Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Palm Beach
    4. ›
  4. 33487
    5. ›
  5. NCCI HOLDINGS, INC.

NCCI HOLDINGS, INC.

Company Details

Entity Name: NCCI HOLDINGS, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Non-Profit
Status: Active
Date Filed: 17 Jul 2000 (25 years ago)
Document Number: F00000003988
FEI/EIN Number 522225042
Address: 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
Mail Address: 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
ZIP code: 33487
County: Palm Beach
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NCCI HOLDINGS, INC. EMPLOYEE ASSISTANCE PLAN 2015 522225042 2016-07-12 NCCI HOLDINGS, INC. 890
File View Page
Three-digit plan number (PN) 514
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 5618931010
Plan sponsor’s mailing address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
Plan sponsor’s address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Number of participants as of the end of the plan year
Active participants 902

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
NCCI HOLDINGS, INC. MEDICAL AND DENTAL PLAN 2015 522225042 2016-07-13 NCCI HOLDINGS, INC. 1978
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 5618931010
Plan sponsor’s mailing address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
Plan sponsor’s address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Number of participants as of the end of the plan year
Active participants 1950

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
NCCI HOLDINGS, INC. GROUP TRAVEL ACCIDENT PLAN 2015 522225042 2016-07-13 NCCI HOLDINGS, INC. 890
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1990-01-01
Business code 524290
Sponsor’s telephone number 5618931010
Plan sponsor’s mailing address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
Plan sponsor’s address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Number of participants as of the end of the plan year
Active participants 900

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
NCCI HOLDINGS, INC. LONG TERM DISABILITY PLAN 2015 522225042 2016-07-13 NCCI HOLDINGS, INC. 890
File View Page
Three-digit plan number (PN) 511
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 5618931010
Plan sponsor’s mailing address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
Plan sponsor’s address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Number of participants as of the end of the plan year
Active participants 900

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
NCCI HOLDINGS, INC. SEVERANCE PLAN 2015 522225042 2016-07-13 NCCI HOLDINGS, INC. 890
File View Page
Three-digit plan number (PN) 506
Effective date of plan 1994-07-01
Business code 524290
Sponsor’s telephone number 5618931010
Plan sponsor’s mailing address 901 PENINSULA COPORATE CIRCLE, BOCA RATON, FL, 33487
Plan sponsor’s address 901 PENINSULA COPORATE CIRCLE, BOCA RATON, FL, 33487

Number of participants as of the end of the plan year
Active participants 900

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
NCCI HOLDINGS, INC. VISION PLAN 2015 522225042 2016-07-13 NCCI HOLDINGS, INC. 696
File View Page
Three-digit plan number (PN) 507
Effective date of plan 1996-01-01
Business code 524290
Sponsor’s telephone number 5618931010
Plan sponsor’s mailing address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
Plan sponsor’s address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Number of participants as of the end of the plan year
Active participants 691

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
NCCI HOLDINGS, INC. LONG TERM CARE PLAN 2015 522225042 2016-07-13 NCCI HOLDINGS, INC. 139
File View Page
Three-digit plan number (PN) 513
Effective date of plan 2001-01-01
Business code 524290
Sponsor’s telephone number 5618931010
Plan sponsor’s mailing address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
Plan sponsor’s address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Number of participants as of the end of the plan year
Active participants 131

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
NCCI HOLDINGS, INC. GROUP LIFE INSURANCE 2015 522225042 2016-07-13 NCCI HOLDINGS, INC. 890
File View Page
Three-digit plan number (PN) 509
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 5618931010
Plan sponsor’s mailing address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
Plan sponsor’s address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Number of participants as of the end of the plan year
Active participants 900
Other retired or separated participants entitled to future benefits 135

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
NCCI HOLDINGS, INC. PTO BUY PLAN 2015 522225042 2016-07-13 NCCI HOLDINGS, INC. 519
File View Page
Three-digit plan number (PN) 510
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 5618931010
Plan sponsor’s mailing address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
Plan sponsor’s address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Number of participants as of the end of the plan year
Active participants 485

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
NCCI HOLDINGS, INC. FLEXIBLE SPENDING PLAN 2015 522225042 2016-07-13 NCCI HOLDINGS, INC. 326
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1994-01-01
Business code 524290
Sponsor’s telephone number 5618931010
Plan sponsor’s mailing address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
Plan sponsor’s address 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Number of participants as of the end of the plan year
Active participants 312

Signature of
Role Plan administrator
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-05
Name of individual signing BRADLEY KITCHENS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATE CREATIONS NETWORK INC. Agent

Secretary

Name Role Address
SIBNER STEVEN J Secretary 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Treasurer

Name Role Address
GUERRA ALFREDO T Treasurer 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

President

Name Role Address
DONNELL WILLIAM E President 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Officer

Name Role Address
LEE SUSAN Officer 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
MILEUSNIC MARK Officer 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487
SPEARS MICHAEL J Officer 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2020-03-25 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 No data
REGISTERED AGENT NAME CHANGED 2006-10-06 CORPORATE CREATIONS NETWORK INC No data
CHANGE OF PRINCIPAL ADDRESS 2001-02-26 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL 33487 No data
CHANGE OF MAILING ADDRESS 2001-02-26 901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL 33487 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-03-25
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-29

Related by officers

SIBNER STEVEN J

NATIONAL COUNCIL ON COMPENSATION INSURANCE, INC. VOLUNTARY DATA SERVICES, LLC

GUERRA ALFREDO T

NATIONAL COUNCIL ON COMPENSATION INSURANCE, INC. VOLUNTARY DATA SERVICES, LLC

DONNELL WILLIAM E

DONNELL EMPIRE LLC NATIONAL COUNCIL ON COMPENSATION INSURANCE, INC. VOLUNTARY DATA SERVICES, LLC

LEE SUSAN

APOLLO BOOSTER CLUB, INC. SUSAN LEE INSURANCE AGENCY INC. SINO TRADING CORPORATION PAN ASIA, INC. LEGACY MARINE SUPPLY, INC. WEST FLORIDA INDUSTRIES, INC. A MOMENT FOR YOURSELF, LLC A MOMENT FOR YOUR PET, LLC SUSAN LEE ROQUE PA STAGED TO SELL INC.

MILEUSNIC MARK

NATIONAL COUNCIL ON COMPENSATION INSURANCE, INC. THE HAVEN, INC.

Related by address

901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

PENINSULA REALTY, LLC NATIONAL COUNCIL ON COMPENSATION INSURANCE, INC. VOLUNTARY DATA SERVICES, LLC

901 PENINSULA CORPORATE CIRCLE, BOCA RATON, FL, 33487

PENINSULA REALTY, LLC NATIONAL COUNCIL ON COMPENSATION INSURANCE, INC. VOLUNTARY DATA SERVICES, LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated