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MEDICAREINSURANCE.COM LLC

Headquarter

Company Details

Entity Name: MEDICAREINSURANCE.COM LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 10 Jan 2019 (6 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: L19000012291
FEI/EIN Number 83-3415050
Address: 844 Williams Lane, Port Orange, FL, 32127, US
Mail Address: 844 WILLIAMS LANE, PORT ORANGE, FL, 32127, US
ZIP code: 32127
County: Volusia
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of MEDICAREINSURANCE.COM LLC, CONNECTICUT 1380087 CONNECTICUT
Headquarter of MEDICAREINSURANCE.COM LLC, IDAHO 4185853 IDAHO

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAREINSURANCE.COM 401(K) PLAN 2021 208018424 2022-10-03 MEDICAREINSURANCE.COM 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524140
Sponsor’s telephone number 3868464892
Plan sponsor’s address 844 WILLIAMS LANE, PORT ORANGE, FL, 32127

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-10-01
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
MEDICAREINSURANCE.COM 401(K) PLAN 2021 208018424 2022-06-02 MEDICAREINSURANCE.COM 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524140
Sponsor’s telephone number 3868464892
Plan sponsor’s address 844 WILLIAMS LANE, PORT ORANGE, FL, 32127

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-06-02
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
MEDICAREINSURANCE.COM 401(K) PLAN 2020 208018424 2022-08-18 MEDICAREINSURANCE.COM 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524140
Sponsor’s telephone number 3868464892
Plan sponsor’s address 844 WILLIAMS LANE, PORT ORANGE, FL, 32127

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-08-18
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
MEDICAREINSURANCE.COM 401(K) PLAN 2020 208018424 2021-11-30 MEDICAREINSURANCE.COM 97
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524140
Sponsor’s telephone number 3868464892
Plan sponsor’s address 844 WILLIAMS LANE, PORT ORANGE, FL, 32127

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-11-30
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
MEDICAREINSURANCE.COM 401(K) PLAN 2020 208018424 2021-10-13 MEDICAREINSURANCE.COM 97
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524140
Sponsor’s telephone number 3868464892
Plan sponsor’s address 844 WILLIAMS LANE, PORT ORANGE, FL, 32127

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
MEDICAREINSURANCE.COM 401(K) PLAN 2019 208018424 2020-05-15 MEDICAREINSURANCE.COM 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524140
Sponsor’s telephone number 3868464892
Plan sponsor’s address 844 WILLIAMS LANE, PORT ORANGE, FL, 32127

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2020-05-15
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHRISTOFORAKIS CONSTANTINE Agent 844 Williams Lane, Port Orange, FL, 32127

Manager

Name Role Address
CHRISTOFORAKIS CONSTANTINE Manager 844 WILLIAMS LANE, PORT ORANGE, FL, 32127

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-04-30 844 Williams Lane, Port Orange, FL 32127 No data
REGISTERED AGENT ADDRESS CHANGED 2020-04-30 844 Williams Lane, Port Orange, FL 32127 No data
LC STMNT OF RA/RO CHG 2019-03-18 No data No data

Documents

Name Date
ANNUAL REPORT 2020-04-30
CORLCRACHG 2019-03-18
Florida Limited Liability 2019-01-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State