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  5. PERRY D. UNWALLA INSURANCE AGENCY, INC.

PERRY D. UNWALLA INSURANCE AGENCY, INC.

Company Details

Entity Name: PERRY D. UNWALLA INSURANCE AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Apr 2000 (25 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 06 Feb 2002 (23 years ago)
Document Number: P00000035311
FEI/EIN Number 593652088
Address: 3791 A1A S., SUITE A, ST. AUGUSTINE, FL, 32080
Mail Address: 3791 A1A S., SUITE A, ST. AUGUSTINE, FL, 32080
ZIP code: 32080
County: St. Johns
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERRY D. UNWALLA INSURANCE AGENCY, INC 401(K) PLAN 2023 593652088 2024-06-24 PERRY D. UNWALLA INSURANCE AGENCY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 9044615400
Plan sponsor’s address 3791 A1A S. STE. A, ST. AUGUSTINE, FL, 320809704

Signature of
Role Plan administrator
Date 2024-06-24
Name of individual signing PERRY D UNWALLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-24
Name of individual signing PERRY D UNWALLA
Valid signature Filed with authorized/valid electronic signature
PERRY D. UNWALLA INSURANCE AGENCY, INC 401(K) PLAN 2022 593652088 2023-10-09 PERRY D. UNWALLA INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 9044615400
Plan sponsor’s address 3791 A1A S. STE. A, ST. AUGUSTINE, FL, 320809704

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
PERRY D. UNWALLA INSURANCE AGENCY, INC 401(K) PLAN 2021 593652088 2022-10-12 PERRY D. UNWALLA INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 9044615400
Plan sponsor’s address 3791 A1A S. STE. A, ST. AUGUSTINE, FL, 320809704

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
PERRY D. UNWALLA INSURANCE AGENCY, INC 401(K) PLAN 2020 593652088 2021-06-04 PERRY D. UNWALLA INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 9044615400
Plan sponsor’s address 3791 A1A S. STE. A, ST. AUGUSTINE, FL, 320809704

Signature of
Role Plan administrator
Date 2021-06-04
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-04
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
PERRY D. UNWALLA INSURANCE AGENCY, INC 401(K) PLAN 2019 593652088 2020-10-14 PERRY D. UNWALLA INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 9044615400
Plan sponsor’s address 3791 A1A S. STE. A, ST. AUGUSTINE, FL, 320809704

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
PERRY D. UNWALLA INSURANCE AGENCY, INC 401(K) PLAN 2018 593652088 2019-08-08 PERRY D. UNWALLA INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 9044615400
Plan sponsor’s address 3791 A1A S. STE. A, ST. AUGUSTINE, FL, 320809704

Signature of
Role Plan administrator
Date 2019-08-08
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-08
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
PERRY D. UNWALLA INSURANCE AGENCY, INC 401(K) PLAN 2017 593652088 2018-07-11 PERRY D. UNWALLA INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 9044615400
Plan sponsor’s address 3791 A1A S. STE. A, ST. AUGUSTINE, FL, 320809704

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
PERRY D. UNWALLA INSURANCE AGENCY, INC 401(K) PLAN 2016 593652088 2017-10-10 PERRY D. UNWALLA INSURANCE AGENCY, INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 9044615400
Plan sponsor’s address 3791 A1A S. STE. A, ST. AUGUSTINE, FL, 320809704

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing PERRY DARAB UNWALLA
Valid signature Filed with authorized/valid electronic signature
PERRY D. UNWALLA INSURANCE AGENCY, INC 401(K) PLAN 2015 593652088 2016-08-03 PERRY D. UNWALLA INSURANCE AGENCY, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 9044615400
Plan sponsor’s address 3791 A1A S. STE. A, ST. AUGUSTINE, FL, 320809704

Signature of
Role Plan administrator
Date 2016-08-03
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
PERRY D. UNWALLA INSURANCE AGENCY, INC 401(K) PLAN 2014 593652088 2015-03-15 PERRY D. UNWALLA INSURANCE AGENCY, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 9044615400
Plan sponsor’s address 3791 A1A SOUTH, STE. A, ST. AUGUSTINE, FL, 320809704

Signature of
Role Plan administrator
Date 2015-03-15
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-15
Name of individual signing PERRY D. UNWALLA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
UNWALLA PERRY D Agent 3791 A1A S., STE A, ST. AUGUSTINE, FL, 32080

President

Name Role Address
UNWALLA PERRY D President 3791 A1A S., STE A, ST. AUGUSTINE, FL, 32080

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2008-01-09 3791 A1A S., SUITE A, ST. AUGUSTINE, FL 32080 No data
CHANGE OF MAILING ADDRESS 2008-01-09 3791 A1A S., SUITE A, ST. AUGUSTINE, FL 32080 No data
REGISTERED AGENT ADDRESS CHANGED 2008-01-09 3791 A1A S., STE A, ST. AUGUSTINE, FL 32080 No data
REINSTATEMENT 2002-02-06 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2001-09-21 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-02-10
ANNUAL REPORT 2015-01-09

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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