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  5. Caribou Insurance Agency, Inc.

Caribou Insurance Agency, Inc.

Details

Name: Caribou Insurance Agency, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 14 Aug 1981 (44 years ago)
Date of dissolution: 30 Sep 2014
Entity Number: 000-083-744
Register Number: 000083744
Historical Names: Harris Office Service, Inc.
Truckwriters of Alabama, Inc.
ZIP code: 35216
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2820 COLUMBIANA ROADBIRMINGHAM, AL 35216
Authorized Capital: $10,000

Activities SECRETARIAL SERVICES

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARIBOU 401(K) RETIREMENT PLAN 2014 630815295 2016-09-19 CARIBOU INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 2057062703
Plan sponsor’s address 2820 COLUMBIANA ROAD, STE 116, BIRMINGHAM, AL, 352162565

Signature of
Role Plan administrator
Date 2016-09-19
Name of individual signing GARY MATTINGLY
CARIBOU 401(K) RETIREMENT PLAN 2013 680815295 2014-03-20 CARIBOU INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 2058227577
Plan sponsor’s address 2820 COLUMBIANA RD STE 116, BIRMINGHAM, AL, 352162565

Signature of
Role Plan administrator
Date 2014-03-20
Name of individual signing GARY MATTINGLY
Role Employer/plan sponsor
Date 2014-03-20
Name of individual signing GARY MATTINGLY
CARIBOU 401(K) RETIREMENT PLAN 2012 680815295 2013-07-30 CARIBOU INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 2058227577
Plan sponsor’s address 2820 COLUMBIANA RD STE 116, BIRMINGHAM, AL, 352162565

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing GARY MATTINGLY
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing GARY MATTINGLY
CARIBOU 401(K) RETIREMENT PLAN 2011 680815295 2012-07-31 CARIBOU INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 2058227577
Plan sponsor’s address 2820 COLUMBIANA RD STE 116, BIRMINGHAM, AL, 352162565

Plan administrator’s name and address
Administrator’s EIN 680815295
Plan administrator’s name CARIBOU INSURANCE AGENCY, INC.
Plan administrator’s address 2820 COLUMBIANA RD STE 116, BIRMINGHAM, AL, 352162565
Administrator’s telephone number 2058227577

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing GARY MATTINGLY
Role Employer/plan sponsor
Date 2012-07-31
Name of individual signing GARY MATTINGLY
CARIBOU 401(K) RETIREMENT PLAN 2010 680815295 2011-07-26 CARIBOU INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 2058227577
Plan sponsor’s address 2820 COLUMBIANA RD STE 116, BIRMINGHAM, AL, 352162565

Plan administrator’s name and address
Administrator’s EIN 680815295
Plan administrator’s name CARIBOU INSURANCE AGENCY, INC.
Plan administrator’s address 2820 COLUMBIANA RD STE 116, BIRMINGHAM, AL, 352162565
Administrator’s telephone number 2058227577

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing GARY MATTINGLY
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing GARY MATTINGLY
CARIBOU 401(K) RETIREMENT PLAN 2009 680815295 2010-10-11 CARIBOU INSURANCE AGENCY, INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 2058227577
Plan sponsor’s address 2820 COLUMBIANA ROAD, SUITE 116, HOOVER, AL, 35236

Plan administrator’s name and address
Administrator’s EIN 680815295
Plan administrator’s name CARIBOU INSURANCE AGENCY, INC
Plan administrator’s address 2820 COLUMBIANA ROAD, SUITE 116, HOOVER, AL, 35236
Administrator’s telephone number 2058227577

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing GARY MATTINGLY

Agent

Name Role
MATTINGLY, GARY L Agent

Incorporator

Name Role
PALMER, JARVIS W Incorporator

Events

Event Date Event Type Old Value New Value
1983-07-01 Name Change Truckwriters of Alabama, Inc. Caribou Insurance Agency, Inc.
1983-02-01 Name Change Harris Office Service, Inc. Truckwriters of Alabama, Inc.

Related by officers

PALMER, JARVIS W

Quail Ridge, Inc. Fastype Services, Inc. Birmingham Insurance Company, Inc.

Related by address

BIRMINGHAM, AL

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2820 COLUMBIANA ROADBIRMINGHAM, AL 35216

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Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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