| Entity Name: | SPECIALTY CLAIM SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Feb 2009 (16 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 26 Feb 2009 (16 years ago) |
| Document Number: | L09000019269 |
| FEI/EIN Number | 593305196 |
| Address: | 3874 Orange Lake Drive, Orlando, FL, 32817, US |
| Mail Address: | 3874 Orange Lake Drive, Orlando, FL, 32817, US |
| ZIP code: | 32817 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPECIALTY GROUP OF COMPANIES 401(K) PLAN | 2012 | 593305196 | 2013-10-14 | SPECIALTY CLAIM SERVICES, LLC | 23 | |||||||||||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-10-14 |
| Name of individual signing | TATIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-10-14 |
| Name of individual signing | TATIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1998-05-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 4076780204 |
| Plan sponsor’s address | P.O. BOX 4658, 1030 SPRING VILLAS POINT, 2ND FLOOR, WINTER PARK, FL, 327934658 |
Plan administrator’s name and address
| Administrator’s EIN | 593305196 |
| Plan administrator’s name | SPECIALTY CLAIM SERVICES, LLC |
| Plan administrator’s address | P.O. BOX 4658, 1030 SPRING VILLAS POINT, 2ND FLOOR, WINTER PARK, FL, 327934658 |
| Administrator’s telephone number | 4076780204 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-09 |
| Name of individual signing | TAIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-09 |
| Name of individual signing | TAIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KAISER JEFFREY A | Agent | 3874 Orange Lake Drive, Orlando, FL, 32817 |
| Name | Role | Address |
|---|---|---|
| Kaiser Jeffrey A | Chief Executive Officer | 3874 Orange Lake Drive, Orlando, FL, 32817 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G96074900008 | CLAIMS TECH OF FLORIDA | ACTIVE | 1996-03-14 | 2026-12-31 | No data | P.O.BOX 4658, WINTER PARK, FL, 32793-4658 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-06 | 3874 Orange Lake Drive, Orlando, FL 32817 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-06 | 3874 Orange Lake Drive, Orlando, FL 32817 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-06 | 3874 Orange Lake Drive, Orlando, FL 32817 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-22 | KAISER, JEFFREY A | No data |
| CONVERSION | 2009-02-26 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P95000023853. CONVERSION NUMBER 500000094405 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-03-28 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-05-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
