| Entity Name: | MASA SUPPLEMENTAL MEDICAL INSURANCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 May 2019 (6 years ago) |
| Date of dissolution: | 12 Oct 2021 (3 years ago) |
| Last Event: | LC WITHDRAWAL |
| Event Date Filed: | 12 Oct 2021 (3 years ago) |
| Document Number: | M19000004521 |
| FEI/EIN Number | 83-4535871 |
| Address: | 1250 S. Pine Island Road, Suite 500, Plantation, FL, 33324, US |
| Mail Address: | 1250 S. Pine Island Road, Suite 500, Plantation, FL, 33324, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | DELAWARE |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Moody D. C | Treasurer | 1250 S. Pine Island Road, Plantation, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| Markin Marco | President | 1250 S. Pine Island Road, Plantation, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| Markin Marco | Director | 1250 S. Pine Island Road, Plantation, FL, 33324 |
| Moody D. C | Director | 1250 S. Pine Island Road, Plantation, FL, 33324 |
| Boron Andrew C | Director | 1250 S. Pine Island Road, Plantation, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| Boron Andrew | Secretary | 1250 S. Pine Island Road, Plantation, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC WITHDRAWAL | 2021-10-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-25 | 1250 S. Pine Island Road, Suite 500, Plantation, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-25 | 1250 S. Pine Island Road, Suite 500, Plantation, FL 33324 | No data |
| Name | Date |
|---|---|
| LC Withdrawal | 2021-10-12 |
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-06-04 |
| Foreign Limited | 2019-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
