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  5. ITEN INSURANCE AGENCY, INC.

ITEN INSURANCE AGENCY, INC.

Company Details

Entity Name: ITEN INSURANCE AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Jun 1979 (46 years ago)
Document Number: 625095
FEI/EIN Number 591934565
Address: 12850 KAPOK LANE, DAVIE, FL, 33330
Mail Address: 12850 KAPOK LANE, DAVIE, FL, 33330
ZIP code: 33330
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ITEN INSURANCE AGENCY PROFIT SHARING PLAN 2023 272873286 2024-10-15 ITEN INSURANCE AGENCY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 524210
Sponsor’s telephone number 9549159528
Plan sponsor’s address 12850 KAPOK LANE, DAVIE, FL, 33330

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing LOUIS ITEN
Valid signature Filed with authorized/valid electronic signature
ITEN INSURANCE AGENCY PROFIT SHARING PLAN 2022 272873286 2023-03-22 ITEN INSURANCE AGENCY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 524210
Sponsor’s telephone number 9549159528
Plan sponsor’s address 12850 KAPOK LANE, DAVIE, FL, 33330

Signature of
Role Plan administrator
Date 2023-03-22
Name of individual signing LOUIS ITEN
Valid signature Filed with authorized/valid electronic signature
ITEN INSURANCE AGENCY PROFIT SHARING PLAN 2021 272873286 2022-04-08 ITEN INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 524210
Sponsor’s telephone number 9549159528
Plan sponsor’s address 12850 KAPOK LANE, DAVIE, FL, 33330

Signature of
Role Plan administrator
Date 2022-04-08
Name of individual signing LOUIS ITEN
Valid signature Filed with authorized/valid electronic signature
ITEN INSURANCE AGENCY PROFIT SHARING PLAN 2020 272873286 2021-04-08 ITEN INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 524210
Sponsor’s telephone number 9549159528
Plan sponsor’s address 12850 KAPOK LANE, DAVIE, FL, 33330

Signature of
Role Plan administrator
Date 2021-04-08
Name of individual signing LOUIS ITEN
Valid signature Filed with authorized/valid electronic signature
ITEN INSURANCE AGENCY PROFIT SHARING PLAN 2019 272873286 2020-04-30 ITEN INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 524210
Sponsor’s telephone number 9549159528
Plan sponsor’s address 12850 KAPOK LANE, DAVIE, FL, 33330

Signature of
Role Plan administrator
Date 2020-04-30
Name of individual signing LOUIS ITEN
Valid signature Filed with authorized/valid electronic signature
ITEN INSURANCE AGENCY PROFIT SHARING PLAN 2018 272873286 2019-04-01 ITEN INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 524210
Sponsor’s telephone number 9549159528
Plan sponsor’s address 12850 KAPOK LANE, DAVIE, FL, 33330

Signature of
Role Plan administrator
Date 2019-04-01
Name of individual signing LOUIS ITEN
Valid signature Filed with authorized/valid electronic signature
ITEN INSURANCE AGENCY PROFIT SHARING PLAN 2017 272873286 2018-07-10 ITEN INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 524210
Sponsor’s telephone number 9549159528
Plan sponsor’s address 12850 KAPOK LANE, DAVIE, FL, 33330

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing LOUIS ITEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-10
Name of individual signing LOUIS ITEN
Valid signature Filed with authorized/valid electronic signature
ITEN INSURANCE AGENCY PROFIT SHARING PLAN 2016 272873286 2017-07-27 ITEN INSURANCE AGENCY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 524210
Sponsor’s telephone number 9549159528
Plan sponsor’s address 12850 KAPOK LANE, DAVIE, FL, 33330

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing LOUIS ITEN
Valid signature Filed with authorized/valid electronic signature
ITEN INSURANCE AGENCY PROFIT SHARING PLAN 2015 272873286 2017-01-04 ITEN INSURANCE AGENCY 5
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 524210
Sponsor’s telephone number 9549159528
Plan sponsor’s address 12850 KAPOK LANE, DAVIE, FL, 33330

Signature of
Role Plan administrator
Date 2017-01-04
Name of individual signing LOUIS ITEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-01-04
Name of individual signing LOUIS J ITEN
Valid signature Filed with authorized/valid electronic signature
ITEN INSURANCE AGENCY PROFIT SHARING PLAN 2015 272873286 2016-06-20 ITEN INSURANCE AGENCY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 524210
Sponsor’s telephone number 9549159528
Plan sponsor’s address 12850 KAPOK LANE, DAVIE, FL, 33330

Signature of
Role Plan administrator
Date 2016-06-20
Name of individual signing LOUIS ITEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ITEN, LOUIS J. Agent 12850 KAPOK LANE, DAVIE, FL, 33330

President

Name Role Address
ITEN, LOUIS J. President 12850 KAPOK LANE, DAVIE, FL, 33330

Director

Name Role Address
ITEN, LOUIS J. Director 12850 KAPOK LANE, DAVIE, FL, 33330

Vice President

Name Role Address
ITEN, PATRICIA R Vice President 12850 KAPOK LANE, DAVIE, FL, 33330
WILLIAMS BRUCE A Vice President 423 HARVEST RD, HESSTON, KS, 67062

Secretary

Name Role Address
ITEN, PATRICIA R Secretary 12850 KAPOK LANE, DAVIE, FL, 33330

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REINSTATEMENT 2020-03-30 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Related by officers

ITEN, LOUIS J.

ITEN PROPERTIES, INC.

WILLIAMS BRUCE A

SCATTA SHACK SANDWICH SHOP AND GRILL INC. WORLDWIDE RECORDING INC WORLDWIDE RECORDING LLC MAG HR CONSULTING LLC PUT CORPORATION MEDI-FREE, INC. DIPLOMAT DRIVE, LLC WORLDWIDE RECORDING LLC REMBRANDT GARDENS AT SOUTH BAY, INC.

Related by address

12850 KAPOK LANE, DAVIE, FL, 33330

ITEN PROPERTIES, INC. THE ITEN FAMILY FOUNDATION, INC.

12850 KAPOK LANE, DAVIE, FL, 33330

ITEN PROPERTIES, INC. THE ITEN FAMILY FOUNDATION, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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