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  5. BANC INSURANCE AGENCY, INC.

BANC INSURANCE AGENCY, INC.

Company Details

Entity Name: BANC INSURANCE AGENCY, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Foreign
Status: Active
Sub status: Annual report due
Date Formed: 24 May 2006
Business ALEI: 0861235
Annual report due: 24 May 2025
NAICS code: 524210 - Insurance Agencies and Brokerages
Business address: One Hartfield Blvd, E Windsor, CT, 06088, United States
Mailing address: One Hartfield Blvd, Suite 301, E Windsor, CT, United States, 06088
ZIP code: 06088
County: Hartford
Place of Formation: MASSACHUSETTS
E-Mail: Compliancemail@cscinfo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INSURITAS RETIREMENT PLAN 2023 020592054 2024-09-25 BANC INSURANCE AGENCY, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 8606531121
Plan sponsor’s address 1 HARTFIELD BLVD, STE 301, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing MARK BORNHORST
Valid signature Filed with authorized/valid electronic signature
INSURITAS RETIREMENT PLAN 2021 020592054 2022-10-17 BANC INSURANCE AGENCY, INC. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 8606531121
Plan sponsor’s address 1 HARTFIELD BLVD, STE 301, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing MARK BORNHORST
Valid signature Filed with authorized/valid electronic signature
INSURITAS RETIREMENT PLAN 2020 020592054 2021-10-12 BANC INSURANCE AGENCY, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 8606531121
Plan sponsor’s address 1 HARTFIELD BLVD, STE 301, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing MARK BORNHORST
Valid signature Filed with authorized/valid electronic signature
INSURITAS RETIREMENT PLAN 2019 020592054 2020-10-14 BANC INSURANCE AGENCY, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 8606531121
Plan sponsor’s address 1 HARTFIELD BLVD, STE 301, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing MARK BORNHORST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing MARK BORNHORST
Valid signature Filed with authorized/valid electronic signature
INSURITAS RETIREMENT PLAN 2017 020592054 2018-10-05 BANC INSURANCE AGENCY, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 8606531121
Plan sponsor’s address 1 HARTFIELD BLVD, STE 301, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing MARK BORNHORST
Valid signature Filed with authorized/valid electronic signature
INSURITAS RETIREMENT PLAN 2016 020592054 2017-10-11 BANC INSURANCE AGENCY, INC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 8606531121
Plan sponsor’s address 1 HARTFIELD BLVD, STE 301, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing MARK BORNHORST
Valid signature Filed with authorized/valid electronic signature
INSURITAS RETIREMENT PLAN 2015 020592054 2016-04-28 BANC INSURANCE AGENCY, INC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 8606531121
Plan sponsor’s address 1 HARTFIELD BLVD, STE 301, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing MARK BORNHORST
Valid signature Filed with authorized/valid electronic signature
INSURITAS RETIREMENT PLAN 2014 020592054 2015-09-16 BANC INSURANCE AGENCY, INC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 8606531121
Plan sponsor’s address 1 HARTFIELD BLVD, STE 301, EAST WINDSOR, CT, 06088

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing MARK BORNHORST
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Officer

Name Role Business address Residence address
JEFFREY CHESKY Officer ONE HARTFIELD BLVD STE 301, E WINDSOR, CT, 06088, United States ONE HARTFIELD BLVD STE 301, E WINDSOR, CT, 06088, United States

Director

Name Role Business address Residence address Residence international address
THOMAS MURRAY Director Suite 301 One Hartfield Blvd, E Windsor, CT, 06088, United States Ireland 6 Fortfield Drive, Dublin D6W E195
RUSSELL OMER Director One Hartfield Blvd, E Windsor, CT, 06088, United States One Hartfield Blvd, E Windsor, CT, 06088, United States No data

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012103348 2024-05-09 No data Annual Report Annual Report No data
BF-0011949747 2023-08-29 2023-08-29 Change of Business Address Business Address Change No data
BF-0011413866 2023-05-18 No data Annual Report Annual Report No data
BF-0010349974 2022-05-27 No data Annual Report Annual Report 2022
BF-0010451453 2022-01-14 2022-01-14 Mass Agent Change � Address Agent Address Change No data
0007351987 2021-05-26 No data Annual Report Annual Report 2021
0006943532 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006950703 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006904332 2020-05-14 No data Annual Report Annual Report 2020
0006555376 2019-05-10 No data Annual Report Annual Report 2019

Related by officers

JEFFREY CHESKY

BIS MANAGEMENT SERVICES, INC.

THOMAS MURRAY

VISTATEC, INC. SOUTHERN NEW ENGLAND CONFERENCE ASSOCIATION OF SEVENTH-DAY ADVENTISTS INC. THE VIATOR INTERNATIONAL, LLC BIS MANAGEMENT SERVICES, INC.

RUSSELL OMER

BIS MANAGEMENT SERVICES, INC.

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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