| Entity Name: | LANDMARK INSURANCE AGENCY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Jun 2000 (25 years ago) |
| Document Number: | P00000062957 |
| FEI/EIN Number | 541671871 |
| Address: | 8313 SE CUMBERLAND CIRCLE, HOBE SOUND, FL, 33455, US |
| Mail Address: | 8313 SE CUMBERLAND CIRCLE, HOBE SOUND, FL, 33455, US |
| ZIP code: | 33455 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LANDMARK INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST | 2010 | 541671871 | 2012-04-03 | LANDMARK INSURANCE AGENCY INC | 1 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 541671871 |
| Plan administrator’s name | LANDMARK INSURANCE AGENCY INC |
| Plan administrator’s address | 610 CLEMATIS STREET #215, WEST PALM BEACH, FL, 33401 |
| Administrator’s telephone number | 5613506940 |
Number of participants as of the end of the plan year
| Active participants | 1 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 1 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-04-03 |
| Name of individual signing | MICHAEL BOTTEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 5613506940 |
| Plan sponsor’s mailing address | 610 CLEMATIS ST #215, WEST PALM BEACH, FL, 33401 |
| Plan sponsor’s address | 610 CLEMATIS ST #215, WEST PALM BEACH, FL, 33401 |
Plan administrator’s name and address
| Administrator’s EIN | 541671871 |
| Plan administrator’s name | LANDMARK INSURANCE AGENCY INC |
| Plan administrator’s address | 610 CLEMATIS ST #215, WEST PALM BEACH, FL, 33401 |
| Administrator’s telephone number | 5613506940 |
Number of participants as of the end of the plan year
| Active participants | 1 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 1 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-02-20 |
| Name of individual signing | MICHAEL BOTTEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 5613506940 |
| Plan sponsor’s mailing address | 610 CLEMATIS ST #215, WEST PALM BEACH, FL, 33401 |
| Plan sponsor’s address | 610 CLEMATIS ST #215, WEST PALM BEACH, FL, 33401 |
Plan administrator’s name and address
| Administrator’s EIN | 541671871 |
| Plan administrator’s name | LANDMARK INSURANCE AGENCY INC |
| Plan administrator’s address | 610 CLEMATIS ST #215, WEST PALM BEACH, FL, 33401 |
| Administrator’s telephone number | 5613506940 |
Number of participants as of the end of the plan year
| Active participants | 1 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 1 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-02-20 |
| Name of individual signing | MICHAEL BOTTEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BOTTEY MICHAEL G | Agent | 8313 SE CUMBERLAND CIRCLE, HOBE SOUND, FL, 33455 |
| Name | Role | Address |
|---|---|---|
| BOTTEY MICHAEL G | President | 8313 SE CUMBERLAND CIRCLE, HOBE SOUND, FL, 33455 |
| Name | Role | Address |
|---|---|---|
| BOTTEY MICHAEL G | Director | 8313 SE CUMBERLAND CIRCLE, HOBE SOUND, FL, 33455 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 8313 SE CUMBERLAND CIRCLE, HOBE SOUND, FL 33455 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-30 | 8313 SE CUMBERLAND CIRCLE, HOBE SOUND, FL 33455 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-30 | 8313 SE CUMBERLAND CIRCLE, HOBE SOUND, FL 33455 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
