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  5. TOM COLLINS INSURANCE AGENCY, INC.

TOM COLLINS INSURANCE AGENCY, INC.

Headquarter

Company Details

Entity Name: TOM COLLINS INSURANCE AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Nov 2001 (23 years ago)
Last Event: AMENDMENT
Event Date Filed: 08 Feb 2022 (3 years ago)
Document Number: P01000111719
FEI/EIN Number 593758150
Address: 1555 INDIAN RIVER BLVD UNIT 130, VERO BEACH, FL, 32960
Mail Address: 1555 INDIAN RIVER BLVD UNIT 130, VERO BEACH, FL, 32960
ZIP code: 32960
County: Indian River
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of TOM COLLINS INSURANCE AGENCY, INC., NEW YORK 5674680 NEW YORK

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TOM COLLINS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2023 593758150 2024-11-06 TOM COLLINS INSURANCE AGENCY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7727789222
Plan sponsor’s address 1555 INDIAN RIVER BLVD STE B120, VERO BEACH, FL, 329607108

Signature of
Role Plan administrator
Date 2024-11-06
Name of individual signing MEGHAN HAYNES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-11-06
Name of individual signing MEGHAN HAYNES
Valid signature Filed with authorized/valid electronic signature
TOM COLLINS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2022 593758150 2023-05-26 TOM COLLINS INSURANCE AGENCY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7727789222
Plan sponsor’s address 1555 INDIAN RIVER BLVD #S130, VERO BEACH, FL, 329607103

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-26
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
TOM COLLINS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2021 593758150 2022-07-08 TOM COLLINS INSURANCE AGENCY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7727789222
Plan sponsor’s address 1555 INDIAN RIVER BLVD #S130, VERO BEACH, FL, 329607103

Signature of
Role Plan administrator
Date 2022-07-08
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-08
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
TOM COLLINS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2020 593758150 2021-10-08 TOM COLLINS INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7727789222
Plan sponsor’s address 1555 INDIAN RIVER BLVD #S130, VERO BEACH, FL, 329607103

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-08
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
TOM COLLINS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2019 593758150 2020-04-14 TOM COLLINS INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7727789222
Plan sponsor’s address 1555 INDIAN RIVER BLVD #S130, VERO BEACH, FL, 329607103

Signature of
Role Plan administrator
Date 2020-04-14
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-14
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
TOM COLLINS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2018 593758150 2019-07-13 TOM COLLINS INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7727789222
Plan sponsor’s address 1555 INDIAN RIVER BLVD #S130, VERO BEACH, FL, 329607103

Signature of
Role Plan administrator
Date 2019-07-13
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-13
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
TOM COLLINS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2017 593758150 2018-06-19 TOM COLLINS INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7727789222
Plan sponsor’s address 1555 INDIAN RIVER BLVD #S130, VERO BEACH, FL, 329607103

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-19
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
TOM COLLINS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2016 593758150 2017-07-10 TOM COLLINS INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7727789222
Plan sponsor’s address 1555 INDIAN RIVER BLVD #S130, VERO BEACH, FL, 329607103

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-10
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
TOM COLLINS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2015 593758150 2016-04-12 TOM COLLINS INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7727789222
Plan sponsor’s address 1555 INDIAN RIVER BLVD #S130, VERO BEACH, FL, 329607103

Signature of
Role Plan administrator
Date 2016-04-12
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-12
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
TOM COLLINS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2014 593758150 2015-03-30 TOM COLLINS INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 7727789222
Plan sponsor’s address 1555 INDIAN RIVER BLVD #S130, VERO BEACH, FL, 329607103

Signature of
Role Plan administrator
Date 2015-03-30
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-30
Name of individual signing THOMAS COLLINS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
COLLINS THOMAS D Agent 4683 Pebble Bay Circle, VERO BEACH, FL, 32963

President

Name Role Address
COLLINS THOMAS D President 4683 Pebble Bay Circle, VERO BEACH, FL, 32963

Secretary

Name Role Address
COLLINS THOMAS D Secretary 4683 Pebble Bay Circle, VERO BEACH, FL, 32963

Treasurer

Name Role Address
COLLINS THOMAS D Treasurer 4683 Pebble Bay Circle, VERO BEACH, FL, 32963

Director

Name Role Address
COLLINS THOMAS D Director 4683 Pebble Bay Circle, VERO BEACH, FL, 32963

Chief Operating Officer

Name Role Address
COLLINS DAVID T Chief Operating Officer 4726 PEBBLE BAY CIRCLE, VERO BEACH, FL, 32963

Events

Event Type Filed Date Value Description
AMENDMENT 2022-02-08 No data No data
REGISTERED AGENT ADDRESS CHANGED 2021-08-02 4683 Pebble Bay Circle, VERO BEACH, FL 32963 No data
REGISTERED AGENT NAME CHANGED 2019-12-18 COLLINS, THOMAS D No data
REINSTATEMENT 2019-12-18 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2004-12-08 1555 INDIAN RIVER BLVD UNIT 130, VERO BEACH, FL 32960 No data
CHANGE OF MAILING ADDRESS 2004-12-08 1555 INDIAN RIVER BLVD UNIT 130, VERO BEACH, FL 32960 No data

Documents

Name Date
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-03-07
Amendment 2022-02-08
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-08-02
ANNUAL REPORT 2020-04-01
REINSTATEMENT 2019-12-18
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-03-18
ANNUAL REPORT 2016-02-24

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Related by address

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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