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ZIMBOUSKI INSURANCE AGENCY, LLC

Company Details

Entity Name: ZIMBOUSKI INSURANCE AGENCY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 28 May 2009 (16 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L09000051610
FEI/EIN Number 270254107
Address: 8235 BAYTREE DR, NEW PORT RICHEY, FL, 34653, US
Mail Address: 8235 BAYTREE DR, NEW PORT RICHEY, FL, 34653, US
ZIP code: 34653
County: Pasco
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ZIMBOUSKI CASH BALANCE PLAN 2023 270254107 2024-04-01 ZIMBOUSKI INSURANCE AGENCY, LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 7278440200
Plan sponsor’s address 6113 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2024-04-01
Name of individual signing WILLIAM ZIMBOUSKI
Valid signature Filed with authorized/valid electronic signature
ZIMBOUSKI CASH BALANCE PLAN 2022 270254107 2023-10-05 ZIMBOUSKI INSURANCE AGENCY, LLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 7278440200
Plan sponsor’s address 6113 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2023-10-05
Name of individual signing WILLIAM ZIMBOUSKI
Valid signature Filed with authorized/valid electronic signature
ZIMBOUSKI INSURANCE AGENCY LLC RETIREMENT TRUST 2022 270254107 2023-07-26 ZIMBOUSKI INSURANCE AGENCY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 7278440200
Plan sponsor’s address 8235 BAYTREE DR, NEW PORT RICHEY, FL, 34653

Signature of

Role Plan administrator
Date 2023-07-26
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
ZIMBOUSKI INSURANCE AGENCY LLC RETIREMENT TRUST 2022 270254107 2023-06-23 ZIMBOUSKI INSURANCE AGENCY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 7275141548
Plan sponsor’s address 8235 BAYTREE DR, NEW PORT RICHEY, FL, 34653

Signature of

Role Plan administrator
Date 2023-06-23
Name of individual signing WILLIAM ZIMBOUSKI
Valid signature Filed with authorized/valid electronic signature
ZIMBOUSKI INSURANCE AGENCY LLC RETIREMENT TRUST 2021 270254107 2022-07-05 ZIMBOUSKI INSURANCE AGENCY LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 7275141548
Plan sponsor’s address 8235 BAYTREE DR, NEW PORT RICHEY, FL, 34653

Signature of

Role Plan administrator
Date 2022-07-05
Name of individual signing WILLIAM ZIMBOUSKI
Valid signature Filed with authorized/valid electronic signature
ZIMBOUSKI CASH BALANCE PLAN 2021 270254107 2022-10-07 ZIMBOUSKI INSURANCE AGENCY, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 7278440200
Plan sponsor’s address 6113 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2022-10-07
Name of individual signing WILLIAM ZIMBOUSKI
Valid signature Filed with authorized/valid electronic signature
ZIMBOUSKI INSURANCE AGENCY LLC RETIREMENT TRUST 2020 270254107 2021-06-25 ZIMBOUSKI INSURANCE AGENCY LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 7275141548
Plan sponsor’s address 8235 BAYTREE DR, NEW PORT RICHEY, FL, 34653

Signature of

Role Plan administrator
Date 2021-06-25
Name of individual signing ZIMBOUSKI INSURANCE AGENCY LLC
Valid signature Filed with authorized/valid electronic signature
ZIMBOUSKI CASH BALANCE PLAN 2020 270254107 2021-09-24 ZIMBOUSKI INSURANCE AGENCY, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 7278440200
Plan sponsor’s address 6113 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2021-09-24
Name of individual signing WILLIAM ZIMBOUSKI
Valid signature Filed with authorized/valid electronic signature
ZIMBOUSKI CASH BALANCE PLAN 2019 270254107 2020-07-07 ZIMBOUSKI INSURANCE AGENCY, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 7278440200
Plan sponsor’s address 6113 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2020-07-07
Name of individual signing WILLIAM ZIMBOUSKI
Valid signature Filed with authorized/valid electronic signature
ZIMBOUSKI INSURANCE AGENCY LLC RETIREMENT TRUST 2019 270254107 2020-06-26 ZIMBOUSKI INSURANCE AGENCY LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 7278440200
Plan sponsor’s address 6113 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2020-06-26
Name of individual signing WILLIAM ZIMBOUSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
727-514-1548 Agent 8235 BAYTREE DR, NEW PORT RICHEY, FL, 34653

Managing Member

Name Role Address
ZIMBOUSKI WILLIAM Managing Member 8235 BAYTREE DR, NEW PORT RICHEY, FL, 34653

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-01-24 8235 BAYTREE DR, NEW PORT RICHEY, FL 34653 No data
CHANGE OF MAILING ADDRESS 2022-01-24 8235 BAYTREE DR, NEW PORT RICHEY, FL 34653 No data
REGISTERED AGENT NAME CHANGED 2022-01-24 727-514-1548 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-24 8235 BAYTREE DR, NEW PORT RICHEY, FL 34653 No data

Documents

Name Date
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-13
ANNUAL REPORT 2015-02-02
ANNUAL REPORT 2014-01-09
ANNUAL REPORT 2013-01-09

Date of last update: 01 Feb 2025

Sources: Florida Department of State