | 0798837 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 524210 - Insurance Agencies and Brokerages |
| Business address: | 800 COTTAGE GROVE ROAD BUILDING 1, BLOOMFIELD, CT, 06002, United States |
| Mailing address: | 800 COTTAGE GROVE ROAD BUILDING 1, BLOOMFIELD, CT, United States, 06002 |
| ZIP code: | 06002 (Companies in Hartford, 06002) |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | BADLER@WELLSTONEINS.COM |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WELLSTONE INSURANCE 401(K) PLAN | 2023 | 201731870 | 2024-05-28 | ZTA INSURANCE, LLC | 5 | |||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-05-28 |
| Name of individual signing | BEN ADLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 8606566936 |
| Plan sponsor’s DBA name | WELLSTONE INSURANCE |
| Plan sponsor’s address | 800 COTTAGE GROVE ROAD, BLOOMFIELD, CT, 06002 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-24 |
| Name of individual signing | BEN ADLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 8606566936 |
| Plan sponsor’s DBA name | WELLSTONE INSURANCE |
| Plan sponsor’s address | 800 COTTAGE GROVE ROAD, BLOOMFIELD, CT, 06002 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-30 |
| Name of individual signing | BEN ADLER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| BENJAMIN ADLER | Agent | 259 KING PHILIP DRIVE, WEST HARTFORD, CT, 06117, United States | 800 COTTAGE GROVE ROAD, BLOOMFIELD, CT, 06002, United States | +1 860-212-2155 | badler@wellstoneins.com | 259 KING PHILIP DRIVE, WEST HARTFORD, CT, 06117, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| BENJAMIN ADLER | Officer | 800 COTTAGE GROVE ROAD, BUILDING 1, BLOOMFIELD, CT, 06002, United States | +1 860-212-2155 | badler@wellstoneins.com | 259 KING PHILIP DRIVE, WEST HARTFORD, CT, 06117, United States |
| MARCIA ADLER | Officer | 800 COTTAGE GROVE RD., BLOOMFIELD, CT, 06000, United States | No data | No data | 259 KING PHILIP DR., WEST HARTFORD, CT, 06117, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012138406 | 2024-01-31 | No data | Annual Report | Annual Report | No data |
| BF-0011160777 | 2023-01-09 | No data | Annual Report | Annual Report | No data |
| BF-0010399535 | 2022-03-04 | No data | Annual Report | Annual Report | 2022 |
| 0007133907 | 2021-02-08 | No data | Annual Report | Annual Report | 2021 |
| 0006840117 | 2020-03-18 | 2020-03-18 | Interim Notice | Interim Notice | No data |
| 0006711122 | 2020-01-06 | No data | Annual Report | Annual Report | 2020 |
| 0006699418 | 2019-12-19 | 2019-12-19 | Interim Notice | Interim Notice | No data |
| 0006696937 | 2019-12-17 | No data | Annual Report | Annual Report | 2016 |
| 0006696947 | 2019-12-17 | No data | Annual Report | Annual Report | 2019 |
| 0006696939 | 2019-12-17 | No data | Annual Report | Annual Report | 2017 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
