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FLORIDA ASSOCIATION OF SELF INSUREDS, INC.

FLORIDA ASSOCIATION OF SELF INSUREDS, INC.

Company Details

Entity Name:	FLORIDA ASSOCIATION OF SELF INSUREDS, INC.
Jurisdiction:	FLORIDA
Filing Type:	Florida Not For Profit Corporation
Status:	Inactive
Date Filed:	12 Jun 1969 (56 years ago)
Date of dissolution:	25 Jan 2023 (2 years ago)
Last Event:	VOLUNTARY DISSOLUTION
Event Date Filed:	25 Jan 2023 (2 years ago)
Document Number:	716726
FEI/EIN Number	59-2192394
Address:	222 S WESTMONTE DRIVE, SUITE 111, ALTAMONTE SPRINGS, FL 32714
Mail Address:	222 S WESTMONTE DRIVE, SUITE 111, ALTAMONTE SPRINGS, FL 32714
ZIP code:	32714
County:	Seminole
Place of Formation:	FLORIDA

Agent

Name	Role	Address
Clayton, Ryan	Agent	222 S WESTMONTE DRIVE SUITE 111, ALTAMONTE SPRINGS, FL 32714

PPD

Name	Role	Address
SHUFFER, GAIL	PPD	300 S ADAMS ST BOX A-34, TALLAHASSEE, FL 32301

Executive Director

Name	Role	Address
Clayton, Ryan	Executive Director	222 S WESTMONTE DR SUITE 111, ALTAMONTE SPRINGS, FL 32714

Vice President

Name	Role	Address
MARTINEZ, MARISA	Vice President	PO BOX 1289, TAMPA, FL 33601

President

Name	Role	Address
PRITCHARD, JOSIAH	President	4500 SAN PABLO RD S, JACKSONVILLE, FL 32224
Jensen, Dane	President	524 Stockton Street, Jacksonville, FL 32204

Past President

Name	Role	Address
Boling, Judy	Past President	PO Box 12909, Tallahassee, FL 32317

Events

Event Type	Filed Date	Value	Description
VOLUNTARY DISSOLUTION	2023-01-25	No data	No data
REGISTERED AGENT NAME CHANGED	2021-02-01	Clayton, Ryan	No data
REGISTERED AGENT ADDRESS CHANGED	2019-01-28	222 S WESTMONTE DRIVE SUITE 111, ALTAMONTE SPRINGS, FL 32714	No data
CHANGE OF PRINCIPAL ADDRESS	2019-01-28	222 S WESTMONTE DRIVE, SUITE 111, ALTAMONTE SPRINGS, FL 32714	No data
CHANGE OF MAILING ADDRESS	2019-01-28	222 S WESTMONTE DRIVE, SUITE 111, ALTAMONTE SPRINGS, FL 32714	No data
NAME CHANGE AMENDMENT	2009-07-07	FLORIDA ASSOCIATION OF SELF INSUREDS, INC.	No data
NAME CHANGE AMENDMENT	1988-04-15	FLORIDA ASSOCIATION OF SELF INSURANCE, INC.	No data
NAME CHANGE AMENDMENT	1983-01-17	FLORIDA ASSOCIATION OF SELF INSURERS, INC.	No data

Documents

Name	Date
VOLUNTARY DISSOLUTION	2023-01-25
ANNUAL REPORT	2022-03-10
ANNUAL REPORT	2021-02-01
ANNUAL REPORT	2020-01-15
ANNUAL REPORT	2019-01-28
ANNUAL REPORT	2018-01-26
ANNUAL REPORT	2017-01-19
ANNUAL REPORT	2016-02-10
ANNUAL REPORT	2015-01-13
ANNUAL REPORT	2014-02-04
ANNUAL REPORT	2013-01-25
ANNUAL REPORT	2012-02-20
ANNUAL REPORT	2011-03-29
ANNUAL REPORT	2010-03-26
Name Change	2009-07-07
ANNUAL REPORT	2009-04-29
ANNUAL REPORT	2008-03-17
ANNUAL REPORT	2007-04-19
ANNUAL REPORT	2006-04-03
ANNUAL REPORT	2005-04-25

Date of last update: 06 Feb 2025

Sources: Florida Department of State