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  5. HEACOCK INSURANCE GROUP, INC.

HEACOCK INSURANCE GROUP, INC.

Company Details

Entity Name: HEACOCK INSURANCE GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 20 Apr 1965 (60 years ago)
Document Number: 292103
FEI/EIN Number 591119588
Address: 32313 broadway st, SEBRING, FL, 33870, US
Mail Address: PO BOX 7788, SEBRING, FL, 33872-0114, US
ZIP code: 33870
County: Highlands
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEACOCK INSURANCE GROUP, INC PROFIT SHARING 401(K) PLAN 2016 591119588 2017-06-27 HEACOCK INSURANCE GROUP, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 524210
Sponsor’s telephone number 8633855171
Plan sponsor’s address 32313 BROADWAY ST. SUITE 101, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2017-06-27
Name of individual signing DARRELL JENSEN
Valid signature Filed with authorized/valid electronic signature
HEACOCK INSURANCE GROUP, INC PROFIT SHARING 401(K) PLAN 2015 591119588 2016-06-09 HEACOCK INSURANCE GROUP, INC. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 524210
Sponsor’s telephone number 8633855171
Plan sponsor’s address 1105 US HIGHWAY 27 N, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing JAMES TAVENIERE
Valid signature Filed with authorized/valid electronic signature
HEACOCK INSURANCE GROUP, INC PROFIT SHARING 401(K) PLAN 2014 591119588 2015-06-10 HEACOCK INSURANCE GROUP, INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 524210
Sponsor’s telephone number 8633855171
Plan sponsor’s address 1105 US HIGHWAY 27 N, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2015-06-10
Name of individual signing JAMES TAVENIERE
Valid signature Filed with authorized/valid electronic signature
HEACOCK INSURANCE GROUP, INC PROFIT SHARING 401(K) PLAN 2013 591119588 2014-06-05 HEACOCK INSURANCE GROUP, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 524210
Sponsor’s telephone number 8633855171
Plan sponsor’s address 1105 US HIGHWAY 27 N, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2014-06-05
Name of individual signing JAMES TAVENIERE
Valid signature Filed with authorized/valid electronic signature
HEACOCK INSURANCE GROUP, INC PROFIT SHARING 401(K) PLAN 2012 591119588 2013-06-14 HEACOCK INSURANCE GROUP, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 524210
Sponsor’s telephone number 8633855171
Plan sponsor’s address 1105 US HIGHWAY 27 N, SEBRING, FL, 33870

Signature of
Role Plan administrator
Date 2013-06-14
Name of individual signing JAMES TAVENIERE
Valid signature Filed with authorized/valid electronic signature
HEACOCK INSURANCE GROUP, INC PROFIT SHARING 401(K) PLAN 2011 591119588 2012-07-17 HEACOCK INSURANCE GROUP, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 524210
Sponsor’s telephone number 8633855171
Plan sponsor’s address 100 EAST MAIN STREET, LAKELAND, FL, 33801

Plan administrator’s name and address
Administrator’s EIN 591119588
Plan administrator’s name HEACOCK INSURANCE GROUP, INC.
Plan administrator’s address 100 EAST MAIN STREET, LAKELAND, FL, 33801
Administrator’s telephone number 8633855171

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing JAMES TAVENIERE
Valid signature Filed with authorized/valid electronic signature
HEACOCK INSURANCE GROUP, INC PROFIT SHARING 401(K) PLAN 2010 591119588 2011-06-17 HEACOCK INSURANCE GROUP, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 524210
Sponsor’s telephone number 8636832228
Plan sponsor’s address 100 EAST MAIN STREET, LAKELAND, FL, 33801

Plan administrator’s name and address
Administrator’s EIN 591119588
Plan administrator’s name HEACOCK INSURANCE GROUP, INC.
Plan administrator’s address 100 EAST MAIN STREET, LAKELAND, FL, 33801
Administrator’s telephone number 8636832228

Signature of
Role Plan administrator
Date 2011-06-17
Name of individual signing DEBORAH ANDREWS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
jensen darrell l Agent 32313 broadway st, SEBRING, FL, 33870

Chief Executive Officer

Name Role Address
HEACOCK FORD WIII Chief Executive Officer 2418 JONILA AVE., LAKELAND, FL, 33803

Secretary

Name Role Address
TERRELL CATHERINE C Secretary 112 HOLMES CT, SEBRING, FL, 33872

Chief Operating Officer

Name Role Address
Jensen Darrell Chief Operating Officer 32313 BROADWAY ST, SEBRING, FL, 33870

President

Name Role Address
Heacock Jason III President 613 Chester Drive, Lakeland, FL, 33803

Exec

Name Role Address
Heacock-Weeks Stacey Exec 2329 Hollingsworth Hill Ave., Lakeland, FL, 33803

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000122123 MIDFLORIDA INSURANCE SERVICES EXPIRED 2012-12-18 2017-12-31 No data 100 E. MAIN STREET, LAKELAND, FL, 33801

Events

Event Type Filed Date Value Description
CONVERSION 2016-12-27 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L16000231966. CONVERSION NUMBER 500000167125
AMENDMENT 2016-10-03 No data No data
REINSTATEMENT 1995-09-25 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1995-08-25 No data No data
NAME CHANGE AMENDMENT 1993-02-26 HEACOCK INSURANCE GROUP, INC. No data

Related by officers

HEACOCK FORD WIII

HIG RUNOFF, LLC HOF-ARCF, LLC VINTAGE MOTORSPORT, INC.

Jensen Darrell

SOUTH FLORIDA STATE COLLEGE FOUNDATION INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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