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BRIGHTWAY INSURANCE, LLC

Headquarter

Company Details

Entity Name: BRIGHTWAY INSURANCE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Dec 2021 (3 years ago)
Last Event: CONVERSION
Event Date Filed: 08 Dec 2021 (3 years ago)
Document Number: L21000515459
FEI/EIN Number 76-0738082
Address: 3733 W. UNIVERISTY BLVD., SUITE 100, JACKSONVILLE, FL, 32217, US
Mail Address: 3733 W. UNIVERISTY BLVD., SUITE 100, JACKSONVILLE, FL, 32217, US
ZIP code: 32217
County: Duval
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of BRIGHTWAY INSURANCE, LLC, MISSISSIPPI 973462 MISSISSIPPI
Headquarter of BRIGHTWAY INSURANCE, LLC, RHODE ISLAND 001750750 RHODE ISLAND
Headquarter of BRIGHTWAY INSURANCE, LLC, ALABAMA 000-945-451 ALABAMA
Headquarter of BRIGHTWAY INSURANCE, LLC, KENTUCKY 0806190 KENTUCKY
Headquarter of BRIGHTWAY INSURANCE, LLC, COLORADO 20111610406 COLORADO
Headquarter of BRIGHTWAY INSURANCE, LLC, CONNECTICUT 2409402 CONNECTICUT
Headquarter of BRIGHTWAY INSURANCE, LLC, IDAHO 631732 IDAHO
Headquarter of BRIGHTWAY INSURANCE, LLC, ILLINOIS LLC_11915744 ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ETF ADVISOR K 401K PLAN 2017 260515626 2018-07-23 BRIGHTWAY INSURANCE 3
File View Page
Three-digit plan number (PN) 336
Effective date of plan 2016-01-01
Business code 524210
Sponsor’s telephone number 7275814200
Plan sponsor’s address 1601 EAST BAY DRIVE #3, LARGO, FL, 33771

Plan administrator’s name and address

Administrator’s EIN 813799174
Plan administrator’s name FIDUCIARY WISE
Plan administrator’s address 2487 S. GIBERT RD, SUITE 106-455, GILBERT, AZ, 85295
Administrator’s telephone number 7143312623

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing T R BICK
Valid signature Filed with authorized/valid electronic signature
ETF ADVISOR K 401K PLAN SHORT PLAN YEAR BRIGHTWAY INSURANCE 2017 260515626 2018-07-23 BRIGHTWAY INSURANCE 2
File View Page
Three-digit plan number (PN) 336
Effective date of plan 2016-01-01
Business code 524210
Sponsor’s telephone number 7275814200
Plan sponsor’s address 1601 EAST BAY DRIVE #3, LARGO, FL, 33771

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing T R BICK
Valid signature Filed with authorized/valid electronic signature
BRIGHTWAY INSURANCE 401(K) PROFIT SHARING PLAN 2012 760738082 2013-07-23 BRIGHTWAY INSURANCE 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 9047649554
Plan sponsor’s address PO BOX 5700, JACKSONVILLE, FL, 32247

Plan administrator’s name and address

Administrator’s EIN 760738082
Plan administrator’s name BRIGHTWAY INSURANCE
Plan administrator’s address PO BOX 5700, JACKSONVILLE, FL, 32247
Administrator’s telephone number 9047649554

Signature of

Role Plan administrator
Date 2013-07-23
Name of individual signing DAVID MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-23
Name of individual signing DAVID MILLER
Valid signature Filed with authorized/valid electronic signature
BRIGHTWAY INSURANCE 401(K) PROFIT SHARING PLAN 2011 760738082 2012-09-17 BRIGHTWAY INSURANCE 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 9047649554
Plan sponsor’s address PO BOX 5700, JACKSONVILLE, FL, 32247

Plan administrator’s name and address

Administrator’s EIN 760738082
Plan administrator’s name BRIGHTWAY INSURANCE
Plan administrator’s address PO BOX 5700, JACKSONVILLE, FL, 32247
Administrator’s telephone number 9047649554

Signature of

Role Plan administrator
Date 2012-09-17
Name of individual signing DAVID C MILLER
Valid signature Filed with authorized/valid electronic signature
BRIGHTWAY INSURANCE 401(K) PROFIT SHARING PLAN 2010 760738082 2011-07-20 BRIGHTWAY INSURANCE 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 9047649554
Plan sponsor’s address 3733 UNIVERSITY BLVD WEST, SUITE 100, JACKSONVILLE, FL, 32217

Plan administrator’s name and address

Administrator’s EIN 760738082
Plan administrator’s name BRIGHTWAY INSURANCE
Plan administrator’s address 3733 UNIVERSITY BLVD WEST, SUITE 100, JACKSONVILLE, FL, 32217
Administrator’s telephone number 9047649554

Signature of

Role Plan administrator
Date 2011-07-20
Name of individual signing DAVID MILLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SMITH HULSEY & BUSEY PROFESSIONAL ASSOC Agent ONE INDEPENDENT DRIVE, SUITE 3300, JACKSONVILLE, FL, 32202

Auth

Name Role
BRIGHTWAY HOLDINGS, LLC Auth

Events

Event Type Filed Date Value Description
CONVERSION 2021-12-08 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P03000084475. CONVERSION NUMBER 700000220817

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2022-01-25
Florida Limited Liability 2021-12-08

Date of last update: 03 Feb 2025

Sources: Florida Department of State