| Entity Name: | JACK FAMILY INSURANCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Apr 2012 (13 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 15 Jul 2024 (7 months ago) |
| Document Number: | L12000054515 |
| FEI/EIN Number | 45-5159831 |
| Address: | 534 NE 5th Ave, Delray Beach, FL 33483 |
| Mail Address: | 534 NE 5th Ave, Delray Beach, FL 33483 |
| ZIP code: | 33483 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JACK FAMILY INSURANCE 401(K) PLAN | 2023 | 455159831 | 2024-05-17 | JACK FAMILY INSURANCE, LLC | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-17 |
| Name of individual signing | WILHELMINA JACK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 5612415550 |
| Plan sponsor’s address | 7491 N FEDERAL HWY C6, BOCA RATON, FL, 33487 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-13 |
| Name of individual signing | WILHELMINA JACK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 5612415550 |
| Plan sponsor’s address | 7491 N FEDERAL HWY C6, BOCA RATON, FL, 33487 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-24 |
| Name of individual signing | WILHELMINA JACK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 5612415550 |
| Plan sponsor’s address | 7491 N FEDERAL HWY C6, BOCA RATON, FL, 33487 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-07 |
| Name of individual signing | WILHELMINA JACK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JACK, WILHELMINA | Agent | 534 NE 5th Ave, Delray Beach, FL 33483 |
| Name | Role | Address |
|---|---|---|
| JACK II, JOHN A | Managing Member | 534 NE 5TH AVE, DELRAY BEACH, FL 33483 |
| JACK, WILHELMINA | Managing Member | 534 NE 5TH AVE, DELRAY BEACH, FL 33483 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000097898 | ALLSTATE INSURANCE | ACTIVE | 2012-10-05 | 2027-12-31 | No data | 534 NE 5TH AVE, DELRAY BEACH, FL, 33483 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-07-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-15 | 534 NE 5th Ave, Delray Beach, FL 33483 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-25 | 534 NE 5th Ave, Delray Beach, FL 33483 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-25 | 534 NE 5th Ave, Delray Beach, FL 33483 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-19 |
| CORLCRACHG | 2024-07-15 |
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5604897704 | 2020-05-01 | 0455 | PPP | 7491 N FEDERAL HWY STE C6, BOCA RATON, FL, 33487-1624 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 22 Feb 2025
Sources: Florida Department of State
