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  5. CLOSSON INSURANCE AGENCY, LLC

CLOSSON INSURANCE AGENCY, LLC

Company Details

Entity Name: CLOSSON INSURANCE AGENCY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 Sep 2006 (18 years ago)
Document Number: L06000096598
FEI/EIN Number 20-5623286
Address: 1201 S. Orlando Avenue, Suite 200, Winter Park, FL 32789
Mail Address: 1201 S. Orlando Avenue, Suite 200, Winter Park, FL 32789
ZIP code: 32789
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLOSSON INSURANCE AGENCY, LLC 401(K) PLAN 2023 205623286 2024-07-25 CLOSSON INSURANCE AGENCY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 4078982211
Plan sponsor’s address 1201 S. ORLANDO AVE.,, STE 200, WINTER PARK, FL, 32789
CLOSSON INSURANCE AGENCY, LLC 401(K) PLAN 2022 205623286 2023-06-06 CLOSSON INSURANCE AGENCY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 4078982211
Plan sponsor’s address 1201 S. ORLANDO AVE.,, STE 200, WINTER PARK, FL, 32789
CLOSSON INSURANCE AGENCY, LLC 401(K) PLAN 2021 205623286 2022-07-27 CLOSSON INSURANCE AGENCY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 4078982211
Plan sponsor’s address 1201 S. ORLANDO AVE.,, STE 200, WINTER PARK, FL, 32789
CLOSSON INSURANCE AGENCY, LLC 401(K) PLAN 2020 205623286 2021-10-05 CLOSSON INSURANCE AGENCY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 4078982211
Plan sponsor’s address 1201 S. ORLANDO AVE.,, STE 200, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing LENISE ZIKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-05
Name of individual signing LENISE ZIKA
Valid signature Filed with authorized/valid electronic signature
CLOSSON INSURANCE AGENCY, LLC 401(K) PLAN 2019 205623286 2020-10-14 CLOSSON INSURANCE AGENCY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 4078982211
Plan sponsor’s address 1201 S. ORLANDO AVE.,, STE 200, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing LENISE A ZIKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing LENISE A ZIKA
Valid signature Filed with authorized/valid electronic signature
CLOSSON INSURANCE AGENCY, LLC 401(K) PLAN 2018 205623286 2019-08-01 CLOSSON INSURANCE AGENCY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 4078982211
Plan sponsor’s address 1201 S. ORLANDO AVE.,, STE 200, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing LENISE AZIKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-30
Name of individual signing LENISE AZIKA
Valid signature Filed with authorized/valid electronic signature
CLOSSON INSURANCE AGENCY, LLC 401(K) PLAN 2017 205623286 2018-07-23 CLOSSON INSURANCE AGENCY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 4078982211
Plan sponsor’s address 1201 S. ORLANDO AVE.,, STE 200, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing LENISE ZIKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-23
Name of individual signing LENISE ZIKA
Valid signature Filed with authorized/valid electronic signature
CLOSSON INSURANCE AGENCY, LLC 401K PLAN 2016 205623286 2017-07-14 CLOSSON INSURANCE AGENCY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 4078982211
Plan sponsor’s address 1201 S. ORLANDO AVENUE, SUITE 200, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing RON ZIKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-14
Name of individual signing RON ZIKA
Valid signature Filed with authorized/valid electronic signature
CLOSSON INSURANCE AGENCY, LLC 401K PLAN 2015 205623286 2016-07-28 CLOSSON INSURANCE AGENCY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 4078982211
Plan sponsor’s address 1201 S. ORLANDO AVENUE, SUITE 200, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing RON ZIKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing RON ZIKA
Valid signature Filed with authorized/valid electronic signature
CLOSSON INSURANCE AGENCY, LLC 401K PLAN 2014 205623286 2015-07-24 CLOSSON INSURANCE AGENCY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 4078982211
Plan sponsor’s address 1201 S. ORLANDO AVENUE, SUITE 200, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing RON ZIKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-24
Name of individual signing RON ZIKA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
COHEN, DAVID SESQUIRE Agent 5728 MAJOR BLVD., SUITE 550, ORLANDO, FL 32819

Managing Member

Name Role Address
ZIKA, LENISE A Managing Member 1201 S. Orlando Avenue, Suite 200 Winter Park, FL 32789

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-01-24 1201 S. Orlando Avenue, Suite 200, Winter Park, FL 32789 No data
CHANGE OF MAILING ADDRESS 2014-01-24 1201 S. Orlando Avenue, Suite 200, Winter Park, FL 32789 No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-06-13
ANNUAL REPORT 2018-04-05
ANNUAL REPORT 2017-02-15
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-02-24

Related by officers

COHEN, DAVID SESQUIRE

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Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Florida Department of State

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