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MICAH CAMPBELL INSURANCE SERVICES LLC

Company Details

Name: MICAH CAMPBELL INSURANCE SERVICES LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 01 Apr 2013 (12 years ago)
Organization Date: 01 Apr 2013 (12 years ago)
Organization Number: 0853981
Industry: Insurance Agents, Brokers and Service
Number of Employees: Small (0-19)
Primary County: Bourbon
Place of Formation: KENTUCKY
Last Annual Report: 20 Mar 2024 (8 months ago)
Managed By: Members
Principal Office: 1438 SOUTH HIGH STREET, PARIS, KY 40361
Principal Office ZIP code: 40361

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICAH CAMPBELL INSURANCE SERVICES, LLC 401(K) PLAN 2023 462400043 2024-07-22 MICAH CAMPBELL INSURANCE SERVICES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 524210
Sponsor’s telephone number 8599873906
Plan sponsor’s address 317 HOUSTON CREEK DRIVE, PARIS, KY, 40361

Signature of
Role Plan administrator
Date 2024-07-20
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-20
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
MICAH CAMPBELL INSURANCE SERVICES, LLC 401(K) PLAN 2022 462400043 2023-07-19 MICAH CAMPBELL INSURANCE SERVICES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 524210
Sponsor’s telephone number 8599873906
Plan sponsor’s address 122 SQUIRES POINTE ROAD, PARIS, KY, 40361

Signature of
Role Plan administrator
Date 2023-07-17
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-17
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
MICAH CAMPBELL INSURANCE SERIVCES, LLC 401(K) PLAN 2021 462400043 2022-07-29 MICAH CAMPBELL INSURANCE SERVICES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 524210
Sponsor’s telephone number 8599873906
Plan sponsor’s address 122 SQUIRES POINTE ROAD, PARIS, KY, 40361

Signature of
Role Plan administrator
Date 2022-07-23
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
MICAH CAMPBELL INSURANCE SERIVCES, LLC 401(K) PLAN 2020 462400043 2021-07-29 MICAH CAMPBELL INSURANCE SERVICES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 524210
Sponsor’s telephone number 8599873906
Plan sponsor’s address 122 SQUIRES POINTE ROAD, PARIS, KY, 40361

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-28
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
MICAH CAMPBELL INSURANCE SERIVCES, LLC 401(K) PLAN 2019 462400043 2020-07-24 MICAH CAMPBELL INSURANCE SERVICES, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 524210
Sponsor’s telephone number 8599873906
Plan sponsor’s address 122 SQUIRES POINTE ROAD, PARIS, KY, 40361

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-23
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
MICAH CAMPBELL INSURANCE SERIVCES, LLC 401(K) PLAN 2018 462400043 2019-07-25 MICAH CAMPBELL INSURANCE SERVICES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 524210
Sponsor’s telephone number 8599873906
Plan sponsor’s address 122 SQUIRES POINTE ROAD, PARIS, KY, 40361

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-23
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
MICAH CAMPBELL INSURANCE SERIVCES, LLC 401(K) PLAN 2017 462400043 2018-07-31 MICAH CAMPBELL INSURANCE SERVICES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 524210
Sponsor’s telephone number 8599873906
Plan sponsor’s mailing address 122 SQUIRES POINTE ROAD, PARIS, KY, 40361
Plan sponsor’s address 1438 SOUTH HIGH STREET, PARIS, KY, 40361

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-07-21
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-21
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
MICAH CAMPBELL INSURANCE SERIVCES, LLC 401(K) PLAN 2016 462400043 2017-07-26 MICAH CAMPBELL INSURANCE SERVICES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 524210
Sponsor’s telephone number 8592649707
Plan sponsor’s mailing address 122 SQUIRES POINTE ROAD, PARIS, KY, 40361
Plan sponsor’s address 1438 SOUTH HIGH STREET, PARIS, KY, 40361

Number of participants as of the end of the plan year
Active participants 5
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 5
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-14
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
MICAH CAMPBELL INSURANCE SERIVCES, LLC 401(K) PLAN 2015 462400043 2016-07-27 MICAH CAMPBELL INSURANCE SERVICES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 524210
Sponsor’s telephone number 8592649707
Plan sponsor’s mailing address 122 SQUIRES POINTE ROAD, PARIS, KY, 40361
Plan sponsor’s address 1438 SOUTH HIGH STREET, PARIS, KY, 40361

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-15
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
MICAH CAMPBELL INSURANCE SERIVCES, LLC 401(K) PLAN 2014 462400043 2015-07-21 MICAH CAMPBELL INSURANCE SERVICES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 524210
Sponsor’s telephone number 8592649707
Plan sponsor’s mailing address 1438 SOUTH HIGH STREET, PARIS, KY, 40361
Plan sponsor’s address 1438 SOUTH HIGH STREET, PARIS, KY, 40361

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-15
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/30/20140730130005P030021083359006.pdf
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 524210
Sponsor’s telephone number 8592649707
Plan sponsor’s mailing address 1438 SOUTH HIGH STREET, PARIS, KY, 40361
Plan sponsor’s address 1438 SOUTH HIGH STREET, PARIS, KY, 40361

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-07-19
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-19
Name of individual signing MICAH L. CAMPBELL
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
MICAH CAMPBELL Registered Agent

Member

Name Role
MICAH CAMPBELL Member

Organizer

Name Role
MICAH CAMPBELL Organizer

Filings

Name File Date
Annual Report 2024-03-20
Annual Report 2023-05-17
Annual Report 2022-03-14
Annual Report 2021-05-10
Annual Report 2020-03-03
Annual Report 2019-05-09
Annual Report 2018-04-04
Annual Report 2017-03-21
Annual Report 2016-03-15
Annual Report 2015-04-16

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 14 Nov 2024

Sources: Kentucky Secretary of State

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