| Entity Name: | DICK MARTIN INSURANCE AGENCY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jun 2002 (23 years ago) |
| Document Number: | P02000064389 |
| FEI/EIN Number | 542065896 |
| Address: | 30826 US HWY 19 NORTH, PALM HARBOR, FL, 34684 |
| Mail Address: | 30826 US HWY 19 NORTH, PALM HARBOR, FL, 34684 |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DICK MARTIN INSURANCE, INC. AGE-WEIGHTED PROFIT SHARING PLAN | 2010 | 542065896 | 2011-05-26 | DICK MARTIN INSURANCE AGENCY, INC. | 7 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 542065896 |
| Plan administrator’s name | DICK MARTIN INSURANCE AGENCY, INC. |
| Plan administrator’s address | 30826 US HIGHWAY 19N, PALM HARBOR, FL, 34684 |
| Administrator’s telephone number | 7277854995 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-26 |
| Name of individual signing | RICHARD MARTIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-05-26 |
| Name of individual signing | RICHARD MARTIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1988-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 7277854995 |
| Plan sponsor’s address | 30826 US HIGHWAY 19N, PALM HARBOR, FL, 34684 |
Plan administrator’s name and address
| Administrator’s EIN | 542065896 |
| Plan administrator’s name | DICK MARTIN INSURANCE AGENCY, INC. |
| Plan administrator’s address | 30826 US HIGHWAY 19N, PALM HARBOR, FL, 34684 |
| Administrator’s telephone number | 7277854995 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-14 |
| Name of individual signing | RICHARD MARTIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-14 |
| Name of individual signing | RICHARD MARTIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MARTIN RICHARD D | Agent | 30826 US HWY 19 NORTH, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| MARTIN RICHARD D | President | 30826 U.S. HIGHWAY 19 NORTH, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| MARTIN RICHARD D | Director | 30826 U.S. HIGHWAY 19 NORTH, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| MARTIN RICHARD D | Vice President | 30826 US 19 NORTH, PALM HARBOR, FL, 34684 |
| MARTIN MICHAEL J | Vice President | 30826 US 19 NORTH, PALM HARBOR, FL, 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2002-11-13 | DICK MARTIN INSURANCE AGENCY, INC. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
