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OHIO VALLEY INSURANCE, LLC

Company Details

Name: OHIO VALLEY INSURANCE, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 18 Sep 2013 (11 years ago)
Organization Date: 18 Sep 2013 (11 years ago)
Organization Number: 0867391
Primary County: Daviess
Place of Formation: KENTUCKY
Last Annual Report: 16 Apr 2014 (11 years ago)
Managed By: Members
Principal Office: P.O. BOX 23199, OWENSBORO, KY 42304
Principal Office ZIP code: 42304

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OHIO VALLEY INSURANCE CBS BENEFIT PLAN 2023 200819964 2024-04-29 OHIO VALLEY INSURANCE 25
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 5010 BACK SQUARE DR, OWENSBORO, KY, 423017413

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
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN 2023 200819964 2024-06-11 OHIO VALLEY INSURANCE, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 5010 BACK SQUARE DRIVE, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2024-06-11
Name of individual signing MS. LINDSEY HAGAN
Valid signature Filed with authorized/valid electronic signature
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN 2022 200819964 2023-10-04 OHIO VALLEY INSURANCE, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address P.O. BOX 23199, OWENSBORO, KY, 42304

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing MS. LINDSEY HAGAN
Valid signature Filed with authorized/valid electronic signature
OHIO VALLEY INSURANCE CBS BENEFIT PLAN 2022 200819964 2023-12-27 OHIO VALLEY INSURANCE 22
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 5010 BACK SQUARE DR, OWENSBORO, KY, 423017413

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
OHIO VALLEY INSURANCE CBS BENEFIT PLAN 2021 200819964 2022-12-29 OHIO VALLEY INSURANCE 21
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 5010 BACK SQUARE DR, OWENSBORO, KY, 423017413

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
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN 2021 200819964 2022-09-30 OHIO VALLEY INSURANCE, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 5010 BACK SQUARE DRIVE, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2022-09-30
Name of individual signing MS. LINDSEY HAGAN
Valid signature Filed with authorized/valid electronic signature
OHIO VALLEY CROP INSURANCE, LLC CASH BALANCE PENSION PLAN 2020 200819964 2021-09-22 OHIO VALLEY CROP INSURANCE, LLC 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address P. O. BOX 23199, OWENSBORO, KY, 42304

Signature of

Role Plan administrator
Date 2021-09-22
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
OHIO VALLEY CROP INSURANCE, LLC CASH BALANCE PENSION PLAN 2020 200819964 2021-12-13 OHIO VALLEY CROP INSURANCE, LLC 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address P. O. BOX 23199, OWENSBORO, KY, 42304

Signature of

Role Plan administrator
Date 2021-12-13
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN 2020 200819964 2021-09-22 OHIO VALLEY CROP INSURANCE, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address P. O. BOX 23199, OWENSBORO, KY, 42304

Signature of

Role Plan administrator
Date 2021-09-22
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
OHIO VALLEY INSURANCE CBS BENEFIT PLAN 2020 200819964 2021-12-14 OHIO VALLEY INSURANCE 15
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 TAMARACK ROAD, OWENSBORO, KY, 42301

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
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/12/23/20201223101632NAL0008066513001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2019-11-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 TAMARACK ROAD, OWENSBORO, KY, 42301

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/2020/10/07/20201007072838NAL0010961377001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 B TAMARACK ROAD, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/10/07/20201007072608NAL0010957857001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 B TAMARACK ROAD, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926132235P030026229613001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 B TAMARACK ROAD, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2019-09-26
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926133415P030039831079001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 B TAMARACK ROAD, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2019-09-26
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/12/20181012074401P030010085289001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 B TAMARACK ROAD, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/04/20181004144124P040231278743001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 B TAMARACK ROAD, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2018-10-04
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/09/05/20170905092732P030117994039001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 B TAMARACK ROAD, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2017-09-05
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/09/19/20170919121342P040167982801001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 B TAMARACK ROAD, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2017-09-19
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/11/20160711150646P030029170215001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 B TAMARACK ROAD, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2016-07-11
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/10/20161010135549P040016874263001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2706833336
Plan sponsor’s address 2510 B TAMARACK ROAD, OWENSBORO, KY, 42301

Signature of

Role Plan administrator
Date 2016-10-10
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/01/20150901084853P040036058007001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2708284874
Plan sponsor’s address 5601 BIG SPRING ROAD, VINE GROVE, KY, 40175

Signature of

Role Plan administrator
Date 2015-09-01
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/01/20151001105124P040023157287001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2708284874
Plan sponsor’s address 5601 BIG SPRING ROAD, VINE GROVE, KY, 40175

Signature of

Role Plan administrator
Date 2015-10-01
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/07/20141007141037P040014592509001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2708284874
Plan sponsor’s address 5601 BIG SPRING ROAD, VINE GROVE, KY, 40175

Signature of

Role Plan administrator
Date 2014-10-07
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/07/20141007140335P040014588685001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 2708284874
Plan sponsor’s address 5601 BIG SPRING ROAD, VINE GROVE, KY, 40175

Signature of

Role Plan administrator
Date 2014-10-07
Name of individual signing DAN HARDAWAY
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
DAVID L. YEWELL Registered Agent

Member

Name Role
Dan M Hardaway Member
Hayward Allan Murray Member

Organizer

Name Role
DAVID L. YEWELL Organizer

Former Company Names

Name Action
OHIO VALLEY CROP INSURANCE, LLC Old Name
OHIO VALLEY INSURANCE, LLC Merger

Filings

Name File Date
Annual Report 2014-04-16
Articles of Organization (LLC) 2013-09-18

Date of last update: 15 Nov 2024

Sources: Kentucky Secretary of State