| Entity Name: | MID MOUNTAIN INSURANCE AGENCY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jan 2007 (18 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 06 Jan 2025 (a month ago) |
| Document Number: | M07000000567 |
| FEI/EIN Number | 911775016 |
| Mail Address: | 10751 DEERWOOD PARK BLVD, Suite 200, JACKSONVILLE, FL, 32256, US |
| Address: | 1500 NW Bethany Blvd. Stuie 200, Beaverton, OR, 97006, US |
| Place of Formation: | OREGON |
| Name | Role |
|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SHORT JOHN G | Secretary | 10751 DEERWOOD PARK BLVD, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| Kahlbaugh Richard S | President | 10751 DEERWOOD PARK BLVD, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| Pena Edward J | Chief Financial Officer | 10751 DEERWOOD PARK BLVD, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| LOTS INTERMEDIATE CO. | Auth | 10751 DEERWOOD PARK BLVD, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| VRBAN MICHAEL | Treasurer | 10751 DEERWOOD PARK BLVD, JACKSONVILLE, FL, 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000077470 | FORTEGRA PERSONAL INSURANCE AGENCY | EXPIRED | 2014-07-27 | 2024-12-31 | No data | 10151 DEERWOOD PARK BLVD, BLDG 100-330, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2025-01-06 | MID MOUNTAIN INSURANCE AGENCY, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-13 | 1500 NW Bethany Blvd. Stuie 200, Beaverton, OR 97006 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-01 | 1500 NW Bethany Blvd. Stuie 200, Beaverton, OR 97006 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-25 | 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-11-22 | CORPORATE CREATIONS NETWORK INC | No data |
| LC STMNT OF RA/RO CHG | 2017-11-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-11-22 | 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 | No data |
| Name | Date |
|---|---|
| LC Name Change | 2025-01-06 |
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-01-17 |
| CORLCRACHG | 2017-11-22 |
| ANNUAL REPORT | 2017-03-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
