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  5. LEWIS & LEWIS INSURANCE AGENCY INC.

LEWIS & LEWIS INSURANCE AGENCY INC.

Company Details

Entity Name: LEWIS & LEWIS INSURANCE AGENCY INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Jun 1995 (30 years ago)
Document Number: P95000044829
FEI/EIN Number 593315802
Address: 1313 WEST US HIGHWAY 90, LAKE CITY, FL, 32055
Mail Address: 1313 WEST US HIGHWAY 90, LAKE CITY, FL, 32055
ZIP code: 32055
County: Columbia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LEWIS & LEWIS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2014 593315802 2015-09-27 LEWIS & LEWIS INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 3867550050
Plan sponsor’s address 1313 U. S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2015-09-25
Name of individual signing THOMAS D. LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-25
Name of individual signing THOMAS D. LEWIS
Valid signature Filed with authorized/valid electronic signature
LEWIS & LEWIS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2014 593315802 2015-12-09 LEWIS & LEWIS INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 3867550050
Plan sponsor’s address 1313 U.S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2015-12-09
Name of individual signing THOMAS D. LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-12-09
Name of individual signing THOMAS D. LEWIS
Valid signature Filed with authorized/valid electronic signature
LEWIS & LEWIS INSURANCE AGENCY, INC. DEFINED BENEFIT PENSION PLAN 2013 593315802 2014-09-22 LEWIS & LEWIS INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 3867550050
Plan sponsor’s address 1313 U.S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing THOMAS D. LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-22
Name of individual signing THOMAS D. LEWIS
Valid signature Filed with authorized/valid electronic signature
LEWIS & LEWIS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2013 593315802 2014-09-22 LEWIS & LEWIS INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 3867550050
Plan sponsor’s address 1313 U. S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing THOMAS D. LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-22
Name of individual signing THOMAS D. LEWIS
Valid signature Filed with authorized/valid electronic signature
LEWIS & LEWIS INSURANCE AGENCY, INC. DEFINED BENEFIT PENSION PLAN 2012 593315802 2013-07-24 LEWIS & LEWIS INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 3867550050
Plan sponsor’s address 1313 U.S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing THOMAS D LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-24
Name of individual signing THOMAS D LEWIS
Valid signature Filed with authorized/valid electronic signature
LEWIS & LEWIS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2012 593315802 2013-07-24 LEWIS & LEWIS INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 3867550050
Plan sponsor’s address 1313 U. S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing THOMAS D LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-24
Name of individual signing THOMAS D LEWIS
Valid signature Filed with authorized/valid electronic signature
LEWIS & LEWIS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2011 593315802 2012-04-18 LEWIS & LEWIS INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 3867550050
Plan sponsor’s address 1313 U. S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055

Plan administrator’s name and address
Administrator’s EIN 593315802
Plan administrator’s name LEWIS & LEWIS INSURANCE AGENCY, INC.
Plan administrator’s address 1313 U. S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055
Administrator’s telephone number 3867550050

Signature of
Role Plan administrator
Date 2012-04-16
Name of individual signing THOMAS D. LEWIS
Valid signature Filed with authorized/valid electronic signature
LEWIS & LEWIS INSURANCE AGENCY, INC. DEFINED BENEFIT PENSION PLAN 2011 593315802 2012-04-24 LEWIS & LEWIS INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 3867550050
Plan sponsor’s address 1313 U.S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055

Plan administrator’s name and address
Administrator’s EIN 593315802
Plan administrator’s name LEWIS & LEWIS INSURANCE AGENCY, INC.
Plan administrator’s address 1313 U.S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055
Administrator’s telephone number 3867550050

Signature of
Role Plan administrator
Date 2012-04-23
Name of individual signing MEVELYN L. LEWIS
Valid signature Filed with authorized/valid electronic signature
LEWIS & LEWIS INSURANCE AGENCY, INC. DEFINED BENEFIT PENSION PLAN 2010 593315802 2011-09-14 LEWIS & LEWIS INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 3867550050
Plan sponsor’s address 1313 U.S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055

Plan administrator’s name and address
Administrator’s EIN 593315802
Plan administrator’s name LEWIS & LEWIS INSURANCE AGENCY, INC.
Plan administrator’s address 1313 U.S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055
Administrator’s telephone number 3867550050

Signature of
Role Plan administrator
Date 2011-09-13
Name of individual signing THOMAS LEWIS
Valid signature Filed with authorized/valid electronic signature
LEWIS & LEWIS INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2010 593315802 2011-09-14 LEWIS & LEWIS INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 3867550050
Plan sponsor’s address 1313 U. S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055

Plan administrator’s name and address
Administrator’s EIN 593315802
Plan administrator’s name LEWIS & LEWIS INSURANCE AGENCY, INC.
Plan administrator’s address 1313 U. S. HIGHWAY 90 WEST, LAKE CITY, FL, 32055
Administrator’s telephone number 3867550050

Signature of
Role Plan administrator
Date 2011-09-13
Name of individual signing THOMAS LEWIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LEWIS BRIAN T Agent 1313 WEST US HIGHWAY 90, LAKE CITY, FL, 32055

President

Name Role Address
LEWIS BRIAN T President 26647 STATE ROAD 247, BRANFORD, FL, 32008

Vice President

Name Role Address
LEWIS LETITIA L Vice President 26647 State Road 247, Branford, FL, 320082664

Related by officers

LEWIS BRIAN T

ASSET PROTECTION SPECIALISTS LLC LEWIS INSURANCE RISK SOLUTIONS LLC THOMAS CORPORATION SCRAPPY THOMAS, INC. BRIAN LEWIS INSURANCE AGENCY, INC.

Related by address

No related companies by address

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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