Search icon

Scott Bristol Insurance Agency, Inc.

Company Details

Name: Scott Bristol Insurance Agency, Inc.
Jurisdiction: Colorado
Legal type: Domestic profit corporation
Status: Good Standing
Date of registration: 26 Mar 2012 (13 years ago)
Entity Number: 20121181423
ZIP code: 80403
County: Jefferson County
Place of Formation: COLORADO
Principal Address: 112 N Rubey Dr Unit 110 Golden CO 80403 US

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCOTT BRISTOL INSURANCE AGENCY INC 401K PLAN 2023 454886221 2024-04-17 SCOTT BRISTOL INSURANCE AGENCY INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3033840777
Plan sponsor’s address 112 N. RUBEY DR., SUITE #110, GOLDEN, CO, 80403

Signature of

Role Plan administrator
Date 2024-04-17
Name of individual signing SCOTT BRISTOL
Valid signature Filed with authorized/valid electronic signature
SCOTT BRISTOL INSURANCE AGENCY INC 401K PLAN 2022 454886221 2023-04-21 SCOTT BRISTOL INSURANCE AGENCY INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3033840777
Plan sponsor’s address 112 N. RUBEY DR., SUITE #110, GOLDEN, CO, 80403

Signature of

Role Plan administrator
Date 2023-04-21
Name of individual signing SCOTT BRISTOL
Valid signature Filed with authorized/valid electronic signature
SCOTT BRISTOL INSURANCE AGENCY INC 401K PLAN 2021 454886221 2022-05-09 SCOTT BRISTOL INSURANCE AGENCY INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3033840777
Plan sponsor’s address 112 N. RUBEY DR., SUITE #110, GOLDEN, CO, 80403

Signature of

Role Plan administrator
Date 2022-05-09
Name of individual signing SCOTT BRISTOL
Valid signature Filed with authorized/valid electronic signature
SCOTT BRISTOL INSURANCE AGENCY INC 401K PLAN 2020 454886221 2021-05-26 SCOTT BRISTOL INSURANCE AGENCY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3033840777
Plan sponsor’s address 112 N. RUBEY DR., SUITE #110, GOLDEN, CO, 80403

Signature of

Role Plan administrator
Date 2021-05-26
Name of individual signing SCOTT BRISTOL
Valid signature Filed with authorized/valid electronic signature
SCOTT BRISTOL INSURANCE AGENCY INC 401K PLAN 2019 454886221 2020-05-18 SCOTT BRISTOL INSURANCE AGENCY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 3033840777
Plan sponsor’s address 112 N. RUBEY DR., SUITE #110, GOLDEN, CO, 80403

Signature of

Role Plan administrator
Date 2020-05-18
Name of individual signing SCOTT BRISTOL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-18
Name of individual signing SCOTT BRISTOL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Scott R Bristol Agent 112 N Rubey Dr Unit 110 Golden CO 80403 US

Transaction History

Transaction ID Type Date Effective date Name Comment
20241209368 File Report 2024-02-23 2024-02-23 No data Principal address changed, Change in registered agent information
20231217274 File Report 2023-02-24 2023-02-24 No data Principal address changed, Change in registered agent information
20221183022 File Report 2022-02-23 2022-02-23 No data No data
20211170955 File Report 2021-02-23 2021-02-23 No data No data
20201170136 File Report 2020-02-24 2020-02-24 No data No data
20191151453 File Report 2019-02-23 2019-02-23 No data No data
20181953658 Statement of Correction Correcting the Entity Name 2018-12-05 2018-12-05 Scott Bristol Insurance Agency, Inc. Correction of entity name
20181951773 Amend Articles of Incorporation for a Profit Corporation 2018-12-04 2018-12-04 Scott Bristol Agency, Inc. Change of entity name
20181160150 File Report 2018-02-25 2018-02-25 No data No data
20171145965 File Report 2017-02-23 2017-02-23 No data No data

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8188667709 2020-05-01 0811 PPP 112 RUBEY DR N, GOLDEN, CO, 80403
Loan Status Date 2020-12-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64545
Loan Approval Amount (current) 64545
Undisbursed Amount 0
Franchise Name -
Lender Location ID 53803
Servicing Lender Name U.S. Bank, National Association
Servicing Lender Address 425 Walnut St, CINCINNATI, OH, 45202-3956
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address GOLDEN, JEFFERSON, CO, 80403-0100
Project Congressional District CO-07
Number of Employees 4
NAICS code 524210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 53803
Originating Lender Name U.S. Bank, National Association
Originating Lender Address CINCINNATI, OH
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 64883.86
Forgiveness Paid Date 2020-11-17

Date of last update: 17 Feb 2025

Sources: Colorado's Secretary of State