| Entity Name: | SIS AFFILIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Feb 2014 (11 years ago) |
| Date of dissolution: | 05 Jun 2017 (8 years ago) |
| Last Event: | LC WITHDRAWAL |
| Event Date Filed: | 05 Jun 2017 (8 years ago) |
| Document Number: | M14000001109 |
| FEI/EIN Number | 46-4390254 |
| Address: | 1845 E John Sims Parkway, Niceville, FL 32578 |
| Mail Address: | 1845 E John Sims Parkway, Niceville, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | DELAWARE |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SIS 401(K) PROFIT SHARING PLAN | 2016 | 464390254 | 2019-05-01 | SIS AFFILIATES, LLC | 9 | |||||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2019-05-01 |
| Name of individual signing | JUDY ROACH |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-05-01 |
| Name of individual signing | JUDY ROACH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 524290 |
| Sponsor’s telephone number | 3177705492 |
| Plan sponsor’s DBA name | SIMSOL INSURANCE SERVICE |
| Plan sponsor’s address | 9720 PRINCESS PALM AVE STE 140, TAMPA, FL, 336198346 |
Signature of
| Role | Plan administrator |
| Date | 2019-05-01 |
| Name of individual signing | JUDY ROACH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Postava, John | Manager | 1845 E John Sims Parkway, Niceville, FL 32578 |
| Elliott, Karla J. | Manager | 1845 E John Sims Parkway, Niceville, FL 32578 |
| Name | Role | Address |
|---|---|---|
| Claims Management Holdings, LLC | Member | 30 South Wacker Drive, Suite 2200 Chicago, IL 60606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000062073 | THE SIS GROUP | EXPIRED | 2014-06-17 | 2019-12-31 | No data | 1845 JOHN SIMS PKWY E, NICEVILLE, FL, 32578 |
| G14000004104 | SIMSOL INSURANCE SERVICES | EXPIRED | 2014-02-13 | 2019-12-31 | No data | 1845 JOHN SIMS PKWY E, NICEVILLE, FL, 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC WITHDRAWAL | 2017-06-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-08 | 1845 E John Sims Parkway, Niceville, FL 32578 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-08 | 1845 E John Sims Parkway, Niceville, FL 32578 | No data |
| LC STMNT OF RA/RO CHG | 2015-04-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-21 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-21 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| LC Withdrawal | 2017-06-05 |
| ANNUAL REPORT | 2016-04-08 |
| CORLCRACHG | 2015-04-21 |
| ANNUAL REPORT | 2015-04-06 |
| Foreign Limited | 2014-02-13 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
