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  5. W. KEITH FLORQUIST INSURANCE AGENCY, INC.

W. KEITH FLORQUIST INSURANCE AGENCY, INC.

Company Details

Name: W. KEITH FLORQUIST INSURANCE AGENCY, INC.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Voluntarily Dissolved
Date of registration: 24 Jul 2000 (24 years ago)
Date dissolved: 31 Dec 2011
Entity Number: 20001143630
ZIP code: 80228
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 12810 W Alameda Pkwy Unit D Lakewood CO 80228 US
Mailing Address: 3405 W Bayview St Wichita KS 67204 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
W. KEITH FLORQUIST INSURANCE AGENCY, INC. 401(K) PLAN 2011 841567312 2012-07-02 W. KEITH FLORQUIST INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3039858718
Plan sponsor’s address 12810 W. ALAMEDA PARKWAY, UNIT D, LAKEWOOD, CO, 80228

Plan administrator’s name and address
Administrator’s EIN 841567312
Plan administrator’s name W. KEITH FLORQUIST INSURANCE AGENCY, INC.
Plan administrator’s address 12810 W. ALAMEDA PARKWAY, UNIT D, LAKEWOOD, CO, 80228
Administrator’s telephone number 3039858718

Signature of
Role Plan administrator
Date 2012-07-02
Name of individual signing W KEITH FLORQUIST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-02
Name of individual signing W KEITH FLORQUIST
Valid signature Filed with authorized/valid electronic signature
W. KEITH FLORQUIST INSURANCE AGENCY, INC. 401(K) PLAN 2011 841567312 2012-06-26 W. KEITH FLORQUIST INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3039858718
Plan sponsor’s address 12810 W. ALAMEDA PARKWAY, UNIT D, LAKEWOOD, CO, 80228

Plan administrator’s name and address
Administrator’s EIN 841567312
Plan administrator’s name W. KEITH FLORQUIST INSURANCE AGENCY, INC.
Plan administrator’s address 12810 W. ALAMEDA PARKWAY, UNIT D, LAKEWOOD, CO, 80228
Administrator’s telephone number 3039858718

Signature of
Role Plan administrator
Date 2012-06-26
Name of individual signing W KEITH FLORQUIST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-26
Name of individual signing W KEITH FLORQUIST
Valid signature Filed with authorized/valid electronic signature
W. KEITH FLORQUIST INSURANCE AGENCY, INC. 401(K) PLAN 2010 841567312 2011-06-02 W. KEITH FLORQUIST INSURANCE AGENCY, INC. 4
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3039858718
Plan sponsor’s address 12018 W. JEWELL AVENUE, LAKEWOOD, CO, 80228

Plan administrator’s name and address
Administrator’s EIN 841567312
Plan administrator’s name W. KEITH FLORQUIST INSURANCE AGENCY, INC.
Plan administrator’s address 12018 W. JEWELL AVENUE, LAKEWOOD, CO, 80228
Administrator’s telephone number 3039858718

Signature of
Role Plan administrator
Date 2011-06-02
Name of individual signing W. KEITH FLORQUIST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-02
Name of individual signing W. KEITH FLORQUIST
Valid signature Filed with authorized/valid electronic signature
W. KEITH FLORQUIST INSURANCE AGENCY, INC. 401(K) PLAN 2010 841567312 2011-06-06 W. KEITH FLORQUIST INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3039858718
Plan sponsor’s address 12018 W. ALAMEDA PARKWAY, UNIT D, LAKEWOOD, CO, 80228

Plan administrator’s name and address
Administrator’s EIN 841567312
Plan administrator’s name W. KEITH FLORQUIST INSURANCE AGENCY, INC.
Plan administrator’s address 12018 W. ALAMEDA PARKWAY, UNIT D, LAKEWOOD, CO, 80228
Administrator’s telephone number 3039858718

Signature of
Role Plan administrator
Date 2011-06-06
Name of individual signing KEITH FLORQUIST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-06
Name of individual signing KEITH FLORQUIST
Valid signature Filed with authorized/valid electronic signature
W. KEITH FLORQUIST INSURANCE AGENCY, INC. 401(K) PLAN 2009 841567312 2010-09-14 W. KEITH FLORQUIST INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3039858718
Plan sponsor’s address 12018 W. JEWELL AVENUE, LAKEWOOD, CO, 80228

Plan administrator’s name and address
Administrator’s EIN 841567312
Plan administrator’s name W. KEITH FLORQUIST INSURANCE AGENCY, INC.
Plan administrator’s address 12018 W. JEWELL AVENUE, LAKEWOOD, CO, 80228
Administrator’s telephone number 3039858718

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing WALTER KEITH FLORQUIST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-14
Name of individual signing WALTER KEITH FLORQUIST
Valid signature Filed with authorized/valid electronic signature
W. KEITH FLORQUIST INSURANCE AGENCY, INC. 401(K) PLAN 2009 841567312 2010-07-05 W. KEITH FLORQUIST INSURANCE AGENCY, INC. 3
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3039858718
Plan sponsor’s address 12018 W. JEWELL AVENUE, LAKEWOOD, CO, 80228

Plan administrator’s name and address
Administrator’s EIN 841567312
Plan administrator’s name W. KEITH FLORQUIST INSURANCE AGENCY, INC.
Plan administrator’s address 12018 W. JEWELL AVENUE, LAKEWOOD, CO, 80228
Administrator’s telephone number 3039858718

Signature of
Role Plan administrator
Date 2010-07-05
Name of individual signing WALTER KEITH FLORQUIST
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-05
Name of individual signing WALTER KEITH FLORQUIST
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
W Keith Florquist Agent 12810 W Alameda Pkwy Unit D Lakewood CO 80228 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20111694533 Dissolve a Profit Corporation 2011-12-19 2011-12-31 W. KEITH FLORQUIST INSURANCE AGENCY, INC., Dissolved December 31, 2011 No data
20111249218 File Report 2011-04-26 2011-04-26 No data Change of Registered Agent Address / Change of Entity Address
20101520535 File Report 2010-09-20 2010-09-20 No data No data
20091343981 File Report 2009-06-25 2009-06-25 No data No data
20081376764 File Report 2008-07-15 2008-07-15 No data No data
20071319811 File Report 2007-07-11 2007-07-11 No data No data
20061379438 File Report 2006-09-18 2006-09-18 No data No data
20051208871 Articles of Reinstatement 2005-05-24 2005-05-24 W. KEITH FLORQUIST INSURANCE AGENCY, INC. No data
20001143630 Articles of Incorporation 2000-07-24 2000-07-24 W. KEITH FLORQUIST INSURANCE AGENCY, INC. W. KEITH FLORQUIST INSURANCE AGENCY, INC.

Related by officers

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Related by address

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Date of last update: 13 Jan 2025

Sources: Colorado's Secretary of State

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