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  5. COLLINS INSURANCE AGENCY, INC.

COLLINS INSURANCE AGENCY, INC.

Company Details

Name: COLLINS INSURANCE AGENCY, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 08 Jan 1990 (35 years ago)
Business ID: 597662
ZIP code: 38652
County: Union
State of Incorporation: MISSISSIPPI
Principal Office Address: 100 OXFORD ROADNEW ALBANY, MS 38652

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLLINS INSURANCE AGENCY 401(K) PLAN 2021 640783288 2022-10-03 COLLINS INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6625347676
Plan sponsor’s address 100 OXFORD ROAD, NEW ALBANY, MS, 38652

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-03
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature
COLLINS INSURANCE AGENCY 401(K) PLAN 2021 640783288 2022-11-15 COLLINS INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6625347676
Plan sponsor’s address 100 OXFORD ROAD, NEW ALBANY, MS, 38652

Signature of
Role Plan administrator
Date 2022-11-15
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-11-15
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature
COLLINS INSURANCE AGENCY 401(K) PLAN 2020 640783288 2021-09-29 COLLINS INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6625347676
Plan sponsor’s address 100 OXFORD ROAD, NEW ALBANY, MS, 38652

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-29
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature
COLLINS INSURANCE AGENCY 401(K) PLAN 2019 640783288 2020-10-12 COLLINS INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6625347676
Plan sponsor’s address 100 OXFORD ROAD, NEW ALBANY, MS, 38652

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-12
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature
COLLINS INSURANCE AGENCY 401(K) PLAN 2018 640783288 2019-09-19 COLLINS INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6625347676
Plan sponsor’s address 100 OXFORD ROAD, NEW ALBANY, MS, 38652

Signature of
Role Plan administrator
Date 2019-09-19
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-19
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature
COLLINS INSURANCE AGENCY 401(K) PLAN 2017 640783288 2018-09-21 COLLINS INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 6625347676
Plan sponsor’s address 100 OXFORD ROAD, NEW ALBANY, MS, 38652

Signature of
Role Plan administrator
Date 2018-09-21
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-21
Name of individual signing RAY COLLINS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RAY G COLLINS Agent 500 W BANKHEAD ST, PO BOX 969, NEW ALBANY, MS 38652

Incorporator

Name Role Address
Fred Joe Vann Jr Incorporator 407 Waldron St, P O Box 789, Corinth, MS 38834
Van E Hedges Incorporator 407 Waldron St, P O Box 789, Corinth, MS 38835-789

Director

Name Role Address
Ray G Collins Director PO Box 969, New Albany, MS 38652

President

Name Role Address
Ray G Collins President PO Box 969, New Albany, MS 38652

Filings

Type Status Filed Date Description
Dissolution Filed 2023-03-10 Dissolution For COLLINS INSURANCE AGENCY, INC.
Annual Report Filed 2023-03-01 Annual Report For COLLINS INSURANCE AGENCY, INC.
Annual Report Filed 2022-02-07 Annual Report For COLLINS INSURANCE AGENCY, INC.
Annual Report Filed 2021-03-18 Annual Report For COLLINS INSURANCE AGENCY, INC.
Annual Report Filed 2020-03-30 Annual Report For COLLINS INSURANCE AGENCY, INC.
Annual Report Filed 2019-04-12 Annual Report For COLLINS INSURANCE AGENCY, INC.
Annual Report Filed 2018-03-15 Annual Report For COLLINS INSURANCE AGENCY, INC.
Annual Report Filed 2017-04-24 Annual Report For COLLINS INSURANCE AGENCY, INC.
Annual Report Filed 2016-04-16 Annual Report For COLLINS INSURANCE AGENCY, INC.
Annual Report Filed 2015-03-26 Annual Report For COLLINS INSURANCE AGENCY, INC.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4726217104 2020-04-13 0470 PPP 100 OXFORD RD, NEW ALBANY, MS, 38652-3113
Loan Status Date 2021-02-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 71600
Loan Approval Amount (current) 71600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39728
Servicing Lender Name The Peoples Bank
Servicing Lender Address 305 E Jefferson St, RIPLEY, MS, 38663-2021
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address NEW ALBANY, UNION, MS, 38652-3113
Project Congressional District MS-01
Number of Employees 11
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 39728
Originating Lender Name The Peoples Bank
Originating Lender Address RIPLEY, MS
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 72135.53
Forgiveness Paid Date 2021-01-14
7966048307 2021-01-29 0470 PPS 100 Oxford Rd, New Albany, MS, 38652-3113
Loan Status Date 2021-09-25
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 71600
Loan Approval Amount (current) 71600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39728
Servicing Lender Name The Peoples Bank
Servicing Lender Address 305 E Jefferson St, RIPLEY, MS, 38663-2021
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address New Albany, UNION, MS, 38652-3113
Project Congressional District MS-01
Number of Employees 6
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 39728
Originating Lender Name The Peoples Bank
Originating Lender Address RIPLEY, MS
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 72013.91
Forgiveness Paid Date 2021-09-01

Related by officers

RAY G COLLINS

ROGERS INSURANCE AGENCY, INC. Collins Real Estate, LLC

Van E Hedges

SOUTHERN INSURANCE CONSULTING, INC. Vino del Sol, Inc. Providence Homes Two, Inc. Kura Selections, Inc. HHH Investments of MS, LLC

Related by address

100 OXFORD ROADNEW ALBANY, MS 38652

Collins Real Estate, LLC

Date of last update: 22 Apr 2025

Sources: Mississippi Secretary of State

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