| Entity Name: | SOUTHERN INSURANCE PROVIDERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Sep 2019 (5 years ago) |
| Document Number: | L19000242459 |
| FEI/EIN Number | 84-3316298 |
| Address: | 12555 ORANGE DR, DAVIE, FL, 33330, US |
| Mail Address: | 12555 ORANGE DR, DAVIE, FL, 33330, US |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHERN INSURANCE PROVIDERS LLC | 2023 | 843316298 | 2024-09-05 | SOUTHERN INSURANCE PROVIDERS LLC | 2 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-09-05 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-09-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 9544511408 |
| Plan sponsor’s address | 12555 ORANGE DR, STE 251, DAVIE, FL, 33330 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-12 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-09-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 9544511408 |
| Plan sponsor’s address | 12555 ORANGE DR, STE 251, DAVIE, FL, 33330 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-22 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Guerrero Adrian | Agent | 12555 Orange Drive, Davie, FL, 33330 |
| Name | Role | Address |
|---|---|---|
| Guerrero Adrian | Manager | 12555 Orange Drive, Davie, FL, 33330 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-03 | 12555 ORANGE DR, DAVIE, FL 33330 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-03 | 12555 ORANGE DR, DAVIE, FL 33330 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-03 | 12555 Orange Drive, Davie, FL 33330 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-12 | Guerrero, Adrian | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-03-03 |
| AMENDED ANNUAL REPORT | 2021-10-12 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-06-15 |
| Florida Limited Liability | 2019-09-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
