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Mansfield Insurance Agency, Inc.

Headquarter

Company Details

Name: Mansfield Insurance Agency, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 15 Oct 1971 (53 years ago)
Identification Number: 000006956
ZIP code: 02891
County: Washington County
Principal Address: 115 HIGH STREET, WESTERLY, RI, 02891, USA
Purpose: INSURANCE AGENCY
NAICS: 524210 - Insurance Agencies and Brokerages
Historical names: Mansfield & Gingerella Agency, Inc.

Links between entities

Type Company Name Company Number State
Headquarter of Mansfield Insurance Agency, Inc., MISSISSIPPI 1334972 MISSISSIPPI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST 2023 050346148 2024-05-24 MANSFIELD INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH STREET, WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2024-05-24
Name of individual signing GARRY MANSFIELD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST 2022 050346148 2023-05-30 MANSFIELD INSURANCE AGENCY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH STREET, WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2023-05-30
Name of individual signing GARRY MANSFIELD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST 2021 050346148 2022-06-14 MANSFIELD INSURANCE AGENCY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH STREET, WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2022-06-14
Name of individual signing GARRY MANSFIELD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST 2020 050346148 2021-06-02 MANSFIELD INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH STREET, WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2021-06-02
Name of individual signing GARRY MANSFIELD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST 2019 050346148 2020-06-18 MANSFIELD INSURANCE AGENCY, INC. 13
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH STREET, WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2020-06-18
Name of individual signing GMANSFIELD6457
Valid signature Filed with authorized/valid electronic signature
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST 2019 050346148 2020-06-30 MANSFIELD INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH STREET, WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing GARRY MANSFIELD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST 2018 050346148 2019-09-27 MANSFIELD INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH STREET, WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2019-09-27
Name of individual signing GARRY MANSFIELD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST 2017 050346148 2018-07-12 MANSFIELD INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH STREET, WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2018-07-12
Name of individual signing MARGARET LONGOLUCCO
Valid signature Filed with authorized/valid electronic signature
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST 2016 050346148 2017-05-25 MANSFIELD INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH ST., WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2017-05-25
Name of individual signing LINDA LUNGHI
Valid signature Filed with authorized/valid electronic signature
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST 2015 050346148 2016-05-27 MANSFIELD INSURANCE AGENCY, INC. 11
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH ST., WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2016-05-26
Name of individual signing LINDA LUNGHI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/12/20150612181137P030042678503001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH ST., WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2015-06-12
Name of individual signing LINDA LUNGHI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/04/20140604111636P030370524147001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH ST., WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2014-06-04
Name of individual signing LINDA LUNGHI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/17/20130617154221P030335878001001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH ST., WESTERLY, RI, 02891

Signature of

Role Plan administrator
Date 2013-06-17
Name of individual signing LINDA LUNGHI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/22/20120622110353P040005805780001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH ST., WESTERLY, RI, 02891

Plan administrator’s name and address

Administrator’s EIN 050346148
Plan administrator’s name MANSFIELD INSURANCE AGENCY, INC.
Plan administrator’s address 115 HIGH ST., WESTERLY, RI, 02891
Administrator’s telephone number 4015962096

Signature of

Role Plan administrator
Date 2012-06-22
Name of individual signing LINDA LUNGHI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/07/20110707110836P030419854208001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 4015962096
Plan sponsor’s address 115 HIGH ST., WESTERLY, RI, 02891

Plan administrator’s name and address

Administrator’s EIN 050346148
Plan administrator’s name MANSFIELD INSURANCE AGENCY, INC.
Plan administrator’s address 115 HIGH ST., WESTERLY, RI, 02891
Administrator’s telephone number 4015962096

Signature of

Role Plan administrator
Date 2011-07-07
Name of individual signing LINDA LUNGHI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LINDA LUNGHI Agent 115 HIGH STREET, WESTERLY, RI, 02891, USA

PRESIDENT

Name Role Address
GARRY D MANSFIELD PRESIDENT 47 RANDEAU PASSAGE WESTERLY, RI 02891 USA

VICE PRESIDENT

Name Role Address
MARGARET M LONGOLUCCO VICE PRESIDENT 151ALTON BRADFORD RD BRADFORD, RI 02808 USA

Events

Type Date Old Value New Value
Name Change 1987-07-13 Mansfield & Gingerella Agency, Inc. Mansfield Insurance Agency, Inc.

Filings

Number Name File Date
202447520350 Annual Report 2024-02-29
202329589190 Annual Report 2023-03-01
202208541790 Annual Report 2022-01-24
202192130480 Annual Report 2021-02-19
202034337840 Annual Report 2020-02-13
201986683070 Annual Report 2019-02-15
201857599370 Annual Report 2018-02-05
201730974630 Annual Report 2017-01-27
201690804570 Annual Report 2016-01-18
201554682780 Annual Report 2015-02-06

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State