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J. H. Berry Insurance Agency, Inc.

Details

Name: J. H. Berry Insurance Agency, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 01 Aug 1986 (38 years ago)
Entity Number: 000-111-975
Register Number: 000111975
County: Jefferson
Place of Formation: Jefferson County
Principal Address: GARDENDALE, AL
Registered Office Street Address: 2100 16TH AVE SOUTHBIRMINGHAM, AL 35205
Registered Office Street Address ZIP Code: 35205
Authorized Capital: $10,000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
J. H. BERRY INSURANCE AGENCY, INC. 401(K) PS 2015 630933294 2016-10-13 J.H. BERRY INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 2052519390
Plan sponsor’s address P.O BOX 11804, BIRMINGHAM, AL, 352021804

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing DAVID F. LOTT
J.H. BERRY INSURANCE AGENCY, INC 401(K) PROFIT SHARING PLAN 2015 630933294 2016-08-22 J.H. BERRY INSURANCE AGENCY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 2052519390
Plan sponsor’s address 993 SNOWSHILL LANE, BIRMINGHAM, AL, 35242

Signature of
Role Plan administrator
Date 2016-08-22
Name of individual signing DAVID F. LOTT
J.H. BERRY INSURANCE AGENCY, INC 401(K) PROFIT SHARING PLAN 2014 630933294 2015-09-15 J.H. BERRY INSURANCE AGENCY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 2052519390
Plan sponsor’s address 2208 7TH AVENUE SOUTH, BIRMINGHAM, AL, 352333516

Signature of
Role Plan administrator
Date 2015-09-15
Name of individual signing DAVID F. LOTT
J.H. BERRY INSURANCE AGENCY, INC 401(K) PROFIT SHARING PLAN 2013 630933294 2014-09-23 J.H. BERRY INSURANCE AGENCY, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 2052519390
Plan sponsor’s address 2208 7TH AVENUE SOUTH, BIRMINGHAM, AL, 352333516

Signature of
Role Plan administrator
Date 2014-09-23
Name of individual signing DAVID F. LOTT
J.H.BERRY INSURANCE AGENCY, INC 401(K) PS 2012 630933294 2013-07-19 J.H. BERRY INSURANCE AGENCY, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 2052520100
Plan sponsor’s address 2208 7TH AVENUE SOUTH, BIRMINGHAM, AL, 352333516

Signature of
Role Plan administrator
Date 2013-07-19
Name of individual signing DAVID F. LOTT
J.H. BERRY INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2011 630933294 2012-09-20 J.H. BERRY INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 531310
Sponsor’s telephone number 2052520100
Plan sponsor’s address POST OFFICE BOX 11804, BIRMINGHAM, AL, 35202

Plan administrator’s name and address
Administrator’s EIN 630933294
Plan administrator’s name J.H. BERRY INSURANCE AGENCY, INC.
Plan administrator’s address POST OFFICE BOX 11804, BIRMINGHAM, AL, 35202
Administrator’s telephone number 2052520100

Signature of
Role Plan administrator
Date 2012-09-20
Name of individual signing DAVID LOTT
J.H. BERRY INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2010 630933294 2011-09-28 J.H. BERRY INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 531310
Sponsor’s telephone number 2052520100
Plan sponsor’s address P.O. BOX 11804, BIRMINGHAM, AL, 352021804

Plan administrator’s name and address
Administrator’s EIN 630933294
Plan administrator’s name J.H. BERRY INSURANCE AGENCY, INC.
Plan administrator’s address P.O. BOX 11804, BIRMINGHAM, AL, 352021804
Administrator’s telephone number 2052520100

Signature of
Role Plan administrator
Date 2011-09-28
Name of individual signing DAVID LOTT
J.H. BERRY INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2009 630933294 2010-09-07 J.H. BERRY INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 531310
Sponsor’s telephone number 2052520100
Plan sponsor’s address P.O. BOX 11804, BIRMINGHAM, AL, 352021804

Plan administrator’s name and address
Administrator’s EIN 630933294
Plan administrator’s name J.H. BERRY INSURANCE AGENCY, INC.
Plan administrator’s address P.O. BOX 11804, BIRMINGHAM, AL, 352021804
Administrator’s telephone number 2052520100

Signature of
Role Plan administrator
Date 2010-09-07
Name of individual signing DAVID LOTT

Agent

Name Role
LOTT, DAVID F Agent

Incorporator

Name Role
JACKSON, RONNIE L Incorporator
GILBERT, CAREY P III Incorporator

Events

Event Date Event Type Old Value New Value
1991-11-19 Capital Change $2,000 Authorized --- Paid In $10,000 Authorized undefined Paid In

Related by officers

LOTT, DAVID F

BARKER-LOTT, LLC

JACKSON, RONNIE L

Molton Realty & Development Corporation Brookside, L.L.C. Cahaba, LLC

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GARDENDALE, AL

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2100 16TH AVE SOUTHBIRMINGHAM, AL 35205

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Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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