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Premier Adjusting Services, Inc Incorporated

Company Details

Name: Premier Adjusting Services, Inc Incorporated
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
File Date: 27 Jul 2015 (9 years ago)
Organization Date: 27 Jul 2015 (9 years ago)
Organization Number: 0928187
Primary County: Kenton
Place of Formation: KENTUCKY
Last Annual Report: 09 Aug 2022 (2 years ago)
Principal Office: 551 TREVINO RDG, Crestview Hills, KY 41017
Principal Office ZIP code: 41017
Authorized Shares: 100

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER ADJUSTING SERVICES CBS BENEFIT PLAN 2022 474630511 2023-12-27 PREMIER ADJUSTING SERVICES 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-11-01
Business code 524210
Sponsor’s telephone number 8595128310
Plan sponsor’s address 551 TREVINO RIDGE, FT MITCHELL, KY, 41017

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
PREMIER ADJUSTING SERVICES CBS BENEFIT PLAN 2021 474630511 2022-12-29 PREMIER ADJUSTING SERVICES 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-11-01
Business code 524210
Sponsor’s telephone number 8595128310
Plan sponsor’s address 551 TREVINO RIDGE, FT MITCHELL, KY, 41017

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
PREMIER ADJUSTING SERVICES CBS BENEFIT PLAN 2020 474630511 2021-12-14 PREMIER ADJUSTING SERVICES 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-11-01
Business code 524210
Sponsor’s telephone number 8595128310
Plan sponsor’s address 551 TREVINO RIDGE, FT MITCHELL, KY, 41017

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

Registered Agent

Name Role
Jeff Erpenbeck Registered Agent

Incorporator

Name Role
Jeff Erpenbeck Incorporator

President

Name Role
Jeffrey William Erpenbeck President

Filings

Name File Date
Administrative Dissolution 2023-10-04
Reinstatement Certificate of Existence 2022-08-09
Reinstatement 2022-08-09
Reinstatement Approval Letter UI 2022-08-08
Reinstatement Approval Letter UI 2022-05-17
Reinstatement Approval Letter Revenue 2017-10-25
Administrative Dissolution 2017-10-09
Annual Report 2016-09-13

Date of last update: 17 Nov 2024

Sources: Kentucky Secretary of State