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  5. EMBREY INSURANCE AGENCY, INC.

EMBREY INSURANCE AGENCY, INC.

Company Details

Name: EMBREY INSURANCE AGENCY, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 23 Feb 1982 (43 years ago)
Business ID: 500795
ZIP code: 38671
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 1645 Stonehedge DrSouthaven, MS 38671

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMBREY INSURANCE AGENCY, INC. RETIREMENT PLAN 2023 640663233 2024-12-04 EMBREY INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P.O. BOX 312, COLDWATER, MS, 38618

Signature of
Role Plan administrator
Date 2024-12-04
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
EMBREY INSURANCE AGENCY, INC. RETIREMENT PLAN 2022 640663233 2023-09-18 EMBREY INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P.O. BOX 312, COLDWATER, MS, 38618

Signature of
Role Plan administrator
Date 2023-09-18
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
EMBREY INSURANCE AGENCY, INC. RETIREMENT PLAN 2021 640663233 2022-07-25 EMBREY INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P.O. BOX 312, COLDWATER, MS, 38618

Signature of
Role Plan administrator
Date 2022-07-25
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
EMBREY INSURANCE AGENCY, INC. RETIREMENT PLAN 2020 640663233 2021-04-26 EMBREY INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P.O. BOX 312, COLDWATER, MS, 38618

Signature of
Role Plan administrator
Date 2021-04-26
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
EMBREY INSURANCE AGENCY, INC. RETIREMENT PLAN 2019 640663233 2020-06-24 EMBREY INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P.O. BOX 312, COLDWATER, MS, 38618

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
EMBREY INSURANCE AGENCY, INC. RETIREMENT PLAN 2018 640663233 2019-07-02 EMBREY INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P.O. BOX 312, COLDWATER, MS, 38618

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
EMBREY INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2017 640663233 2018-12-14 EMBREY INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P.O. BOX 312, COLDWATER, MS, 38618

Signature of
Role Plan administrator
Date 2018-12-14
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
EMBREY INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2016 640663233 2017-10-02 EMBREY INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P.O. BOX 312, COLDWATER, MS, 38618

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
EMBREY INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2015 640663233 2016-07-12 EMBREY INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P.O. BOX 312, COLDWATER, MS, 38618

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
EMBREY INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2014 640663233 2015-12-09 EMBREY INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P.O. BOX 312, COLDWATER, MS, 38618

Signature of
Role Plan administrator
Date 2015-12-09
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/28/20130628164409P030099162309001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P O BOX 312, COLDWATER, MS, 38618

Signature of
Role Plan administrator
Date 2013-06-28
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-28
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/04/20120904142828P030045685282001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P O BOX 312, COLDWATER, MS, 38618

Plan administrator’s name and address
Administrator’s EIN 640663233
Plan administrator’s name EMBREY INSURANCE AGENCY, INC.
Plan administrator’s address 440 CENTRAL AVENUE, COLDWATER, MS, 38618
Administrator’s telephone number 6626227225

Signature of
Role Plan administrator
Date 2012-09-04
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/28/20110328092805P040010454199001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address P O BOX 312, COLDWATER, MS, 38618

Plan administrator’s name and address
Administrator’s EIN 640663233
Plan administrator’s name EMBREY INSURANCE AGENCY, INC.
Plan administrator’s address 440 CENTRAL AVENUE, COLDWATER, MS, 38618
Administrator’s telephone number 6626227225

Signature of
Role Plan administrator
Date 2011-03-28
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/11/01/20101101113754P030000464311001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1987-03-01
Business code 524210
Sponsor’s telephone number 6626227225
Plan sponsor’s address 440 CENTRAL AVENUE, COLDWATER, MS, 38618

Plan administrator’s name and address
Administrator’s EIN 640663233
Plan administrator’s name EMBREY INSURANCE AGENCY, INC.
Plan administrator’s address 440 CENTRAL AVENUE, COLDWATER, MS, 38618
Administrator’s telephone number 6626227225

Signature of
Role Plan administrator
Date 2010-11-01
Name of individual signing CARY EMBREY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
EARL CARY EMBREY Agent 440 CENTRAL AVENUE, COLDWATER, MS 38618

Incorporator

Name Role Address
Earl Cary Embrey Incorporator 440 Central Avenue, Coldwater, MS 38618
Earl Embrey Incorporator 440 Central Avenue, Coldwater, MS

Director

Name Role Address
Earl Cary Embrey Director 440 Central Avenue, Coldwater, MS 38618
Candace Embrey Director 440 Central Ave, Coldwater, MS 38618
Earl Embrey Director 440 Central Ave, Coldwater, MS 38618

President

Name Role Address
Earl Cary Embrey President 440 Central Avenue, Coldwater, MS 38618

Vice President

Name Role Address
Cecily Embrey Vice President 440 Central Ave, Coldwater, MS 38618

Secretary

Name Role Address
Candace Embrey Secretary 440 Central Ave, Coldwater, MS 38618

Treasurer

Name Role Address
Candace Embrey Treasurer 440 Central Ave, Coldwater, MS 38618

Filings

Type Status Filed Date Description
Annual Report Filed 2024-01-23 Annual Report For EMBREY INSURANCE AGENCY, INC.
Annual Report Filed 2023-03-15 Annual Report For EMBREY INSURANCE AGENCY, INC.
Annual Report Filed 2022-02-17 Annual Report For EMBREY INSURANCE AGENCY, INC.
Annual Report Filed 2021-04-23 Annual Report For EMBREY INSURANCE AGENCY, INC.
Annual Report Filed 2020-01-15 Annual Report For EMBREY INSURANCE AGENCY, INC.
Annual Report Filed 2019-04-11 Annual Report For EMBREY INSURANCE AGENCY, INC.
Annual Report Filed 2018-06-13 Annual Report For EMBREY INSURANCE AGENCY, INC.
Annual Report Filed 2017-06-07 Annual Report For EMBREY INSURANCE AGENCY, INC.
Annual Report Filed 2016-04-12 Annual Report For EMBREY INSURANCE AGENCY, INC.
Annual Report Filed 2015-04-28 Annual Report For EMBREY INSURANCE AGENCY, INC.

Related by officers

Earl Cary Embrey

CCE Bluff, LLC HICKAHALA LLC

Related by address

No related companies by address

Date of last update: 18 Dec 2024

Sources: Mississippi Secretary of State

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