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  5. KGS INSURANCE SERVICES, LLC

KGS INSURANCE SERVICES, LLC

Company Details

Entity Name: KGS INSURANCE SERVICES, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 06 Feb 1998
Business ALEI: 0582740
Annual report due: 31 Mar 2025
NAICS code: 525120 - Health and Welfare Funds
Business address: 98 Washington St., MIDDLETOWN, CT, 06457, United States
Mailing address: 98 Washington St., Suite 1, MIDDLETOWN, CT, United States, 06457
ZIP code: 06457
County: Middlesex
Place of Formation: CONNECTICUT
E-Mail: kelly@kgsinsurance.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KGS INSURANCE SERVICES 401(K) AND PROFIT SHARING PLAN 2018 061507161 2019-10-08 KGS INSURANCE SERVICES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 524290
Sponsor’s telephone number 8607048020
Plan sponsor’s address 386 MAIN STREET, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing KELLY SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-08
Name of individual signing KELLY SMITH
Valid signature Filed with authorized/valid electronic signature
KGS INSURANCE SERVICES 401(K) AND PROFIT SHARING PLAN 2017 061507161 2018-10-01 KGS INSURANCE SERVICES, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 524290
Sponsor’s telephone number 8607048020
Plan sponsor’s address 505 MAIN ST., MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2018-10-01
Name of individual signing KELLY SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-01
Name of individual signing KELLY SMITH
Valid signature Filed with authorized/valid electronic signature
KGS INSURANCE SERVICES 401(K) AND PROFIT SHARING PLAN 2016 061507161 2017-06-16 KGS INSURANCE SERVICES, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 524290
Sponsor’s telephone number 8607048020
Plan sponsor’s address 505 MAIN ST., MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2017-06-16
Name of individual signing KELLY SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-16
Name of individual signing KELLY SMITH
Valid signature Filed with authorized/valid electronic signature
KGS INSURANCE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2012 061507161 2013-05-17 KGS INSURANCE SERVICES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8607048020
Plan sponsor’s address 124 COURT STREET, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2013-05-17
Name of individual signing KELLY SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-17
Name of individual signing KELLY SMITH
Valid signature Filed with authorized/valid electronic signature
KGS INSURANCE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2011 061507161 2012-07-06 KGS INSURANCE SERVICES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8607048020
Plan sponsor’s address 124 COURT STREET, MIDDLETOWN, CT, 06457

Plan administrator’s name and address
Administrator’s EIN 061507161
Plan administrator’s name KGS INSURANCE SERVICES, LLC
Plan administrator’s address 124 COURT STREET, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8607048020

Signature of
Role Plan administrator
Date 2012-07-06
Name of individual signing KELLY SMITH
Valid signature Filed with authorized/valid electronic signature
KGS INSURANCE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2010 061507161 2011-06-23 KGS INSURANCE SERVICES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8607048020
Plan sponsor’s address 124 COURT STREET, MIDDLETOWN, CT, 06457

Plan administrator’s name and address
Administrator’s EIN 061507161
Plan administrator’s name KGS INSURANCE SERVICES, LLC
Plan administrator’s address 124 COURT STREET, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8607048020

Signature of
Role Plan administrator
Date 2011-06-23
Name of individual signing KELLY SMITH
Valid signature Filed with authorized/valid electronic signature
KGS INSURANCE SERVICES, LLC 401(K) PROFIT SHARING PLAN 2009 061507161 2010-07-29 KGS INSURANCE SERVICES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 8607048020
Plan sponsor’s address 124 WASHINGTON STREET, MIDDLETOWN, CT, 06457

Plan administrator’s name and address
Administrator’s EIN 061507161
Plan administrator’s name KGS INSURANCE SERVICES, LLC
Plan administrator’s address 124 WASHINGTON STREET, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8607048020

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing KELLY SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
UPDIKE, KELLY & SPELLACY, P.C. Agent

Officer

Name Role Business address Residence address
KELLY M. SMITH Officer 98 Washington St., Suite 1, Middletown, CT, 06457-5466, United States 44 TRAILSIDE XING, MIDDLETOWN, CT, 06457, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012179939 2024-01-23 No data Annual Report Annual Report No data
BF-0011267745 2023-01-23 No data Annual Report Annual Report No data
BF-0010192407 2022-03-27 No data Annual Report Annual Report 2022
BF-0010430922 2022-01-27 2022-01-28 Mass Agent Change � Address Agent Address Change No data
0007090726 2021-02-01 No data Annual Report Annual Report 2021
0006768051 2020-02-20 No data Annual Report Annual Report 2020
0006457273 2019-03-12 No data Annual Report Annual Report 2019
0006065489 2018-02-09 No data Annual Report Annual Report 2018
0005753270 2017-01-30 No data Annual Report Annual Report 2017
0005541616 2016-04-06 2016-04-06 Change of Agent Agent Change No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Connecticut's Official State Website

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