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  5. ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC

ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC - Florida Company Profile

Company Details

Entity Name: ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company

ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 10 Apr 2012 (13 years ago)
Date of dissolution: 31 May 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 31 May 2019 (6 years ago)
Document Number: L12000049246
FEI/EIN Number 45-5194980

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1101 E. Cumberland Ave, Suite 300, Tampa, FL 33602
Mail Address: 1101 E. Cumberland Ave, Suite 300, Tampa, FL 33602
ZIP code: 33602
County: Hillsborough
Place of Formation: FLORIDA

Central Index Key

CIK number Mailing Address Business Address Phone
1586403 2367 CENTERVILLE ROAD, FIRST FLOOR, TALLAHASSEE, FL, 32308 2367 CENTERVILLE ROAD, FIRST FLOOR, TALLAHASSEE, FL, 32308 (85) 528-8861

Filings since 2013-09-10
Form type D
File number 021-202653
Filing date 2013-09-10
File View File

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300K35UCF0SYL4O16 L12000049246 US-FL GENERAL ACTIVE -

Addresses
Legal C/O Robert L Ricker, 1st Floor, 2367 Centerville Road, Tallahassee, US-FL, US, 32308
Headquarters 1st Floor, 2367 Centerville Road, Tallahassee, US-FL, US, 32308

Registration details
Registration Date 2013-10-16
Last Update 2023-08-04
Status LAPSED
Next Renewal 2014-10-14
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As L12000049246

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 401(K) PROFIT SHARING PLAN 2019 455194980 2020-10-05 ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524150
Sponsor’s telephone number 8135140333
Plan sponsor’s address 1101 E CUMBERLAND AVENUE, TAMPA, FL, 336024231
ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 401(K) PROFIT SHARING PLAN 2018 455194980 2019-10-14 ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524150
Sponsor’s telephone number 8135140333
Plan sponsor’s address 1101 E. CUMBERLAND AVENUE, TAMPA, FL, 33602

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature
ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 401(K) PROFIT SHARING PLAN 2017 455194980 2018-10-03 ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524150
Sponsor’s telephone number 8507282678
Plan sponsor’s address 2367 CENTERVILLE ROAD, 1ST FLOOR, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature
ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 401(K) PROFIT SHARING PLAN 2016 455194980 2017-07-25 ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524150
Sponsor’s telephone number 8505239550
Plan sponsor’s address 2367 CENTERVILLE ROAD, 1ST FLOOR, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature
ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 401(K) PROFIT SHARING PLAN 2015 455194980 2016-10-08 ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524150
Sponsor’s telephone number 8505239550
Plan sponsor’s address 2367 CENTERVILLE ROAD, 1ST FLOOR, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2016-10-08
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature
ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 401(K) PROFIT SHARING PLAN 2014 455194980 2015-08-13 ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524150
Sponsor’s telephone number 8505239550
Plan sponsor’s address 2367 CENTERVILLE ROAD, 1ST FLOOR, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2015-08-13
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Shealy, Mark C, CFO Agent 1101 E. Cumberland Ave, Suite 300, Tampa, FL 33602
Adhia, Hitesh John Authorized Representative 1101 E. Cumberland Ave, Suite 300 Tampa, FL 33602

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-05-31 - -
CHANGE OF PRINCIPAL ADDRESS 2018-12-18 1101 E. Cumberland Ave, Suite 300, Tampa, FL 33602 -
CHANGE OF MAILING ADDRESS 2018-12-18 1101 E. Cumberland Ave, Suite 300, Tampa, FL 33602 -
REGISTERED AGENT NAME CHANGED 2018-12-18 Shealy, Mark C, CFO -
REGISTERED AGENT ADDRESS CHANGED 2018-12-18 1101 E. Cumberland Ave, Suite 300, Tampa, FL 33602 -
LC NAME CHANGE 2013-06-19 ELEMENTS PROPERTY INSURANCE HOLDINGS, LLC -

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-05-31
AMENDED ANNUAL REPORT 2018-12-18
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-03-20
ANNUAL REPORT 2014-04-09
LC Name Change 2013-06-19
ANNUAL REPORT 2013-04-30
Reg. Agent Change 2013-04-30

Companies related by officers

Adhia, Hitesh John

ELEMENTS PROPERTY INSURANCE MANAGERS, LLC - Inactive
Florida Limited Liability Company (2013 - 2019)

Companies related by address

1101 E. Cumberland Ave, Suite 300, Tampa, FL 33602

ELEMENTS PROPERTY INSURANCE MANAGERS, LLC

1101 E. Cumberland Ave, Suite 300, Tampa, FL 33602

ELEMENTS PROPERTY INSURANCE MANAGERS, LLC

Date of last update: 22 Feb 2025

Sources: Florida Department of State

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