Is FIVE LAKES AGENCY Inc. active?

No — FIVE LAKES AGENCY Inc. is no longer active. The District of Columbia registry lists it as revoked, as of the 2026-07-15 source snapshot. The status is republished verbatim from the Secretary of State record.

Where is FIVE LAKES AGENCY Inc. registered?

FIVE LAKES AGENCY Inc. is registered in District of Columbia under company number C0000002309, first registered on September 26, 2011.

What type of company is FIVE LAKES AGENCY Inc.?

FIVE LAKES AGENCY Inc. is registered as a corporation with the District of Columbia Secretary of State.

Where is FIVE LAKES AGENCY Inc. registered to do business?

Beyond its District of Columbia registration, linked records — same legal name plus a shared officer, agent, address or home state — appear in 50 other state registers, including 49 foreign qualifications in Alaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Florida and 37 more. Each is listed in the filings section above.

Who are the officers and directors of FIVE LAKES AGENCY Inc.?

The District of Columbia registry lists 1 person for FIVE LAKES AGENCY Inc.: Kelly Bean (owner). The full list is in the officers & directors section above.

How many employees does FIVE LAKES AGENCY Inc. have?

FIVE LAKES AGENCY Inc. has an estimated 24 employees as of plan year 2017 — a modeled figure derived from the retirement-plan participant counts in its DOL Form 5500 filings, not an official headcount.

Does FIVE LAKES AGENCY Inc. offer a 401(k) plan?

Yes — Form 5500 filings with the Department of Labor show FIVE LAKES AGENCY Inc. sponsors a 401(k) retirement plan, with reported plan assets of $88,711. Filings span 2013–2017. Details are in the Form 5500 section above.

Does FIVE LAKES AGENCY Inc. have UCC liens?

No UCC financing statements name FIVE LAKES AGENCY Inc. as debtor in the indexed state registries.

In which states is FIVE LAKES AGENCY Inc. registered with the Secretary of State?

FIVE LAKES AGENCY Inc. appears in 48 state business registers: District of Columbia, Alaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii and 36 more. District of Columbia is the home registration; the rest are foreign qualifications or linked filings, each listed in the filings section above.

Is FIVE LAKES AGENCY Inc. a federal contractor?

No federal contract awards or SAM.gov recipient records are matched to FIVE LAKES AGENCY Inc. in the indexed federal datasets.

Does FIVE LAKES AGENCY Inc. hold any licenses?

13 license and credential records are matched to FIVE LAKES AGENCY Inc. (8 state, 5 local). Each license, its type and issuing authority is listed in the Licenses section above.

What is the EIN of FIVE LAKES AGENCY Inc.?

The Employer Identification Number (EIN) on record for FIVE LAKES AGENCY Inc. is 451656869.

What public records are linked to FIVE LAKES AGENCY Inc.?

19 public records are linked to FIVE LAKES AGENCY Inc.: 1 in Filings, 13 in Licenses & authorities, 5 in 401(k) — matched across federal, state and municipal registers by its registered legal names.

Where does this data come from?

Every fact on this profile is republished from official public registers — Secretary of State filings, UCC indexes and federal datasets. Each section names its issuing register and the snapshot Netstate last retrieved (latest: 2026-07-15).

FIVE LAKES AGENCY Inc. — District of Columbia Corporation No. C0000002309: Revoked, 1 filing — Netstate

District of Columbia/FIVE LAKES AGENCY Inc.

FIVE LAKES AGENCY Inc.

Revoked

Type CorporationRegistered 26 September 2011 (almost 15 years ago)Company No. C0000002309Updated 2026-07-15

FIVE LAKES AGENCY Inc. is a District of Columbia corporation, registered on September 26, 2011. It is based at 901 TOWER DR, SUITE A250, TROY, MI, 48098, USA. The company has since been marked revoked on the District of Columbia register, is registered under company number C0000002309 and carries EIN 451656869. Its sole officer on record is Kelly Bean. Public records for the company include 1 SoS registration, 13 licenses and 5 Form 5500 filings. Every fact here is republished from an official public register and traces back to a primary source document.

Company number
Legal entity name	FIVE LAKES AGENCY Inc.
Principal address	901 TOWER DR, SUITE A250TROY48098MIUnited States
Registration state	District of Columbia
Status	Revoked
Formed in	Michigan (foreign registration)
Home company	FIVE LAKES AGENCY, INC. · Withdrawn
Registered	26 September 2011 (almost 15 years ago)
Officers & directors	Kelly Bean, owner
Dissolved	2019-07-15
Entity type	Corporation
Standing	not compliant

EIN	451656869

Employees (modeled)	≈24 employees2017

Registered agent	RESIGNED

Source registry	DC Department of Licensing and Consumer Protection · updated 10 August 2026

Public records	1 SoS registration

Est. revenue (modeled)	$1M2017

Secretary of State Filings

51 registrations

4Active

45Inactive

2Unknown

State	Business name	Filed	Registered agent	Officers	Status
District of ColumbiaTHIS	FIVE LAKES AGENCY Inc.	2011-09-26	RESIGNED	Kelly BeanOwner	Revoked
Filing ID C0000002309 Jurisdiction Foreign · CorporationFormed in Michigan Principal address 901 TOWER DR, SUITE A250, TROY, MI, 48098, USA Registered agent RESIGNEDRESIGNED, RESIGNED, DC Officers Kelly BeanOwner
Alaska	Five Lakes Agency, Inc.	2011-07-27	—	Kelly BeanOfficerRick HuddlestonDirector2 more	Inactive

Alabama	Five Lakes Agency, Inc.	2011-08-02	CORPORATION SERVICE COMPANY INC	—	Active

Arkansas	FIVE LAKES AGENCY, INC.	2011-07-26	AGENT RESIGNED	TOM MASONOfficerSEE FILEOfficer1 more	Revoked

Arizona	FIVE LAKES AGENCY, INC.	2011-07-27	CORPORATION SERVICE COMPANY	THOMAS MASONShareholderTOM MASONOfficer, Director4 more	Inactive

California	FIVE LAKES AGENCY, INC.	2011-07-26	NO AGENT	KELLY BEANOfficerTOM MASONOfficer	Revoked

Colorado	Five Lakes Agency, Inc.	2011-08-03	Corporation Service Company	—	Inactive

Connecticut	FIVE LAKES AGENCY, INC.	2011-08-05	—	RICK HUDDLESTONOfficerTOM MASONOfficer1 more	Revoked

District of Columbia	FIVE LAKES AGENCY Inc.	2011-03-29	RESIGNED	Bean, KellyOfficer	Revoked

Delaware	FIVE LAKES AGENCY, INC.	2011-07-26	DELAWARE SECRETARY OF STATE	—	Unknown

Florida	FIVE LAKES AGENCY, INC.	2011-07-27	CORPORATION SERVICE COMPANY	Tom MasonOfficerKelly BeanOfficer	Inactive

Georgia	FIVE LAKES AGENCY, INC.	2011-07-26	—	Tom MasonOfficerKelly BeanOfficer	Revoked

Hawaii	FIVE LAKES AGENCY, INC.	2011-07-27	—	MASON,TOMOfficer, DirectorHUDDLESTON,RICKDirector1 more	Revoked

Iowa	FIVE LAKES AGENCY, INC.	2011-07-26	—	TOM MASONOfficerKelly BeanOfficer	Inactive

Idaho	FIVE LAKES AGENCY, INC.	2011-07-26	CORPORATION SERVICE COMPANY	Rick HuddlestonDirectorKELLY ANN BEANOfficer4 more	Revoked

Illinois	FIVE LAKES AGENCY, INC.	2011-08-01	ILLINOIS CORPORATION SERVICE C	—	Revoked

Indiana	FIVE LAKES AGENCY, INC.	2011-07-26	CORPORATION SERVICE COMPANY	—	Revoked

Kansas	FIVE LAKES AGENCY, INC.	2011-08-03	CORPORATION SERVICE COMPANY	—	Suspended

Kentucky	FIVE LAKES AGENCY, INC.	2011-07-27	KY SECRETARY OF STATE	Rick HuddlestonDirectorKELLY ANN BEANOfficer1 more	Inactive

Louisiana	FIVE LAKES AGENCY, INC.	2011-07-27	CORPORATION SERVICE COMPANY	TOM MASONOfficer, DirectorRick HuddlestonDirector1 more	Inactive

Louisiana	FIVE LAKES AGENCY, INC.	2011-07-27	—	—	Active

Massachusetts	FIVE LAKES AGENCY, INC.	2011-07-27	—	TOM MASONDirector, OfficerKelly BeanOfficer1 more	Inactive

Maryland	FIVE LAKES AGENCY, INC	2011-07-27	CSC-LAWYERS INCORPORATING SERVICE COMPANY	—	Suspended

Maine	FIVE LAKES AGENCY, INC.	2011-07-26	SHANNON BUTTERFIELD	—	Withdrawn

Michigan	FIVE LAKES AGENCY, INC.	2011-03-29	DOUGLASS H SHERMETA	—	Withdrawn

Minnesota	Five Lakes Agency, Inc.	2011-07-08	Corporation Service Company	Kelly BeanOfficer	Inactive

Missouri	FIVE LAKES AGENCY, INC.	2011-07-26	(Secretary of State)	TOM MASONDirector, OfficerKelly BeanOfficer1 more	Dissolved

Mississippi	Five Lakes Agency, Inc.	2011-07-27	—	Kelly BeanOfficerTom MasonOfficer, Director1 more	Revoked

Montana	FIVE LAKES AGENCY, INC.	2011-07-27	CORPORATION SERVICE COMPANY	TOM MASONDirector, OfficerRICK HUDDLESTONDirector1 more	Revoked

North Carolina	Five Lakes Agency, Inc.	2011-07-26	—	Bean, KellyOfficerMason, TomOfficer	Unknown

North Dakota	FIVE LAKES AGENCY, INC.	2011-08-17	ND Secretary of State (N.D.C.C. § 10-01.1-13)	—	Dissolved

New Hampshire	Five Lakes Agency, Inc.	2011-07-26	CORPORATION SERVICE COMPANY	Tom MasonDirector, OfficerKelly BeanOfficer	Suspended

New Mexico	FIVE LAKES AGENCY, INC.	2011-07-27	CORPORATION SERVICE COMPANY	RICK HUDDLESTONDirectorKELLY BEANOfficer1 more	Revoked

Nevada	FIVE LAKES AGENCY, INC.	2011-07-27	—	TOM MASONOfficer, DirectorRICK HUDDLESTONDirector1 more	Revoked

New York	FIVE LAKES AGENCY, INC.	2011-08-05	—	KELLY BEANOfficer	Active

Ohio	FIVE LAKES AGENCY, INC.	2011-07-26	CORPORATION SERVICE COMPANY	—	Canceled

Oklahoma	FIVE LAKES AGENCY, INC.	2011-07-26	CORPORATION SERVICE COMPANY	—	Inactive

Oregon	FIVE LAKES AGENCY, INC.	2011-07-26	CORPORATION SERVICE COMPANY	KELLY ANN BEANOfficerTOM MASONOfficer	Inactive

Pennsylvania	Five Lakes Agency, Inc.	2011-07-27	—	—	Active

Rhode Island	Five Lakes Agency, Inc.	2011-07-26	—	KELLY BEANOfficerTOM MASONOfficer	Revoked

South Carolina	FIVE LAKES AGENCY, INC.	2011-07-26	CORPROATION SERVICE COMPANY	—	Revoked

South Dakota	FIVE LAKES AGENCY, INC.	2011-07-26	CORPORATION SERVICE COMPANY	—	Revoked

Tennessee	Five Lakes Agency, Inc.	2011-07-26	CORPORATION SERVICE COMPANY	—	Revoked

Texas	Five Lakes Agency, Inc.	2011-07-26	—	THOMAS MASONOfficerKELLY BEANDirector, Officer	Suspended

Utah	FIVE LAKES AGENCY, INC.	2011-07-26	CORPORATION SERVICE COMPANY	KELLY ANN BEANOfficerTHOMAS A MASONOfficer2 more	Inactive

Utah	FIVE LAKES AGENCY, INC.	2011-11-15	CORPORATION SERVICE COMPANY	—	Expired

Virginia	Five Lakes Agency, Inc.	2011-08-03	CORPORATION SERVICE COMPANY	KELLY A BEANOfficerTOM MASONOfficer1 more	Inactive

Vermont	FIVE LAKES AGENCY, INC.	2011-07-26	CORPORATION SERVICE COMPANY	Tom MasonOfficer, DirectorKelly BeanOfficer	Revoked

Washington	FIVE LAKES AGENCY, INC.	2011-07-27	CORPORATION SERVICE COMPANY	RICK HUDDLESTONDirectorTOM MASONDirector1 more	Dissolved

West Virginia	FIVE LAKES AGENCY, INC.	2011-07-28	—	RICK HUDDLESTONDirectorTHOMAS A. MASONOfficer2 more	Revoked

Wyoming	Five Lakes Agency, Inc.	2011-08-02	Corporation Service Company	Tom MasonOfficerKelly BeanOfficer	Revoked

Licenses & authorities

13 records

Source: DE business licenses historical · chicago business licenses · NYC dcwp historical licenses · IL professional licenses·verified at source

13 licenses

Not renewed 1Current 1AAI 3Out of business 1Not reported 7

Held in MichiganRegulated Business License 3Business 2Collection agency 1

State	License / ID	Type	Issued	Status
Illinois	017021674	COLLECTION AGENCY	2018-07-02	NOT RENEWED
business Y business name FIVE LAKES AGENCY INC businessdba — city ROCHESTER HILLS county — description LICENSED COLLECTION AGENCY effective date 07/02/2018 ever disciplined N expiration date 09/30/2021 first name — last name — lastmodifieddate 03/18/2022 license number 017021674 license status NOT RENEWED license type COLLECTION AGENCY middle — original issue date 10/30/2012 prefix — state MI suffix — title — zip 48309 Source: IL professional licenses · document dtx-licenses/07e6a779322d2f17f05ed237
—	2271397	Regulated Business License	2017-06-22	AAI
account number 383249 address 901 TOWER DR A250 application requirements complete 2017-05-15T00:00:00.000 application type RENEW business activity Debt Collecting - Administrative Commercial Office business activity id 912 city TROY conditional approval N date issued 2017-06-22T00:00:00.000 doing business as name Five Lakes Agency, Inc. expiration date 2019-07-15T00:00:00.000 id 2271397-20170716 legal name Five Lakes Agency, Inc. license approved for issuance 2017-06-21T00:00:00.000 license code 4404 license description Regulated Business License license id 2534114 license number 2271397 license start date 2017-07-16T00:00:00.000 license status AAI payment date 2017-06-21T00:00:00.000 site number 1 state MI zip code 48098 Source: chicago business licenses · document dtx-licenses/31ff1d37ea1359e17800daf5
—	2271397	Regulated Business License	2015-06-12	AAI
account number 383249 address 901 TOWER DR A250 application requirements complete 2015-05-15T00:00:00.000 application type RENEW business activity Debt Collecting - Administrative Commercial Office business activity id 912 city TROY conditional approval N date issued 2015-06-12T00:00:00.000 doing business as name Five Lakes Agency, Inc. expiration date 2017-07-15T00:00:00.000 id 2271397-20150716 legal name Five Lakes Agency, Inc. license approved for issuance 2015-06-11T00:00:00.000 license code 4404 license description Regulated Business License license id 2404039 license number 2271397 license start date 2015-07-16T00:00:00.000 license status AAI payment date 2015-06-11T00:00:00.000 site number 1 state MI zip code 48098 Source: chicago business licenses · document dtx-licenses/a9f025b02aca69dddeec7a84
—	2271397	Regulated Business License	2013-07-11	AAI
account number 383249 address 901 TOWER DR A250 application requirements complete 2013-07-10T00:00:00.000 application type ISSUE business activity Debt Collecting - Administrative Commercial Office business activity id 912 city TROY conditional approval N date issued 2013-07-11T00:00:00.000 doing business as name Five Lakes Agency, Inc. expiration date 2015-07-15T00:00:00.000 id 2271397-20130711 legal name Five Lakes Agency, Inc. license approved for issuance 2013-07-10T00:00:00.000 license code 4404 license description Regulated Business License license id 2271397 license number 2271397 license start date 2013-07-11T00:00:00.000 license status AAI payment date 2013-07-10T00:00:00.000 site number 1 state MI zip code 48098 Source: chicago business licenses · document dtx-licenses/47ae7324739276bb88f8bd25
Delaware	2012100876	—	—	Unknown
address 2 901 TOWER DR STE A250 business name FIVE LAKES AGENCY INC category MERCANTILE OR COLLECTION AGENCY city TROY current license valid from 2017-01-01T00:00:00.000 current license valid to 2017-12-31T00:00:00.000 geocoded location latitude: 42.595932 · longitude: -83.166435 · human address: address: 901 TOWER DR STE A250 · city: TROY · state: MI · zip: 48098-2816 license number 2012100876 snapshot date 2016-12-31T00:00:00.000 state MI zip 48098-2816 Source: DE business licenses historical · document dtx-licenses/bc38b71227dae8694bd1edee
Delaware	2012100876	—	—	Unknown
address 2 901 TOWER DR STE A250 business name FIVE LAKES AGENCY INC category MERCANTILE OR COLLECTION AGENCY city TROY current license valid from 2013-01-01T00:00:00.000 current license valid to 2015-12-31T00:00:00.000 geocoded location latitude: 42.595932 · longitude: -83.166435 · human address: address: 901 TOWER DR STE A250 · city: TROY · state: MI · zip: 48098-2816 license number 2012100876 snapshot date 2014-12-31T00:00:00.000 state MI zip 48098-2816 Source: DE business licenses historical · document dtx-licenses/0eb8bf3adbe33026459cf0e8
Delaware	2012100876	—	—	Unknown
address 2 901 TOWER DR STE A250 business name FIVE LAKES AGENCY INC category MERCANTILE OR COLLECTION AGENCY city TROY current license valid from 2013-01-01T00:00:00.000 current license valid to 2015-12-31T00:00:00.000 geocoded location latitude: 42.595932 · longitude: -83.166435 · human address: address: 901 TOWER DR STE A250 · city: TROY · state: MI · zip: 48098-2816 license number 2012100876 snapshot date 2013-12-31T00:00:00.000 state MI zip 48098-2816 Source: DE business licenses historical · document dtx-licenses/b55021ef6f9626de0e42b88b
Delaware	2012100876	—	—	Unknown
address 2 13193 WINDHAM DR business name FIVE LAKES AGENCY INC category MERCANTILE OR COLLECTION AGENCY city WASHINGTON current license valid from 2018-01-01T00:00:00.000 current license valid to 2020-12-31T00:00:00.000 geocoded location latitude: 42.720656 · longitude: -83.002295 · human address: address: 13193 WINDHAM DR · city: WASHINGTON · state: MI · zip: 480943175 license number 2012100876 snapshot date 2017-12-31T00:00:00.000 state MI zip 480943175 Source: DE business licenses historical · document dtx-licenses/000fa469368e9424f1e5daa4
Delaware	2012100876	—	—	Unknown
address 2 13193 WINDHAM DR business name FIVE LAKES AGENCY INC category MERCANTILE OR COLLECTION AGENCY city WASHINGTON current license valid from 2018-01-01T00:00:00.000 current license valid to 2020-12-31T00:00:00.000 geocoded location latitude: 42.720656 · longitude: -83.002295 · human address: address: 13193 WINDHAM DR · city: WASHINGTON · state: MI · zip: 480943175 license number 2012100876 snapshot date 2018-12-31T00:00:00.000 state MI zip 480943175 Source: DE business licenses historical · document dtx-licenses/82eb26b373c1914f7f91afce
Delaware	2012100876	—	—	Unknown
address 2 901 TOWER DR STE A250 business name FIVE LAKES AGENCY INC category MERCANTILE OR COLLECTION AGENCY city TROY current license valid from 2016-01-01T00:00:00.000 current license valid to 2016-12-31T00:00:00.000 geocoded location latitude: 42.595932 · longitude: -83.166435 · human address: address: 901 TOWER DR STE A250 · city: TROY · state: MI · zip: 48098-2816 license number 2012100876 snapshot date 2015-12-31T00:00:00.000 state MI zip 48098-2816 Source: DE business licenses historical · document dtx-licenses/aeb8986224bbcf47ae6428f9

401(k)

10 records

Source: DOL Form 5500 series (EBSA) · DOL form 5500·verified at source

Employee-benefit plan filings by FIVE LAKES AGENCY Inc. with the Department of Labor. Employee and revenue figures are modeled estimates derived from retirement-plan participant counts and industry ratios — not official headcount or reported revenue.

Employees (modeled)	≈24 · plan year 2017
Est. annual revenue (modeled)	$1M
Retirement plan assets	$88,711
Benefit plans	401(k) plan on file
Filing history	5 plan years filed, 2013–2017
Sponsor EIN	45-1656869

$525K

2013

$1.3M

2014

$1.1M

2015

$752K

2016

$1M

2017

Modeled annual revenue for FIVE LAKES AGENCY Inc. by plan year, estimated from Form 5500 participant counts.

Plan year	Employees (est.)	Participants	Plan assets	Revenue (est.)	401(k)
2017	≈24	26 (22 active)	$88,711	$1M	401(k)
active participants 22 ein 451656869 employees est 24 estimate method v1-uncalibrated-2026-08-17 final filings 0 first filings 0 has 401k true has pension plan true has welfare plan false headcount basis active headcount suspect false is operating employer true last received 2018-10-16 naics 561440 naics rpe level 561440 naics rpe usd 146594.6 name FIVE LAKES AGENCY INC participant contrib usd 7039 payroll est usd 100557 plan assets usd 88711 plan count 1 revenue est headcount usd 3518270 revenue est payroll usd 292147 revenue est usd 1013830 signer name SHANNON BUTTERFIELD state MI total participants 26 year 2017 Source: DOL Form 5500 series (EBSA) · plan year 2017 · EIN 45-1656869
2016	≈23	24 (21 active)	$71,115	$752,177	401(k)
active participants 21 ein 451656869 employees est 23 estimate method v1-uncalibrated-2026-08-17 final filings 0 first filings 0 has 401k true has pension plan true has welfare plan false headcount basis active headcount suspect false is operating employer true last received 2017-07-31 naics 561440 naics rpe level 561440 naics rpe usd 146594.6 name FIVE LAKES AGENCY INC participant contrib usd 4043 payroll est usd 57757 plan assets usd 71115 plan count 1 revenue est headcount usd 3371676 revenue est payroll usd 167801 revenue est usd 752177 signer name SHANNON BUTTERFIELD state MI total participants 24 year 2016 Source: DOL Form 5500 series (EBSA) · plan year 2016 · EIN 45-1656869
2015	≈27	26 (24 active)	$60,685	$1.1M	401(k)
active participants 24 ein 451656869 employees est 27 estimate method v1-uncalibrated-2026-08-17 final filings 0 first filings 0 has 401k true has pension plan true has welfare plan false headcount basis active headcount suspect false is operating employer true last received 2017-01-27 naics 561440 naics rpe level 561440 naics rpe usd 146594.6 name FIVE LAKES AGENCY INC participant contrib usd 7281 payroll est usd 104014 plan assets usd 60685 plan count 1 revenue est headcount usd 3958054 revenue est payroll usd 302191 revenue est usd 1093658 signer name SHANNON BUTTERFIELD state MI total participants 26 year 2015 Source: DOL Form 5500 series (EBSA) · plan year 2015 · EIN 45-1656869
2014	≈30	29 (27 active)	$54,509	$1.3M	401(k)
active participants 27 ein 451656869 employees est 30 estimate method v1-uncalibrated-2026-08-17 final filings 0 first filings 0 has 401k true has pension plan true has welfare plan false headcount basis active headcount suspect false is operating employer true last received 2015-10-14 naics 541190 naics rpe level 54119 naics rpe usd 190674.3 name FIVE LAKES AGENCY INC participant contrib usd 7052 payroll est usd 100743 plan assets usd 54509 plan count 1 revenue est headcount usd 5720229 revenue est payroll usd 273981 revenue est usd 1251892 state MI total participants 29 year 2014 Source: DOL Form 5500 series (EBSA) · plan year 2014 · EIN 45-1656869
2013	≈8	23 (7 active)	$7,029	$525,123	401(k)
active participants 7 ein 451656869 employees est 8 estimate method v1-uncalibrated-2026-08-17 final filings 0 first filings 1 has 401k true has pension plan true has welfare plan false headcount basis active headcount suspect false is operating employer true last received 2014-10-15 naics 541190 naics rpe level 54119 naics rpe usd 190674.3 name FIVE LAKES AGENCY INC participant contrib usd 4653 payroll est usd 66471 plan assets usd 7029 plan count 1 revenue est headcount usd 1525394 revenue est payroll usd 180776 revenue est usd 525123 state MI total participants 23 year 2013 Source: DOL Form 5500 series (EBSA) · plan year 2013 · EIN 45-1656869

Matched Form 5500 filing records:

Plan	Plan year	Participants	EIN
FIVE LAKES AGENCY INC 401(K)	—	—	—
ack id 20170731223833P040067209783001 admin ein — admin name — business code 561440 date received 2017-07-31 filing status FILING_RECEIVED filing year 2016 form type 5500_SF is 401k plan — pension benefit code 2E2F2G2J2K2T3D plan effective date 2012-01-01 plan name FIVE LAKES AGENCY INC 401(K) plan number 001 plan year begin date 2016-01-01 sponsor address1 901 TOWN DR SUITE 250A sponsor address2 — sponsor city TROY sponsor dba name — sponsor ein 451656869 sponsor name FIVE LAKES AGENCY INC sponsor phone 2485191753 sponsor state MI sponsor zip 48098 tax period 2016-12-31 total assets boy 60685 total assets eoy 71115 total participants boy 24 welfare benefit code — Source: DOL form 5500 · document dol-5500/
FIVE LAKES AGENCY INC 401(K) 901 TOWER DRIVE STE 250 TROY MI 48098	—	—	—
ack id 20141015085927P030018600303001 active participants 7 admin ein — admin name — business code 541190 date received 2014-10-15 filing status FILING_RECEIVED filing year 2013 form type 5500 pension benefit code 2E2F2G2J2J3D plan effective date 2012-01-01 plan name FIVE LAKES AGENCY INC 401(K) 901 TOWER DRIVE STE 250 TROY MI 48098 plan number 001 plan year begin date 2013-01-01 sponsor address1 901 TOWER DRIVE STE 250 sponsor address2 — sponsor city TROY sponsor dba name — sponsor ein 451656869 sponsor name FIVE LAKES AGENCY INC sponsor phone 2485191746 sponsor state MI sponsor zip 48098 tax period 2013-12-31 total participants boy 23 welfare benefit code — Source: DOL form 5500 · document dol-5500/
FIVE LAKES AGENCY INC 401(K) 901 TOWER DRIVE STE 250 TROY MI 48098	—	—	—
ack id 20151014123027P040048464609001 admin ein — admin name — business code 541190 date received 2015-10-14 filing status FILING_RECEIVED filing year 2014 form type 5500_SF pension benefit code 2E2F2G2J2J3D plan effective date 2012-01-01 plan name FIVE LAKES AGENCY INC 401(K) 901 TOWER DRIVE STE 250 TROY MI 48098 plan number 001 plan year begin date 2014-01-01 sponsor address1 901 TOWER DRIVE STE 250A sponsor address2 — sponsor city TROY sponsor dba name — sponsor ein 451656869 sponsor name FIVE LAKES AGENCY INC sponsor phone 2485191746 sponsor state MI sponsor zip 48098 tax period 2014-12-31 total assets boy 7029 total assets eoy 54509 total participants boy 29 welfare benefit code — Source: DOL form 5500 · document dol-5500/
FIVE LAKES AGENCY INC 401(K)	—	—	—
ack id 20170127153521P040053979873001 admin ein — admin name — business code 561440 date received 2017-01-27 filing status FILING_RECEIVED filing year 2015 form type 5500_SF is 401k plan — pension benefit code 2E2F2G2J2K2T3D plan effective date 2012-01-01 plan name FIVE LAKES AGENCY INC 401(K) plan number 001 plan year begin date 2015-01-01 sponsor address1 901 TOWN DR SUITE 250A sponsor address2 — sponsor city TROY sponsor dba name — sponsor ein 451656869 sponsor name FIVE LAKES AGENCY INC sponsor phone 2485191710 sponsor state MI sponsor zip 48098 tax period 2015-12-31 total assets boy 54506 total assets eoy 60685 total participants boy 26 welfare benefit code — Source: DOL form 5500 · document dol-5500/
FIVE LAKES AGENCY INC 401(K)	—	—	—
ack id 20181016223450P030250971911001 admin ein — admin name — business code 561440 date received 2018-10-16 filing status FILING_RECEIVED filing year 2017 form type 5500_SF is 401k plan — pension benefit code 2E2F2G2J2K2T3D plan effective date 2012-01-01 plan name FIVE LAKES AGENCY INC 401(K) plan number 001 plan year begin date 2017-01-01 sponsor address1 1765 STAR BATT DR. sponsor address2 — sponsor city ROCHESTER HILLS sponsor dba name — sponsor ein 451656869 sponsor name FIVE LAKES AGENCY INC sponsor phone 2485191753 sponsor state MI sponsor zip 48309 tax period 2017-12-31 total assets boy 71115 total assets eoy 88711 total participants boy 26 welfare benefit code — Source: DOL form 5500 · document dol-5500/

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