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PATRICK S. GRAY INSURANCE AGENCY INC.

Company Details

Entity Name: PATRICK S. GRAY INSURANCE AGENCY INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Oct 2003 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 14 Nov 2017 (7 years ago)
Document Number: P03000115990
FEI/EIN Number 200314167
Address: 2743 S. MAGUIRE RD, OCOEE, FL, 34761, US
Mail Address: 2743 S. MAGUIRE RD, OCOEE, FL, 34761, US
ZIP code: 34761
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PATRICK S GRAY INSURANCE AGENCY401K 2023 200314167 2024-07-29 PATRICK S. GRAY INSURANCE AGENCY INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 4078770081
Plan sponsor’s address 2743 MAGUIRE RD, OCOEE, FL, 34761

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing PATRICK GRAY
Valid signature Filed with authorized/valid electronic signature
PATRICK S. GRAY INSURANCE AGENCY INC. 401(K) P/S PLAN 2022 200314167 2023-06-06 PATRICK S. GRAY INSURANCE AGENCY INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 4078770081
Plan sponsor’s address 2743 MAGUIRE RD, OCOEE, FL, 34761

Plan administrator’s name and address

Administrator’s EIN 200314167
Plan administrator’s name PATRICK S. GRAY INSURANCE AGENCY INC.
Plan administrator’s address 2743 MAGUIRE RD, OCOEE, FL, 34761
Administrator’s telephone number 4078770081

Signature of

Role Plan administrator
Date 2023-06-06
Name of individual signing PATRICK GRAY
Valid signature Filed with authorized/valid electronic signature
PATRICK S. GRAY INSURANCE AGENCY INC. 401(K) P/S PLAN 2021 200314167 2022-05-16 PATRICK S. GRAY INSURANCE AGENCY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 4078770081
Plan sponsor’s address 2743 MAGUIRE RD, OCOEE, FL, 34761

Plan administrator’s name and address

Administrator’s EIN 200314167
Plan administrator’s name PATRICK S. GRAY INSURANCE AGENCY INC.
Plan administrator’s address 2743 MAGUIRE RD, OCOEE, FL, 34761
Administrator’s telephone number 4078770081

Signature of

Role Plan administrator
Date 2022-05-16
Name of individual signing PATRICK GRAY
Valid signature Filed with authorized/valid electronic signature
PATRICK S. GRAY INSURANCE AGENCY INC. 401(K) P/S PLAN 2020 200314167 2021-05-17 PATRICK S. GRAY INSURANCE AGENCY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 4078770081
Plan sponsor’s address 2743 MAGUIRE RD, OCOEE, FL, 34761

Plan administrator’s name and address

Administrator’s EIN 200314167
Plan administrator’s name PATRICK S. GRAY INSURANCE AGENCY INC.
Plan administrator’s address 2743 MAGUIRE RD, OCOEE, FL, 34761
Administrator’s telephone number 4078770081

Signature of

Role Plan administrator
Date 2021-05-17
Name of individual signing PATRICK GRAY
Valid signature Filed with authorized/valid electronic signature
PATRICK S. GRAY INSURANCE AGENCY INC. 401(K) P/S PLAN 2019 200314167 2020-05-14 PATRICK S. GRAY INSURANCE AGENCY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 4078770081
Plan sponsor’s address 2743 MAGUIRE RD, OCOEE, FL, 34761

Plan administrator’s name and address

Administrator’s EIN 200314167
Plan administrator’s name PATRICK S. GRAY INSURANCE AGENCY INC.
Plan administrator’s address 2743 MAGUIRE RD, OCOEE, FL, 34761
Administrator’s telephone number 4078770081

Signature of

Role Plan administrator
Date 2020-05-14
Name of individual signing PATRICK GRAY
Valid signature Filed with authorized/valid electronic signature
PATRICK S. GRAY INSURANCE AGENCY INC. 401(K) P/S PLAN 2018 200314167 2019-05-22 PATRICK S. GRAY INSURANCE AGENCY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 4078770081
Plan sponsor’s address 2743 MAGUIRE RD, OCOEE, FL, 34761

Plan administrator’s name and address

Administrator’s EIN 200314167
Plan administrator’s name PATRICK S. GRAY INSURANCE AGENCY INC.
Plan administrator’s address 2743 MAGUIRE RD, OCOEE, FL, 34761
Administrator’s telephone number 4078770081

Signature of

Role Plan administrator
Date 2019-05-22
Name of individual signing PATRICK GRAY
Valid signature Filed with authorized/valid electronic signature
PATRICK S. GRAY INSURANCE AGENCY INC. 401(K) P/S PLAN 2017 200314167 2018-03-21 PATRICK S. GRAY INSURANCE AGENCY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 4078770081
Plan sponsor’s address 2743 MAGUIRE RD, OCOEE, FL, 34761

Plan administrator’s name and address

Administrator’s EIN 200314167
Plan administrator’s name PATRICK S. GRAY INSURANCE AGENCY INC.
Plan administrator’s address 2743 MAGUIRE RD, OCOEE, FL, 34761
Administrator’s telephone number 4078770081

Signature of

Role Plan administrator
Date 2018-03-21
Name of individual signing PATRICK GRAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GRAY PATRICK S Agent 2743 S. MAGUIRE RD, OCOEE, FL, 34761

Director

Name Role Address
GRAY PATRICK S Director 2743 S. MAGUIRE RD, OCOEE, FL, 34761

Events

Event Type Filed Date Value Description
AMENDMENT 2017-11-13 No data No data
REGISTERED AGENT ADDRESS CHANGED 2007-08-20 2743 S. MAGUIRE RD, OCOEE, FL 34761 No data
CHANGE OF PRINCIPAL ADDRESS 2006-10-10 2743 S. MAGUIRE RD, OCOEE, FL 34761 No data
CHANGE OF MAILING ADDRESS 2006-10-10 2743 S. MAGUIRE RD, OCOEE, FL 34761 No data
REGISTERED AGENT NAME CHANGED 2005-05-02 GRAY, PATRICK S No data

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-02-02
Amendment 2017-11-13
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-01-18

Date of last update: 01 Feb 2025

Sources: Florida Department of State