| Entity Name: | JACKSON AGENCY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Jul 1977 (48 years ago) |
| Document Number: | 539223 |
| FEI/EIN Number | 591749207 |
| Address: | 6971 W Sunrise Blvd #206, Sunrise, FL, 33313, US |
| Mail Address: | 6971 W Sunrise Blvd, #206, Sunrise, FL, 33313, US |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | JACKSON AGENCY, INC., MISSISSIPPI | 1391348 | MISSISSIPPI |
| Headquarter of | JACKSON AGENCY, INC., NEW YORK | 6713690 | NEW YORK |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JACKSON AGENCY INC 401 K PROFIT SHARING PLAN TRUST | 2011 | 591749207 | 2013-07-09 | JACKSON AGENCY INC | 5 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 591749207 |
| Plan administrator’s name | JACKSON AGENCY INC |
| Plan administrator’s address | 2075 W 76TH ST, HIALEAH, FL, 330161834 |
| Administrator’s telephone number | 3058241591 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-09 |
| Name of individual signing | JACKSON AGENCY INC |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 3058241591 |
| Plan sponsor’s address | 2075 W 76 ST, HIALEAH, FL, 330160000 |
Plan administrator’s name and address
| Administrator’s EIN | 591749207 |
| Plan administrator’s name | JACKSON AGENCY INC |
| Plan administrator’s address | 2075 W 76 ST, HIALEAH, FL, 330160000 |
| Administrator’s telephone number | 3058241591 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-09 |
| Name of individual signing | JACKSON AGENCY INC |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 3058241591 |
| Plan sponsor’s address | 2075 W 76 ST, HIALEAH, FL, 330160000 |
Plan administrator’s name and address
| Administrator’s EIN | 591749207 |
| Plan administrator’s name | JACKSON AGENCY INC |
| Plan administrator’s address | 2075 W 76 ST, HIALEAH, FL, 330160000 |
| Administrator’s telephone number | 3058241591 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-08 |
| Name of individual signing | JACKSON AGENCY INC |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 3058241591 |
| Plan sponsor’s address | 2075 W 76 ST, HIALEAH, FL, 330160000 |
Plan administrator’s name and address
| Administrator’s EIN | 591749207 |
| Plan administrator’s name | JACKSON AGENCY INC |
| Plan administrator’s address | 2075 W 76 ST, HIALEAH, FL, 330160000 |
| Administrator’s telephone number | 3058241591 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-22 |
| Name of individual signing | JACKSON AGENCY INC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JACKSON EDWARD P | Agent | 6971 W Sunrise Blvd, Sunrise, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| JACKSON, BARBARA J. | Secretary | 821 Heron Road, WESTON, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| JACKSON, EDWARD P. | President | 19151 SW 54 PLACE, FT LAUDERDALE, FL, 33332 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000138263 | ALLIED RISK PARTNERS CORP | ACTIVE | 2020-10-26 | 2025-12-31 | No data | 6971 W SUNRISE BLVD #206, PLANTATION, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2011-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CANCEL ADM DISS/REV | 2005-07-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| REINSTATEMENT | 2003-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| REINSTATEMENT | 2002-11-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
| REINSTATEMENT | 2001-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
