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Peak Insurance, Inc.

Details

Name: Peak Insurance, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 16 Mar 2004 (21 years ago)
Date of dissolution: 02 Nov 2009
Entity Number: 000-234-225
Register Number: 000234225
County: Shelby
Place of Formation: Shelby County
Principal Address: CALERA, AL
Registered Office Street Address: 8039 HWY 25CALERA, AL 35040
Registered Office Street Address ZIP Code: 35040
Authorized Capital: 1,000

Activities ANY LAWFUL ACTIVITY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN 2023 630836770 2024-07-02 PEAK INSURANCE, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 3348722303
Plan sponsor’s address 1003 BROAD ST, SELMA, AL, 367014509

Signature of

Role Plan administrator
Date 2024-07-02
Name of individual signing JERE D. PEAK
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN 2022 630836770 2023-06-14 PEAK INSURANCE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 3348722303
Plan sponsor’s address 1003 BROAD ST, SELMA, AL, 367014509

Signature of

Role Plan administrator
Date 2023-06-14
Name of individual signing JERE D. PEAK
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN 2021 630836770 2022-07-25 PEAK INSURANCE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 3348722303
Plan sponsor’s address 1003 BROAD ST, SELMA, AL, 367014509

Signature of

Role Plan administrator
Date 2022-07-25
Name of individual signing JERE D. PEAK
PEAK INSURANCE, INC. EMPLOYEES 2020 630836770 2021-07-26 PEAK INSURANCE, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 3348722303
Plan sponsor’s address 1003 BROAD ST, SELMA, AL, 367014509

Signature of

Role Plan administrator
Date 2021-07-26
Name of individual signing JERE D. PEAK
PEAK INSURANCE, INC. HEALTH AND WELFARE BENEFIT PLAN 2020 630836770 2021-10-15 PEAK INSURANCE, INC. 12
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-07-01
Business code 524140
Sponsor’s telephone number 3348722303
Plan sponsor’s address 1003 BROAD ST., SELMA, AL, 36701

Plan administrator’s name and address

Administrator’s EIN 834125247
Plan administrator’s name ARSENAL HEALTH LLC
Plan administrator’s address 5151 HAMPSTEAD HIGH STREET STE 200, MONTGOMERY, AL, 36116
Administrator’s telephone number 3342607774

Signature of

Role Plan administrator
Date 2021-10-15
Name of individual signing THOMAS BRITT TAYLOR
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN 2019 630836770 2020-07-29 PEAK INSURANCE, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 3348722303
Plan sponsor’s address 1003 BROAD ST, SELMA, AL, 367014509

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing JERE D. PEAK
PEAK INSURANCE, INC. HEALTH AND WELFARE BENEFIT 2019 630836770 2020-10-13 PEAK INSURANCE, INC. 12
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-07-01
Business code 524140
Sponsor’s telephone number 3348722303
Plan sponsor’s address 1003 BROAD ST., SELMA, AL, 36701

Plan administrator’s name and address

Administrator’s EIN 834125247
Plan administrator’s name ARSENAL HEALTH LLC
Plan administrator’s address 5151 HAMPSTEAD HIGH STREET STE 200, MONTGOMERY, AL, 36116
Administrator’s telephone number 3342607774

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing THOMAS BRITT TAYLOR
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN 2018 630836770 2019-07-15 PEAK INSURANCE, 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 3348722303
Plan sponsor’s address 1003 BROAD ST, SELMA, AL, 367014509

Signature of

Role Plan administrator
Date 2019-07-15
Name of individual signing JERE D. PEAK
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN 2017 630836770 2018-07-06 PEAK INSURANCE, 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 3348722303
Plan sponsor’s address 1003 BROAD ST, SELMA, AL, 367014509

Signature of

Role Plan administrator
Date 2018-07-06
Name of individual signing JERE D. PEAK
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN 2016 630836770 2017-09-06 PEAK INSURANCE, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524140
Sponsor’s telephone number 3348722303
Plan sponsor’s address 1003 BROAD ST, SELMA, AL, 36701

Signature of

Role Plan administrator
Date 2017-09-06
Name of individual signing JERE D. PEAK

Agent

Name Role
PEAK SULFUR INC Agent

Incorporator

Name Role
HUGHES, TAMI Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State