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  5. INTERSTATE INSURANCE SERVICES GROUP, INC.

INTERSTATE INSURANCE SERVICES GROUP, INC.

Company Details

Entity Name: INTERSTATE INSURANCE SERVICES GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Inactive
Date Filed: 21 Jun 1994 (31 years ago)
Document Number: F94000003261
FEI/EIN Number 593235163
Address: 250 E PARK AVE, LAKE WALES, FL, 33859, US
Mail Address: PO BOX 2368, LAKE WALES, FL, 33859, US
ZIP code: 33859
County: Polk
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF INTERSTATE INSURANCE SERVICES GROUP, INC. 2016 593235163 2017-10-02 INTERSTATE INSURANCE SERVICES GROUP, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 8636761681
Plan sponsor’s address 250 E PARK AVE, LAKE WALES, FL, 338533706

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing TIMOTHY ARBUTHNOT
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF INTERSTATE INSURANCE SERVICES GROUP, INC. 2015 593235163 2016-10-12 INTERSTATE INSURANCE SERVICES GROUP , INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 8636761681
Plan sponsor’s address 250 E PARK AVE, LAKE WALES, FL, 33853

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing HELENE BRADLEY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF INTERSTATE INSURANCE SERVICES GROUP, INC. 2014 593235163 2015-09-30 INTERSTATE INSURANCE SERVICES GROUP , INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 8636761681
Plan sponsor’s address 250 E PARK AVE, LAKE WALES, FL, 33853

Signature of
Role Plan administrator
Date 2015-09-30
Name of individual signing HELENE BRADLEY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF INTERSTATE INSURANCE SERVICES GROUP, INC. 2013 593235163 2014-10-09 INTERSTATE INSURANCE SERVICES GROUP , INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 8636761681
Plan sponsor’s address 250 E PARK AVE, LAKE WALES, FL, 33853

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing HELENE BRADLEY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF INTERSTATE INSURANCE SERVICES GROUP, INC. 2012 593235163 2013-10-14 INTERSTATE INSURANCE SERVICES GROUP , INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 8636761681
Plan sponsor’s address 250 E PARK AVE, LAKE WALES, FL, 33853

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing HELENE BRADLEY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF INTERSTATE INSURANCE SERVICES GROUP, INC. 2011 593235163 2012-07-30 INTERSTATE INSURANCE SERVICES GROUP , INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 8636761681
Plan sponsor’s address 250 E PARK AVE, LAKE WALES, FL, 33853

Plan administrator’s name and address
Administrator’s EIN 593235163
Plan administrator’s name INTERSTATE INSURANCE SERVICES GROUP , INC.
Plan administrator’s address 250 E PARK AVE, LAKE WALES, FL, 33853
Administrator’s telephone number 8636761681

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing HELENE BRADLEY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF INTERSTATE INSURANCE SERVICES GROUP, INC. 2010 593235163 2011-08-01 INTERSTATE INSURANCE SERVICES GROUP , INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 8636761681
Plan sponsor’s address 250 E PARK AVE, LAKE WALES, FL, 33853

Plan administrator’s name and address
Administrator’s EIN 593235163
Plan administrator’s name INTERSTATE INSURANCE SERVICES GROUP , INC.
Plan administrator’s address 250 E PARK AVE, LAKE WALES, FL, 33853
Administrator’s telephone number 8636761681

Signature of
Role Plan administrator
Date 2011-08-01
Name of individual signing HELENE BRADLEY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF INTERSTATE INSURANCE SERVICES GROUP, INC. 2009 593235163 2010-06-22 INTERSTATE INSURANCE SERVICES GROUP INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 8636761681
Plan sponsor’s address 250 E PARK AVE, LAKE WALES, FL, 33853

Plan administrator’s name and address
Administrator’s EIN 593235163
Plan administrator’s name INTERSTATE INSURANCE SERVICES GROUP INC.
Plan administrator’s address 250 E PARK AVE, LAKE WALES, FL, 33853
Administrator’s telephone number 8636761681

Signature of
Role Plan administrator
Date 2010-06-18
Name of individual signing TIMOTHY A. ARBUTHNOT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-18
Name of individual signing TIMOTHY A. ARBUTHNOT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HAFF TULA M Agent 135 NORTH 6TH STREET, HAINES CITY, FL, 33844

Director

Name Role Address
SHAW HUGH D Director 250 E PARK AVE, LAKE WALES, FL, 33853
RUMFELT THOMAS B Director 250 E. PARK AVE, LAKE WALES, FL

President

Name Role Address
RUMFELT THOMAS B President 250 E. PARK AVE, LAKE WALES, FL

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000014768 RAMSGATE INSURANCE SERVICES GROUP EXPIRED 2010-02-16 2015-12-31 No data 250 EAST PARK AVENUE, LAKE WALES, FL, 33853

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2018-09-28 No data No data

Related by officers

SHAW HUGH D

AMERICAN CONSOLIDATED BUSINESS OWNERS ALLIANCE, INC. RISK AND INSURANCE BROKERAGE CORPORATION IISG, INC.

RUMFELT THOMAS B

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HAFF TULA M

LIBERTY BUILDING CORP RL LAND DEVELOPMENT, LLC SAINT CLOUD FARMS, INC. JME INVESTMENT GROUP, INC. RON'S, INC. NATIONAL AUDIT & SAFETY COMPANY LAGOON POOLS OF POLK COUNTY, INC. JOVIN CONSTRUCTION, INC. ENERGON ELECTRIC, INC. ASSOCIATION RISK MANAGEMENT SERVICE CO.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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