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GRAIN DEALERS MUTUAL INSURANCE COMPANY

Company Details

Entity Name: GRAIN DEALERS MUTUAL INSURANCE COMPANY
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Inactive
Date Filed: 09 Apr 1945 (80 years ago)
Document Number: 805908
FEI/EIN Number 000000000
Address: 1752 N MERIDIAN ST, INDIANAPOLIS, IN
Mail Address: 1752 N MERIDIAN ST, INDIANAPOLIS, IN
Place of Formation: INDIANA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE RETIREMENT INCOME PLAN FOR THE EES OF GRAIN DEALERS MUTUAL INS CO 2023 350344630 2024-10-14 GRAIN DEALERS MUTUAL INSURANCE COMPANY 154
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1931-01-01
Business code 524150
Sponsor’s telephone number 9043807305
Plan sponsor’s mailing address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Plan sponsor’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486

Plan administrator’s name and address
Administrator’s EIN 020170490
Plan administrator’s name THE MAIN STREET AMERICA GROUP
Plan administrator’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
Administrator’s telephone number 9043807305

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 109
Other retired or separated participants entitled to future benefits 18
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 20
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing KARI GRASEE
Valid signature Filed with authorized/valid electronic signature
THE RETIREMENT INCOME PLAN FOR THE EES OF GRAIN DEALERS MUTUAL INS CO 2022 350344630 2023-10-12 GRAIN DEALERS MUTUAL INSURANCE COMPANY 164
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1931-01-01
Business code 524150
Sponsor’s telephone number 9043807305
Plan sponsor’s mailing address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Plan sponsor’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486

Plan administrator’s name and address
Administrator’s EIN 020170490
Plan administrator’s name THE MAIN STREET AMERICA GROUP
Plan administrator’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
Administrator’s telephone number 9043807305

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 114
Other retired or separated participants entitled to future benefits 19
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 21
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing KARI GRASEE
Valid signature Filed with authorized/valid electronic signature
THE RETIREMENT INCOME PLAN FOR THE EES OF GRAIN DEALERS MUTUAL INS CO 2021 350344630 2022-10-11 GRAIN DEALERS MUTUAL INSURANCE COMPANY 171
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1931-01-01
Business code 524150
Sponsor’s telephone number 9043807305
Plan sponsor’s mailing address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Plan sponsor’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486

Plan administrator’s name and address
Administrator’s EIN 020170490
Plan administrator’s name THE MAIN STREET AMERICA GROUP
Plan administrator’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
Administrator’s telephone number 9043807305

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 118
Other retired or separated participants entitled to future benefits 21
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 25
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing RUTH MUNGER
Valid signature Filed with authorized/valid electronic signature
THE RETIREMENT INCOME PLAN FOR THE EES OF GRAIN DEALERS MUTUAL INS CO 2020 350344630 2021-10-13 GRAIN DEALERS MUTUAL INSURANCE COMPANY 177
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1931-01-01
Business code 524150
Sponsor’s telephone number 9043807305
Plan sponsor’s mailing address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Plan sponsor’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486

Plan administrator’s name and address
Administrator’s EIN 020170490
Plan administrator’s name THE MAIN STREET AMERICA GROUP
Plan administrator’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
Administrator’s telephone number 9043807305

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 124
Other retired or separated participants entitled to future benefits 24
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 23
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing RUTH MUNGER
Valid signature Filed with authorized/valid electronic signature
THE RETIREMENT INCOME PLAN FOR THE EES OF GRAIN DEALERS MUTUAL INS CO 2019 350344630 2020-10-10 GRAIN DEALERS MUTUAL INSURANCE COMPANY 186
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1931-01-01
Business code 524150
Sponsor’s telephone number 9043807305
Plan sponsor’s mailing address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Plan sponsor’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486

Plan administrator’s name and address
Administrator’s EIN 020170490
Plan administrator’s name THE MAIN STREET AMERICA GROUP
Plan administrator’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
Administrator’s telephone number 9043807305

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 124
Other retired or separated participants entitled to future benefits 27
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 26
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2020-10-10
Name of individual signing MICHELE SEYMOUR
Valid signature Filed with authorized/valid electronic signature
THE RETIREMENT INCOME PLAN FOR THE EES OF GRAIN DEALERS MUTUAL INS CO 2018 350344630 2019-10-10 GRAIN DEALERS MUTUAL INSURANCE COMPANY 191
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1931-01-01
Business code 524150
Sponsor’s telephone number 9043807305
Plan sponsor’s mailing address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Plan sponsor’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486

Plan administrator’s name and address
Administrator’s EIN 020170490
Plan administrator’s name THE MAIN STREET AMERICA GROUP
Plan administrator’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
Administrator’s telephone number 9043807305

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 129
Other retired or separated participants entitled to future benefits 29
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 28
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing MICHELE SEYMOUR
Valid signature Filed with authorized/valid electronic signature
THE RETIREMENT INCOME PLAN FOR THE EES OF GRAIN DEALERS MUTUAL INS CO 2017 350344630 2018-10-11 GRAIN DEALERS MUTUAL INSURANCE COMPANY 201
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1931-01-01
Business code 524150
Sponsor’s telephone number 9043807305
Plan sponsor’s mailing address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Plan sponsor’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486

Plan administrator’s name and address
Administrator’s EIN 020170490
Plan administrator’s name THE MAIN STREET AMERICA GROUP
Plan administrator’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
Administrator’s telephone number 9043807305

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 130
Other retired or separated participants entitled to future benefits 32
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 29
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing BRUCE FOX
Valid signature Filed with authorized/valid electronic signature
THE RETIREMENT INCOME PLAN FOR THE EES OF GRAIN DEALERS MUTUAL INS CO 2016 350344630 2017-10-10 GRAIN DEALERS MUTUAL INSURANCE COMPANY 212
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1931-01-01
Business code 524150
Sponsor’s telephone number 9043807305
Plan sponsor’s mailing address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Plan sponsor’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486

Plan administrator’s name and address
Administrator’s EIN 020170490
Plan administrator’s name THE MAIN STREET AMERICA GROUP
Plan administrator’s address 4601 TOUCHTON ROAD EAST, SUITE 3400, JACKSONVILLE, FL, 322464486
Administrator’s telephone number 9043807305

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 133
Other retired or separated participants entitled to future benefits 41
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 27
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing BRUCE FOX
Valid signature Filed with authorized/valid electronic signature
THE RETIREMENT INCOME PLAN FOR THE EES OF GRAIN DEALERS MUTUAL INS CO 2015 350344630 2016-10-12 GRAIN DEALERS MUTUAL INSURANCE COMPANY 244
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1931-01-01
Business code 524150
Sponsor’s telephone number 9043807305
Plan sponsor’s mailing address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Plan sponsor’s address 4601 TOUCHTON ROAD EAST, STE. 3400, JACKSONVILLE, FL, 322464486

Plan administrator’s name and address
Administrator’s EIN 020170490
Plan administrator’s name THE MAIN STREET AMERICA GROUP
Plan administrator’s address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Administrator’s telephone number 9043807305

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 138
Other retired or separated participants entitled to future benefits 43
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 31
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing BRUCE FOX
Valid signature Filed with authorized/valid electronic signature
THE RETIREMENT INCOME PLAN FOR THE EES OF GRAIN DEALERS MUTUAL INS CO 2014 350344630 2015-10-13 GRAIN DEALERS MUTUAL INSURANCE COMPANY 250
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1931-01-01
Business code 524150
Sponsor’s telephone number 9043807305
Plan sponsor’s mailing address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Plan sponsor’s address 4601 TOUCHTON ROAD EAST, STE. 3400, JACKSONVILLE, FL, 322464486

Plan administrator’s name and address
Administrator’s EIN 020170490
Plan administrator’s name THE MAIN STREET AMERICA GROUP
Plan administrator’s address P.O. BOX 16000, JACKSONVILLE, FL, 322456000
Administrator’s telephone number 9043807305

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 139
Other retired or separated participants entitled to future benefits 73
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 32
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing BRUCE FOX
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHIEF FINANCIAL OFFICER Agent P O BOX 6200 (32314-6200), TALLAHASSEE, FL, 323990000

Director

Name Role Address
BETTS, HOWARD M. Director 1752 N MERIDIAN ST, INDIANAPOLIS, IN

Treasurer

Name Role Address
RIDGEWAY, GERALD W. Treasurer 1752 N MERIDIAN ST, INDIANAPOLIS, IN

Vice President

Name Role Address
CLIFFORD , CHARLES W Vice President 1752 N MERIDIAN ST, INDIANAPOLIS, IN
COFFEY, ROBERT N. Vice President 1752 N MERIDIAN ST, INDIANAPOLIS, IN
GAINES, W. RENICK Vice President 1752 N MERIDIAN ST, INDIANAPOLIS, IN
JAMES, DONALD Vice President 1752 N MERIDIAN ST, INDIANAPOLIS, IN

President

Name Role Address
BETTS, HOWARD M. President 1752 N MERIDIAN ST, INDIANAPOLIS, IN

Events

Event Type Filed Date Value Description
DISSOLVED BY PROCLAMATION 1974-10-21 No data No data
NAME CHANGE AMENDMENT 1951-05-17 GRAIN DEALERS MUTUAL INSURANCE COMPANY No data

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Related by address

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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