HYLAND, BLOCK & HYLAND, INC.

Headquarter

Company Details

Name:	HYLAND, BLOCK & HYLAND, INC.
Jurisdiction:	Kentucky
Profit or Non-Profit:	Profit
Legal type:	Kentucky Corporation
Status:	Active
Standing:	Good
File Date:	03 Nov 1989 (35 years ago)
Organization Date:	03 Nov 1989 (35 years ago)
Organization Number:	0265147
Industry:	Insurance Agents, Brokers and Service
Number of Employees:	Medium (20-99)
Primary County:	Jefferson
Place of Formation:	KENTUCKY
Last Annual Report:	17 Apr 2024 (7 months ago)
Principal Office:	9750 ORMSBY STATION ROAD SUITE 200, LOUISVILLE, KY 40223
Principal Office ZIP code:	40223
Authorized Shares:	10000

Links between entities

Type	Company Name	Company Number	State
Headquarter of	HYLAND, BLOCK & HYLAND, INC.	7331445	NEW YORK

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

HYLAND BLOCK & HYLAND, INC. 401(K) PLAN

2023

611169508

2024-07-12

HYLAND BLOCK & HYLAND, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	9750 ORMSBY STATION RD., STE. 200, LOUISVILLE, KY, 40223

Signature of

Role	Plan administrator
Date	2024-07-12
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2024-07-12
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

HYLAND BLOCK & HYLAND INC CBS BENEFIT PLAN

2023

611169508

2024-04-29

HYLAND BLOCK & HYLAND INC

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2019-12-01
Business code	524210
Sponsor’s telephone number	5027190487
Plan sponsor’s address	9750 ORMSBY STATION RD, STE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address

Administrator’s EIN	846429706
Plan administrator’s name	SHAWNA BURTON
Plan administrator’s address	464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number	5026954700

Signature of

Role	Plan administrator
Date	2024-04-29
Name of individual signing	SHAWNA BURTON
Valid signature	Filed with authorized/valid electronic signature

HYLAND BLOCK & HYLAND INC CBS BENEFIT PLAN

2022

611169508

2023-12-27

HYLAND BLOCK & HYLAND INC

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2019-12-01
Business code	524210
Sponsor’s telephone number	5027190487
Plan sponsor’s address	9750 ORMSBY STATION RD, STE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address

Administrator’s EIN	846429706
Plan administrator’s name	SHAWNA BURTON
Plan administrator’s address	464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number	5026954700

Signature of

Role	Plan administrator
Date	2023-12-27
Name of individual signing	SHAWNA BURTON
Valid signature	Filed with authorized/valid electronic signature

HYLAND BLOCK & HYLAND, INC. 401(K) PLAN

2022

611169508

2023-08-14

HYLAND BLOCK & HYLAND, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	9750 ORMSBY STATION RD., STE. 200, LOUISVILLE, KY, 40223

Signature of

Role	Plan administrator
Date	2023-08-14
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

HYLAND BLOCK & HYLAND, INC. 401(K) PLAN

2021

611169508

2022-07-05

HYLAND BLOCK & HYLAND, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	9750 ORMSBY STATION RD., STE. 200, LOUISVILLE, KY, 40223

Signature of

Role	Plan administrator
Date	2022-07-05
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2022-07-05
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

HYLAND BLOCK & HYLAND INC CBS BENEFIT PLAN

2021

611169508

2022-12-29

HYLAND BLOCK & HYLAND INC

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2019-12-01
Business code	524210
Sponsor’s telephone number	5027190487
Plan sponsor’s address	9750 ORMSBY STATION RD, STE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address

Administrator’s EIN	846429706
Plan administrator’s name	SHAWNA BURTON
Plan administrator’s address	464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number	5026954700

Signature of

Role	Plan administrator
Date	2022-12-29
Name of individual signing	SHAWNA BURTON
Valid signature	Filed with authorized/valid electronic signature

HYLAND BLOCK & HYLAND INC CBS BENEFIT PLAN

2020

611169508

2021-12-14

HYLAND BLOCK & HYLAND INC

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2019-12-01
Business code	524210
Sponsor’s telephone number	5027190487
Plan sponsor’s address	9750 ORMSBY STATION RD, STE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address

Administrator’s EIN	846429706
Plan administrator’s name	SHAWNA BURTON
Plan administrator’s address	464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number	5026954700

Signature of

Role	Plan administrator
Date	2021-12-14
Name of individual signing	SHAWNA BURTON
Valid signature	Filed with authorized/valid electronic signature

HYLAND BLOCK & HYLAND, INC. 401(K) PLAN

2020

611169508

2021-07-26

HYLAND BLOCK & HYLAND, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	9750 ORMSBY STATION RD., STE. 200, LOUISVILLE, KY, 40223

Signature of

Role	Plan administrator
Date	2021-07-26
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2021-07-26
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

HYLAND BLOCK & HYLAND, INC. 401(K) PLAN

2019

611169508

2020-09-28

HYLAND BLOCK & HYLAND, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203

Signature of

Role	Plan administrator
Date	2020-09-28
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2020-09-28
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

HYLAND BLOCK & HYLAND INC CBS BENEFIT PLAN

2019

611169508

2020-12-23

HYLAND BLOCK & HYLAND INC

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2019-12-01
Business code	524210
Sponsor’s telephone number	5027190487
Plan sponsor’s address	9750 ORMSBY STATION RD STE 200, LOUISVILLE, KY, 40223

Plan administrator’s name and address

Administrator’s EIN	846429706
Plan administrator’s name	KELLY WOLF
Plan administrator’s address	464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number	5026954700

Signature of

Role	Plan administrator
Date	2020-12-23
Name of individual signing	KELLY WOLF
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2019/07/24/20190724111640P030371092241001.pdf
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203

Signature of

Role	Plan administrator
Date	2019-07-24
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2019-07-24
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/03/20180703102327P030036123943001.pdf
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203

Signature of

Role	Plan administrator
Date	2018-07-03
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2018-07-03
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2017/06/15/20170615103357P030008686481001.pdf
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203

Signature of

Role	Plan administrator
Date	2017-06-15
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2017-06-15
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2016/06/29/20160629140202P040014089399001.pdf
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203

Signature of

Role	Plan administrator
Date	2016-06-29
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/17/20150617081328P030050181015001.pdf
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203

Signature of

Role	Plan administrator
Date	2015-06-17
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/17/20140717081121P040017591917001.pdf
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203

Signature of

Role	Plan administrator
Date	2014-07-17
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711130129P040379755393001.pdf
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203

Signature of

Role	Plan administrator
Date	2013-07-11
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/29/20120629114320P040003177749001.pdf
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203

Plan administrator’s name and address

Administrator’s EIN	611169508
Plan administrator’s name	HYLAND BLOCK & HYLAND, INC.
Plan administrator’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203
Administrator’s telephone number	5026374733

Signature of

Role	Plan administrator
Date	2012-06-29
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/11/20110711145316P040427002208001.pdf
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	524210
Sponsor’s telephone number	5026374733
Plan sponsor’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203

Plan administrator’s name and address

Administrator’s EIN	611169508
Plan administrator’s name	HYLAND BLOCK & HYLAND, INC.
Plan administrator’s address	1250 SOUTH THIRD STREET, LOUISVILLE, KY, 40203
Administrator’s telephone number	5026374733

Signature of

Role	Plan administrator
Date	2011-07-11
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2011-07-11
Name of individual signing	JILL KURK
Valid signature	Filed with authorized/valid electronic signature

Director

Name	Role
TIMOTHY M. HYLAND	Director
KENNETH L. BLOCK	Director
TERRANCE M HYLAND	Director
PATRICK M. HYLAND	Director
JOSEPH HOLLINGSWORTH	Director

Registered Agent

Name	Role
Terrance Hyland	Registered Agent

President

Name	Role
Terrance M. Hyland	President

Incorporator

Name	Role
TIMOTHY M. HYLAND	Incorporator

Assumed Names

Name	Status	Expiration Date
HBH INSURANCE	Active	2028-01-26
AHA EMPLOYEE BENEFITS	Active	2027-01-25
HYLAND INSURANCE	Inactive	2021-09-30

Filings

Name	File Date
Registered Agent name/address change	2024-04-17
Annual Report	2024-04-17
Annual Report	2023-03-15
Name Renewal	2023-01-26
Annual Report	2022-03-25
Certificate of Assumed Name	2022-01-24
Certificate of Assumed Name	2021-11-04
Annual Report	2021-03-09
Registered Agent name/address change	2020-04-30
Annual Report	2020-04-30
Principal Office Address Change	2020-04-30
Annual Report	2019-05-16
Name Renewal	2018-07-13
Annual Report	2018-04-17
Annual Report	2017-04-21
Certificate of Assumed Name	2016-09-30
Annual Report	2016-06-13
Annual Report	2015-05-13
Annual Report	2014-05-30
Annual Report	2013-05-09

Date of last update: 18 Nov 2024

Sources: Kentucky Secretary of State

HYLAND, BLOCK & HYLAND, INC.

Company Details

Links between entities

form 5500

Director

Registered Agent

President

Incorporator

Assumed Names

Filings

Related by officers

Related by address