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CHAD GREEN INSURANCE, INC. - Florida Company Profile

Company Details

Entity Name: CHAD GREEN INSURANCE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CHAD GREEN INSURANCE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 01 Aug 1984 (41 years ago)
Document Number: H14758
FEI/EIN Number 592430378

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1617 E. GARY RD., LAKELAND, FL, 33801
Mail Address: 1617 E. GARY RD., LAKELAND, FL, 33801
ZIP code: 33801
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAD GREEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2023 592430378 2024-06-19 CHAD GREEN INSURANCE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-11
Business code 541990
Sponsor’s telephone number 8636825195
Plan sponsor’s address 1617 E GARY RD, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2024-06-19
Name of individual signing ROBERT BRANDEBERRY
Valid signature Filed with authorized/valid electronic signature
CHAD GREEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2022 592430378 2023-05-03 CHAD GREEN INSURANCE INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-11
Business code 541990
Sponsor’s telephone number 8636825195
Plan sponsor’s address 1617 E GARY RD, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2023-05-03
Name of individual signing ROBERT JAMES BRANDEBERRY
Valid signature Filed with authorized/valid electronic signature
CHAD GREEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2021 592430378 2022-05-18 CHAD GREEN INSURANCE INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-11
Business code 541990
Sponsor’s telephone number 8636825195
Plan sponsor’s address 1617 E GARY RD, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2022-05-18
Name of individual signing ROBERT JAMES BRANDEBERRY
Valid signature Filed with authorized/valid electronic signature
CHAD GREEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 592430378 2021-07-28 CHAD GREEN INSURANCE INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-11
Business code 541990
Sponsor’s telephone number 8636825195
Plan sponsor’s address 1617 E GARY RD, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2021-07-28
Name of individual signing ROBERT BRANDEBERRY
Valid signature Filed with authorized/valid electronic signature
CHAD GREEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 592430378 2020-05-05 CHAD GREEN INSURANCE INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-11
Business code 541990
Sponsor’s telephone number 8636825195
Plan sponsor’s address 1617 E GARY RD, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2020-05-05
Name of individual signing ROBERT J BRANDEBERRY
Valid signature Filed with authorized/valid electronic signature
CHAD GREEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2018 592430378 2019-06-12 CHAD GREEN INSURANCE INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-11
Business code 541990
Sponsor’s telephone number 8636825195
Plan sponsor’s address 1617 E GARY RD, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2019-06-12
Name of individual signing ROBERT BRANDEBERRY
Valid signature Filed with authorized/valid electronic signature
CHAD GREEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2017 592430378 2018-04-10 CHAD GREEN INSURANCE INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-11
Business code 541990
Sponsor’s telephone number 8636825195
Plan sponsor’s address 1617 E GARY RD, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2018-04-10
Name of individual signing CHAD GREEN
Valid signature Filed with authorized/valid electronic signature
CHAD GREEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2014 592430378 2015-07-10 CHAD GREEN INSURANCE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541990
Sponsor’s telephone number 8636825195
Plan sponsor’s address 1617 E GARY RD, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2015-07-10
Name of individual signing GAE
Valid signature Filed with authorized/valid electronic signature
CHAD GREEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2013 592430378 2014-06-24 CHAD GREEN INSURANCE INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541990
Sponsor’s telephone number 8636825195
Plan sponsor’s address 1617 E GARY RD, LAKELAND, FL, 33801

Signature of

Role Plan administrator
Date 2014-06-24
Name of individual signing ALLISON GAE KNIGHT
Valid signature Filed with authorized/valid electronic signature
CHAD GREEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2012 592430378 2013-06-18 CHAD GREEN INSURANCE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 812990
Sponsor’s telephone number 8636825195
Plan sponsor’s address 1617 E GARY RD, LAKELAND, FL, 338012231

Signature of

Role Plan administrator
Date 2013-06-18
Name of individual signing CHAD GREEN INSURANCE INC
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GREEN, CHAD Secretary 1617 GARY RD., LAKELAND, FL, 33801
GREEN, CHAD Director 1617 GARY RD., LAKELAND, FL, 33801
GREEN, CHAD Agent 1617 GARY RD., LAKELAND, FL, 33801
GREEN, CHAD President 1617 GARY RD., LAKELAND, FL, 33801
Brandeberry Paige L Vice President 1617 E. GARY RD., LAKELAND, FL, 33801

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G91115000078 WILLIAMS-HESS INSURANCE ACTIVE 1991-04-25 2026-12-31 - 1617 E GARY RD, LAKELAND, FL, 33801

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2008-01-15 1617 E. GARY RD., LAKELAND, FL 33801 -
CHANGE OF MAILING ADDRESS 2008-01-15 1617 E. GARY RD., LAKELAND, FL 33801 -
REGISTERED AGENT ADDRESS CHANGED 1991-04-25 1617 GARY RD., LAKELAND, FL 33801 -

Documents

Name Date
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-30
AMENDED ANNUAL REPORT 2022-04-14
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-03-13
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-01-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5228727705 2020-05-01 0455 PPP 1617 E GARY RD, LAKELAND, FL, 33801-2231
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 67025
Loan Approval Amount (current) 67025
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address LAKELAND, POLK, FL, 33801-2231
Project Congressional District FL-18
Number of Employees 6
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 67599.76
Forgiveness Paid Date 2021-03-11

Date of last update: 02 Mar 2025

Sources: Florida Department of State