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  5. PENINSULA INSURANCE BUREAU, LLC

PENINSULA INSURANCE BUREAU, LLC

Company Details

Entity Name: PENINSULA INSURANCE BUREAU, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 12 Aug 2016 (8 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: L16000164311
Address: 6065 NW 167TH ST., SUITE B-1, HIALEAH, FL 33015
Mail Address: 6065 NW 167TH ST., SUITE B-1, HIALEAH, FL 33015
ZIP code: 33015
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PENINSULA INSURANCE BUREAU 401(K) P/S PLAN 2023 650171532 2024-04-11 PENINSULA INSURANCE BUREAU 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 3058240111
Plan sponsor’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015

Plan administrator’s name and address
Administrator’s EIN 650171532
Plan administrator’s name PENINSULA INSURANCE BUREAU
Plan administrator’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015
Administrator’s telephone number 3058240111
PENINSULA INSURANCE BUREAU 401(K) P/S PLAN 2022 650171532 2023-06-12 PENINSULA INSURANCE BUREAU 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 3058240111
Plan sponsor’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015

Plan administrator’s name and address
Administrator’s EIN 650171532
Plan administrator’s name PENINSULA INSURANCE BUREAU
Plan administrator’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015
Administrator’s telephone number 3058240111
PENINSULA INSURANCE BUREAU 401(K) P/S PLAN 2021 650171532 2022-11-03 PENINSULA INSURANCE BUREAU 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 3058240111
Plan sponsor’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015

Plan administrator’s name and address
Administrator’s EIN 650171532
Plan administrator’s name PENINSULA INSURANCE BUREAU
Plan administrator’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015
Administrator’s telephone number 3058240111
PENINSULA INSURANCE BUREAU 401(K) P/S PLAN 2020 650171532 2021-04-27 PENINSULA INSURANCE BUREAU 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 3058240111
Plan sponsor’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015

Plan administrator’s name and address
Administrator’s EIN 650171532
Plan administrator’s name PENINSULA INSURANCE BUREAU
Plan administrator’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015
Administrator’s telephone number 3058240111
PENINSULA INSURANCE BUREAU 401(K) P/S PLAN 2019 650171532 2020-01-21 PENINSULA INSURANCE BUREAU 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 3058240111
Plan sponsor’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015

Plan administrator’s name and address
Administrator’s EIN 650171532
Plan administrator’s name PENINSULA INSURANCE BUREAU
Plan administrator’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015
Administrator’s telephone number 3058240111
PENINSULA INSURANCE BUREAU 401(K) P/S PLAN 2018 650171532 2019-01-29 PENINSULA INSURANCE BUREAU 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 3058240111
Plan sponsor’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015

Plan administrator’s name and address
Administrator’s EIN 650171532
Plan administrator’s name PENINSULA INSURANCE BUREAU
Plan administrator’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015
Administrator’s telephone number 3058240111
PENINSULA INSURANCE BUREAU 401(K) P/S PLAN 2017 650171532 2018-02-22 PENINSULA INSURANCE BUREAU 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 3058240111
Plan sponsor’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015

Plan administrator’s name and address
Administrator’s EIN 650171532
Plan administrator’s name PENINSULA INSURANCE BUREAU
Plan administrator’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015
Administrator’s telephone number 3058240111
PENINSULA INSURANCE BUREAU 401(K) P/S PLAN 2016 650171532 2017-11-20 PENINSULA INSURANCE BUREAU 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 3058240111
Plan sponsor’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015

Plan administrator’s name and address
Administrator’s EIN 650171532
Plan administrator’s name PENINSULA INSURANCE BUREAU
Plan administrator’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015
Administrator’s telephone number 3058240111
PENINSULA INSURANCE BUREAU 401(K) P/S PLAN 2015 650171532 2016-10-04 PENINSULA INSURANCE BUREAU 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 3058240111
Plan sponsor’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015

Plan administrator’s name and address
Administrator’s EIN 650171532
Plan administrator’s name PENINSULA INSURANCE BUREAU
Plan administrator’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015
Administrator’s telephone number 3058240111

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing LESLIE M JOHNSTON
Valid signature Filed with authorized/valid electronic signature
PENINSULA INSURANCE BUREAU 401(K) P/S PLAN 2014 650171532 2015-01-23 PENINSULA INSURANCE BUREAU 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 524290
Sponsor’s telephone number 3058240111
Plan sponsor’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015

Plan administrator’s name and address
Administrator’s EIN 650171532
Plan administrator’s name PENINSULA INSURANCE BUREAU
Plan administrator’s address 6065 NW 167 STREET, SUITE B-1, MIAMI, FL, 33015
Administrator’s telephone number 3058240111

Signature of
Role Plan administrator
Date 2015-01-23
Name of individual signing LESLIE M JOHNSTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DONAGHY, KEVIN P Agent 195 WEKIVA SPRINGS ROAD, SUITE 224, LONGWOOD, FL 32779

Authorized Member

Name Role Address
PALACIOS, JOSE A Authorized Member 6065 NW 167TH ST. SUITE B-1, HIALEAH, FL 33015

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data

Documents

Name Date
Florida Limited Liability 2016-08-12

Related by officers

DONAGHY, KEVIN P

NFP 2012, LLC KJ 2012, LLC DONAGHY LOWY LLC WESTWIND BEER, LLC JCAM HOLDINGS, LLC D. E. P. T. INVESTMENTS, LLC KVKD, LLC PEAKY BLINDERS, LLC MICHELLE A ROSS ASSOCIATES, LLC ONE-OFF TRADERS, LLC

PALACIOS, JOSE A

INVERSIONES JAPACA CA LLC JOSE A PALACIOS REPAIRS CORP PALAN EXPORT, LLC PALACIOS TRANSPORTATION, LLC IDET GROUP LLC F & P PLASTERING, INC. THE INTERNATIONAL ALLIANCE, INC.

Related by address

No related companies by address

Date of last update: 19 Jan 2025

Sources: Florida Department of State

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