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  5. FLORIDA BANKERS HEALTH CONSORTIUM, INC.

FLORIDA BANKERS HEALTH CONSORTIUM, INC.

Company Details

Entity Name: FLORIDA BANKERS HEALTH CONSORTIUM, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 23 Dec 2016 (8 years ago)
Last Event: AMENDMENT
Event Date Filed: 13 Sep 2019 (5 years ago)
Document Number: N16000012246
FEI/EIN Number 82-2427358
Address: 1201 S. Orlando Avenue, Winter Park, FL, 32789, US
Mail Address: 1201 S. Orlando Avenue, Winter Park, FL, 32789, US
ZIP code: 32789
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FBHC WELFARE BENEFIT PLAN 2023 822427358 2024-08-28 FLORIDA BANKERS HEALTH CONSORTIUM, INC 2257
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 4073330088
Plan sponsor’s mailing address 1201 S ORLANDO AVE STE 450, WINTER PARK, FL, 327897129
Plan sponsor’s address 1201 S ORLANDO AVE STE 450, WINTER PARK, FL, 327897129

Plan administrator’s name and address
Administrator’s EIN 592985259
Plan administrator’s name TRUST MANAGEMENT GROUP, INC
Plan administrator’s address 1201 S ORLANDO AVE STE 450, WINTER PARK, FL, 327897129
Administrator’s telephone number 4073330088

Number of participants as of the end of the plan year
Active participants 2220
Retired or separated participants receiving benefits 13
Other retired or separated participants entitled to future benefits 0
FBHC PREPAID LEGAL PLAN 2022 822427358 2023-08-07 FLORIDA BANKERS HEALTH CONSORTIUM, INC 120
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 4073330088
Plan sponsor’s mailing address 1201 S ORLANDO AVE STE 450, WINTER PARK, FL, 327897129
Plan sponsor’s address 1201 S ORLANDO AVE STE 450, WINTER PARK, FL, 327897129

Plan administrator’s name and address
Administrator’s EIN 592985259
Plan administrator’s name TRUST MANAGEMENT GROUP, INC.
Plan administrator’s address 1201 S ORLANDO AVE STE 450, WINTER PARK, FL, 327897129
Administrator’s telephone number 4073330088

Number of participants as of the end of the plan year
Active participants 91

Signature of
Role Plan administrator
Date 2023-08-07
Name of individual signing ADELLA SALINAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-07
Name of individual signing ADELLA SALINAS
Valid signature Filed with authorized/valid electronic signature
FBHC WELFARE BENEFIT PLAN 2022 822427358 2023-08-07 FLORIDA BANKERS HEALTH CONSORTIUM, INC 2409
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 4073330088
Plan sponsor’s mailing address 1201 S ORLANDO AVE STE 450, WINTER PARK, FL, 327897129
Plan sponsor’s address 1201 S ORLANDO AVE STE 450, WINTER PARK, FL, 327897129

Plan administrator’s name and address
Administrator’s EIN 592985259
Plan administrator’s name TRUST MANAGEMENT GROUP, INC
Plan administrator’s address 1201 S ORLANDO AVE STE 450, WINTER PARK, FL, 327897129
Administrator’s telephone number 4073330088

Number of participants as of the end of the plan year
Active participants 2241
Retired or separated participants receiving benefits 16

Signature of
Role Plan administrator
Date 2023-08-06
Name of individual signing ADELLA SALINAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-06
Name of individual signing ADELLA SALINAS
Valid signature Filed with authorized/valid electronic signature
FBHC PREPAID LEGAL PLAN 2021 822427358 2022-10-14 FLORIDA BANKERS HEALTH CONSORTIUM 94
Three-digit plan number (PN) 502
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 4073330088
Plan sponsor’s mailing address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Plan sponsor’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167

Plan administrator’s name and address
Administrator’s EIN 592985259
Plan administrator’s name TRUST MANAGEMENT GROUP, INC
Plan administrator’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Administrator’s telephone number 4073330088

Number of participants as of the end of the plan year
Active participants 120

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing ANGELA OREILLY
Valid signature Filed with authorized/valid electronic signature
FBHC PREPAID LEGAL PLAN 2021 822427358 2022-10-14 FLORIDA BANKERS HEALTH CONSORTIUM 94
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 4073330088
Plan sponsor’s mailing address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Plan sponsor’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167

Plan administrator’s name and address
Administrator’s EIN 592985259
Plan administrator’s name TRUST MANAGEMENT GROUP, INC
Plan administrator’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Administrator’s telephone number 4073330088

Number of participants as of the end of the plan year
Active participants 120

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing ANGELA OREILLY
Valid signature Filed with authorized/valid electronic signature
FBHC WELFARE BENEFIT PLAN 2021 822427358 2022-10-14 FLORIDA BANKERS HEALTH CONSORTIUM, INC 2355
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 4073330088
Plan sponsor’s mailing address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Plan sponsor’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167

Plan administrator’s name and address
Administrator’s EIN 592985259
Plan administrator’s name TRUST MANAGEMENT GROUP, INC
Plan administrator’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Administrator’s telephone number 4073330088

Number of participants as of the end of the plan year
Active participants 2409
Retired or separated participants receiving benefits 33

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing ANGELA OREILLY
Valid signature Filed with authorized/valid electronic signature
FBHC WELFARE BENEFIT PLAN 2021 822427358 2022-10-14 FLORIDA BANKERS HEALTH CONSORTIUM, INC 2355
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 4073330088
Plan sponsor’s mailing address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Plan sponsor’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167

Plan administrator’s name and address
Administrator’s EIN 592985259
Plan administrator’s name TRUST MANAGEMENT GROUP, INC
Plan administrator’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Administrator’s telephone number 4073330088

Number of participants as of the end of the plan year
Active participants 2409
Retired or separated participants receiving benefits 33

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing ANGELA OREILLY
Valid signature Filed with authorized/valid electronic signature
FBHC PREPAID LEGAL PLAN 2020 822427358 2021-10-15 FLORIDA BANKERS HEALTH CONSORTIUM, INC 102
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 4073330088
Plan sponsor’s mailing address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Plan sponsor’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167

Plan administrator’s name and address
Administrator’s EIN 592985259
Plan administrator’s name TRUST MANAGEMENT GROUP, INC
Plan administrator’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Administrator’s telephone number 4073330088

Number of participants as of the end of the plan year
Active participants 94

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing ANGELA OREILLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing ANGELA OREILLY
Valid signature Filed with authorized/valid electronic signature
FBHC WELFARE BENEFIT PLAN 2020 822427358 2021-10-15 FLORIDA BANKERS HEALTH CONSORTIUM, INC 2422
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 4073330088
Plan sponsor’s mailing address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Plan sponsor’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167

Plan administrator’s name and address
Administrator’s EIN 592985259
Plan administrator’s name TRUST MANAGEMENT GROUP, INC
Plan administrator’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Administrator’s telephone number 4073330088

Number of participants as of the end of the plan year
Active participants 2355
Retired or separated participants receiving benefits 54

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing ANGELA OREILLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing ANGELA OREILLY
Valid signature Filed with authorized/valid electronic signature
FBHC WELFARE BENEFIT PLAN 2019 822427358 2020-10-15 FLORIDA BANKERS HEALTH CONSORTIUM, INC 4565
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 4073330088
Plan sponsor’s mailing address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Plan sponsor’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167

Plan administrator’s name and address
Administrator’s EIN 592985259
Plan administrator’s name TRUST MANAGEMENT GROUP, INC.
Plan administrator’s address 300 PRIMERA BLVD STE 140, LAKE MARY, FL, 327462167
Administrator’s telephone number 4073330088

Number of participants as of the end of the plan year
Active participants 2668
Other retired or separated participants entitled to future benefits 60

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing ANGELA OREILLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing ANGELA OREILLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Walker Julius Agent 1201 S. Orlando Avenue, Winter Park, FL, 32789

Treasurer

Name Role Address
COLADO RAY Treasurer 1201 S. ORLANDO AVENUE, WINTERPARK, FL, 32789
NELSON GREGORY L Treasurer 2701 S. BAY STREET, UMATILLA, FL, 32726
Ricco Pamela Treasurer 1201 S. Orlando Avenue, Winter Park, FL, 32789
DE VAUX LLOYD Treasurer 14095 S DIXIE HWY, MIAMI, FL, 331767222

Chief Executive Officer

Name Role Address
O'REILLY ANGELA A Chief Executive Officer 1201 S. Orlando Avenue, Winter Park, FL, 32789

Vice President

Name Role Address
WALKER JULIUS Vice President 1201 S. Orlando Avenue, Winter Park, FL, 32789

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000016247 FBIT EMPLOYEE BENEFITS AND SERVICES EXPIRED 2017-02-14 2022-12-31 No data 300 VPRIMERA BLVD, SUITE 140, LAKE MARY, FL, 32746
G17000016248 FBIT EXPIRED 2017-02-14 2022-12-31 No data 300 PRIMERA BLVD, SUITE 140, LAKE MARY, FL, 32746

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-17 1201 S. Orlando Avenue, Suite 450, Winter Park, FL 32789 No data
CHANGE OF MAILING ADDRESS 2023-04-17 1201 S. Orlando Avenue, Suite 450, Winter Park, FL 32789 No data
REGISTERED AGENT NAME CHANGED 2023-04-17 Walker, Julius No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-17 1201 S. Orlando Avenue, Suite 450, Winter Park, FL 32789 No data
AMENDMENT 2019-09-13 No data No data
AMENDMENT 2018-10-03 No data No data
NAME CHANGE AMENDMENT 2017-07-24 FLORIDA BANKERS HEALTH CONSORTIUM, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-06-09
Amendment 2019-09-13
ANNUAL REPORT 2019-04-29
Amendment 2018-10-03
ANNUAL REPORT 2018-04-13
Name Change 2017-07-24

Related by officers

COLADO RAY

PARK SPORTS CORP OVIEDO WINTER SPRINGS CHAMBER FOUNDATION INC. CENTRAL FLORIDA UNITED SOCCER CLUB, INCORPORATED

NELSON GREGORY L

GREG NELSON CONSULTING, LLC UNITED SOUTHERN BANK MONTVERDE ACADEMY, INC.

WALKER JULIUS

WALKER HENRY & ASSOCIATES INC. J WALKER MARBLE INC TRUST MANAGEMENT GROUP, INC. NEW TABERNACLE DELIVERANCE BAPTIST CHURCH, INCORPORATION

DE VAUX LLOYD

SUNSTATE BANK

Related by address

1201 S. Orlando Avenue, Winter Park, FL, 32789, US

CLOSSON INSURANCE AGENCY, LLC

1201 S. Orlando Avenue, Winter Park, FL, 32789, US

CLOSSON INSURANCE AGENCY, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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