Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Hillsborough
    4. ›
  4. 33634
    5. ›
  5. VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC.

VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC.

Company Details

Entity Name: VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 05 Apr 1988 (37 years ago)
Date of dissolution: 12 Dec 2019 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 12 Dec 2019 (5 years ago)
Document Number: M75374
FEI/EIN Number 59-2889943
Address: % VIVIAN Z. BRAAKSMA, 6905 W WATERS AVE, TAMPA, FL 33634
Mail Address: 12077 Gandy Blvd N #384, StPetersburg, FL 33702
ZIP code: 33634
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC 401(K) PLAN 2018 592889943 2019-07-26 VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 8132638288
Plan sponsor’s address 12077 GANDY BLVD N, #384, ST. PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing VIVIAN Z BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC 401(K) PLAN 2018 592889943 2019-09-13 VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 8132638288
Plan sponsor’s address 12077 GANDY BLVD N, #384, ST. PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2019-09-13
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC 401(K) PLAN 2017 592889943 2018-06-07 VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 8138842665
Plan sponsor’s address 12077 GANDY BLVD N, #384, ST. PETERSBERG, FL, 33702

Signature of
Role Plan administrator
Date 2018-06-07
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC 401(K) PLAN 2016 592889943 2017-07-10 VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 8138842665
Plan sponsor’s address 1960 ARROWHEAD DR. NE, ST. PETERSBERG, FL, 33703

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing VIVIAN Z BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-10
Name of individual signing VIVIAN Z BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
VIVIAN Z. BRAAKSMA INSURANCE AGENCY 401(K) PLAN 2015 592889943 2016-05-19 VIVIAN Z. BRAAKSMA INSURANCE AGENCY INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 8138842665
Plan sponsor’s address 1960 ARROWHEAD DR. NE, ST. PETERSBURG, FL, 33703

Signature of
Role Plan administrator
Date 2016-05-19
Name of individual signing VIVIAN Z BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-19
Name of individual signing VIVIAN Z BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. 401(K) PLAN 2014 592889943 2015-03-11 VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 8138842665
Plan sponsor’s address 6905 W. WATERS AVE., TAMPA, FL, 33634

Signature of
Role Plan administrator
Date 2015-03-11
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-11
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. 401(K) PLAN 2013 592889943 2014-06-24 VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 8138842665
Plan sponsor’s address 6905 W. WATERS AVE., TAMPA, FL, 33634

Signature of
Role Plan administrator
Date 2014-06-24
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-24
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. 401(K) PLAN 2012 592889943 2013-07-16 VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 8138842665
Plan sponsor’s address 6905 W. WATERS AVE., TAMPA, FL, 33634

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-16
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. AGE-WEIGHTED PROFIT SHARING PLAN 2011 592889943 2012-05-24 VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 8138842665
Plan sponsor’s address 5503 WEST WATERS AVENUE, SUITE 505, TAMPA, FL, 33634

Plan administrator’s name and address
Administrator’s EIN 592889943
Plan administrator’s name VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC.
Plan administrator’s address 5503 WEST WATERS AVENUE, SUITE 505, TAMPA, FL, 33634
Administrator’s telephone number 8138842665

Signature of
Role Plan administrator
Date 2012-05-24
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-24
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. AGE-WEIGHTED PROFIT SHARING PLAN 2011 592889943 2012-05-24 VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 8138842665
Plan sponsor’s address 5503 WEST WATERS AVENUE, SUITE 505, TAMPA, FL, 33634

Plan administrator’s name and address
Administrator’s EIN 592889943
Plan administrator’s name VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC.
Plan administrator’s address 5503 WEST WATERS AVENUE, SUITE 505, TAMPA, FL, 33634
Administrator’s telephone number 8138842665

Signature of
Role Plan administrator
Date 2012-05-24
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-24
Name of individual signing VIVIAN BRAAKSMA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRAAKSMA, VIVIAN Z. Agent 12077 Gandy Blvd N #384, StPetersburg, FL 33702

President

Name Role Address
BRAAKSMA, VIVIAN Z. President 12077 Gandy Blvd N #384, StPetersburg, FL 33702

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-12-12 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-02-06 % VIVIAN Z. BRAAKSMA, 6905 W WATERS AVE, TAMPA, FL 33634 No data
CHANGE OF MAILING ADDRESS 2018-02-06 % VIVIAN Z. BRAAKSMA, 6905 W WATERS AVE, TAMPA, FL 33634 No data
REGISTERED AGENT ADDRESS CHANGED 2018-02-06 12077 Gandy Blvd N #384, StPetersburg, FL 33702 No data
NAME CHANGE AMENDMENT 1988-07-27 VIVIAN Z. BRAAKSMA INSURANCE AGENCY, INC. No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2019-12-12
ANNUAL REPORT 2019-03-01
ANNUAL REPORT 2018-02-06
ANNUAL REPORT 2017-03-02
ANNUAL REPORT 2016-02-15
ANNUAL REPORT 2015-03-19
ANNUAL REPORT 2014-01-09
ANNUAL REPORT 2013-04-01
ANNUAL REPORT 2012-02-29
ANNUAL REPORT 2011-03-02

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 04 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated