| Entity Name: | CERTIFIED INSURANCE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Jun 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L18000146613 |
| Address: | 8442 US HWY 19, PORT RICHEY, FL, 34668, US |
| Mail Address: | 46352 MICHIGAN AVENUE, SUITE 200, CANTON, MI, 48188, US |
| ZIP code: | 34668 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CERTIFIED INSURANCE SERVICES 401 K PROFIT SHARING PLAN TRUST | 2010 | 201386618 | 2011-07-01 | CERTIFIED INSURANCE SERVICES | 4 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 201386618 |
| Plan administrator’s name | CERTIFIED INSURANCE SERVICES |
| Plan administrator’s address | LLC, 2636 W SR 434 #112, LONGWOOD, FL, 327790000 |
| Administrator’s telephone number | 4072157318 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-01 |
| Name of individual signing | CERTIFIED INSURANCE SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 4072157318 |
| Plan sponsor’s address | LLC, 2636 W SR 434 #112, LONGWOOD, FL, 327790000 |
Plan administrator’s name and address
| Administrator’s EIN | 201386618 |
| Plan administrator’s name | CERTIFIED INSURANCE SERVICES |
| Plan administrator’s address | LLC, 2636 W SR 434 #112, LONGWOOD, FL, 327790000 |
| Administrator’s telephone number | 4072157318 |
Signature of
| Role | Plan administrator |
| Date | 2010-05-19 |
| Name of individual signing | CERTIFIED INSURANCE SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BERGLANDS-CAPPO ERIC | Agent | 8442 US HWY 19, PORT RICHEY, FL, 34668 |
| Name | Role | Address |
|---|---|---|
| BERGLANDS-CAPPO ERIC | Authorized Member | 8442 US HWY 19, PORT RICHEY, FL, 34668 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-06-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
