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  5. KAY W. SHAVER INSURANCE AGENCY, INC.

KAY W. SHAVER INSURANCE AGENCY, INC.

Company Details

Entity Name: KAY W. SHAVER INSURANCE AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 28 Jun 1991 (34 years ago)
Date of dissolution: 17 Apr 2013 (12 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 17 Apr 2013 (12 years ago)
Document Number: S63870
FEI/EIN Number 59-3076037
Address: 2802 E. CERVANTES ST., PENSACOLA, FL 32503
Mail Address: 2802 E. CERVANTES ST., PENSACOLA, FL 32503
ZIP code: 32503
County: Escambia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KAY W SHAVER INSURANCE AGENCY INC PROFIT SHARING PLAN 2013 593076037 2014-02-06 KAY W SHAVER INSURANCE AGENCY INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 8504840981
Plan sponsor’s address 2406 DOWNING DRIVE, PENSACOLA, FL, 32505

Signature of
Role Plan administrator
Date 2014-02-06
Name of individual signing KAY W. SHAVER
Valid signature Filed with authorized/valid electronic signature
KAY W SHAVER INSURANCE AGENCY INC PROFIT SHARING PLAN 2012 593076037 2013-07-10 KAY W SHAVER INSURANCE AGENCY INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 8504840981
Plan sponsor’s address 2406 DOWNING DRIVE, PENSACOLA, FL, 32505

Plan administrator’s name and address
Administrator’s EIN 593076037
Plan administrator’s name KAY W SHAVER INSURANCE AGENCY INC
Plan administrator’s address 2406 DOWNING DRIVE, PENSACOLA, FL, 32505
Administrator’s telephone number 8504840981

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing KAY W. SHAVER
Valid signature Filed with authorized/valid electronic signature
KAY W SHAVER INSURANCE AGENCY INC PROFIT SHARING PLAN 2012 593076037 2014-01-27 KAY W SHAVER INSURANCE AGENCY INC 4
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 8504840981
Plan sponsor’s address 2406 DOWNING DRIVE, PENSACOLA, FL, 32505

Signature of
Role Plan administrator
Date 2014-01-27
Name of individual signing KAY W. SHAVER
Valid signature Filed with authorized/valid electronic signature
KAY W SHAVER INSURANCE AGENCY INC PROFIT SHARING PLAN 2011 593076037 2012-06-01 KAY W SHAVER INSURANCE AGENCY INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 8504334678
Plan sponsor’s address 2802 EAST CERVANTES STREET, PENSACOLA, FL, 325036336

Plan administrator’s name and address
Administrator’s EIN 593076037
Plan administrator’s name KAY W SHAVER INSURANCE AGENCY INC
Plan administrator’s address 2802 EAST CERVANTES STREET, PENSACOLA, FL, 325036336
Administrator’s telephone number 8504334678

Signature of
Role Plan administrator
Date 2012-06-01
Name of individual signing KAY W SHAVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-01
Name of individual signing KAY W SHAVER
Valid signature Filed with authorized/valid electronic signature
KAY W SHAVER INSURANCE AGENCY INC PROFIT SHARING PLAN 2010 593076037 2011-07-15 KAY W SHAVER INSURANCE AGENCY INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 8504334678
Plan sponsor’s address 2802 EAST CERVANTES STREET, PENSACOLA, FL, 325036336

Plan administrator’s name and address
Administrator’s EIN 593076037
Plan administrator’s name KAY W SHAVER INSURANCE AGENCY INC
Plan administrator’s address 2802 EAST CERVANTES STREET, PENSACOLA, FL, 325036336
Administrator’s telephone number 8504334678

Signature of
Role Plan administrator
Date 2011-07-15
Name of individual signing KAY W SHAVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-15
Name of individual signing KAY W SHAVER
Valid signature Filed with authorized/valid electronic signature
KAY W SHAVER INSURANCE AGENCY INC PROFIT SHARING PLAN 2009 593076037 2010-06-29 KAY W SHAVER INSURANCE AGENCY INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 8504334678
Plan sponsor’s address 2802 EAST CERVANTES STREET, PENSACOLA, FL, 325036336

Plan administrator’s name and address
Administrator’s EIN 593076037
Plan administrator’s name KAY W SHAVER INSURANCE AGENCY INC
Plan administrator’s address 2802 EAST CERVANTES STREET, PENSACOLA, FL, 325036336
Administrator’s telephone number 8504334678

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing KAY W SHAVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-29
Name of individual signing KAY W SHAVER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHAVER, KAY W. Agent 2802 E. CERVANTES ST, PENSACOLA, FL 32503

Director

Name Role Address
SHAVER, KAY W. Director 2046 DOWNING DR., PENSACOLA, FL
SHAVER, ROBERT T., JR Director 2046 DOWNING DR., PENSACOLA, FL

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2013-04-17 No data No data
CHANGE OF PRINCIPAL ADDRESS 1997-02-06 2802 E. CERVANTES ST., PENSACOLA, FL 32503 No data
CHANGE OF MAILING ADDRESS 1997-02-06 2802 E. CERVANTES ST., PENSACOLA, FL 32503 No data
REGISTERED AGENT NAME CHANGED 1997-02-06 SHAVER, KAY W. No data
REGISTERED AGENT ADDRESS CHANGED 1997-02-06 2802 E. CERVANTES ST, PENSACOLA, FL 32503 No data

Documents

Name Date
ANNUAL REPORT 2012-01-16
ANNUAL REPORT 2011-01-13
ANNUAL REPORT 2010-01-22
ANNUAL REPORT 2009-01-19
ANNUAL REPORT 2008-01-23
ANNUAL REPORT 2007-01-17
ANNUAL REPORT 2006-02-16
ANNUAL REPORT 2005-01-17
ANNUAL REPORT 2004-01-20
ANNUAL REPORT 2003-02-03

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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