| Entity Name: | CROSS PRACTICE INSURANCE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Dec 2022 (2 years ago) |
| Document Number: | L22000520065 |
| FEI/EIN Number | 92-1330944 |
| Address: | 399 Camino Gardens Boulevard, Suite 308, Boca Raton, FL 33432 |
| Mail Address: | 399 Camino Gardens Boulevard, Suite 308, Boca Raton, FL 33432 |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COLLABORATIVE RETIREMENT TRUST | 2023 | 921330944 | 2024-10-09 | CROSS PRACTICE INSURANCE | 1 | |||||||||||||||||||||
|
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| Administrator’s EIN | 843755476 |
| Plan administrator’s name | COLLABORATIVE OFFICE SERVICES, LLC |
| Plan administrator’s address | 500 DAMONTE RANCH, PARKWAY BUILDING 700, UNIT 700, RENO, NV, 89521 |
| Administrator’s telephone number | 2036222000 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-12-15 |
| Business code | 524210 |
| Plan sponsor’s address | 399 CAMINO GARDENS BLVD, BOCA RATON, FL, 33434 |
Plan administrator’s name and address
| Administrator’s EIN | 843755476 |
| Plan administrator’s name | COLLABORATIVE OFFICE SERVICES, LLC |
| Plan administrator’s address | 500 DAMONTE RANCH, PARKWAY BUILDING 700, UNIT 700, RENO, NV, 89521 |
| Administrator’s telephone number | 2036222000 |
| Name | Role | Address |
|---|---|---|
| ZAPESOCHNY, ARTHUR | Agent | 399 CAMINO GARDENS BOULEVARD, SUITE 308, BOCA RATON, FL 33432 |
| Name | Role | Address |
|---|---|---|
| Zapesochny, Arthur | Authorized Member | 399 Camino Gardens Boulevard, Suite 308 Boca Raton, FL 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-16 | 399 Camino Gardens Boulevard, Suite 308, Boca Raton, FL 33432 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-16 | 399 Camino Gardens Boulevard, Suite 308, Boca Raton, FL 33432 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-25 |
| Florida Limited Liability | 2022-12-12 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
