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  5. SANDI SCOTT AGENCY, INC.

SANDI SCOTT AGENCY, INC.

Company Details

Entity Name: SANDI SCOTT AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Jul 2001 (24 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: P01000071088
FEI/EIN Number 593736928
Address: 2664 WAGON RD, COCOA, FL, 32926, US
Mail Address: 2664 WAGON RD, COCOA, FL, 32926, US
ZIP code: 32926
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCOTT AGENCY DEFINED BENEFIT PLAN 2011 593736928 2012-04-25 SANDI SCOTT AGENCY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3212671656
Plan sponsor’s address 4356 S. HOPKINS AVE., TITUSVILLE, FL, 32780

Plan administrator’s name and address
Administrator’s EIN 593736928
Plan administrator’s name SANDI SCOTT AGENCY, INC.
Plan administrator’s address 4356 S. HOPKINS AVE., TITUSVILLE, FL, 32780
Administrator’s telephone number 3212671656

Signature of
Role Plan administrator
Date 2012-04-25
Name of individual signing DAVID LEONARD
Valid signature Filed with authorized/valid electronic signature
SCOTT AGENCY DEFINED BENEFIT PLAN 2010 593736928 2011-07-19 SANDI SCOTT AGENCY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3212671656
Plan sponsor’s address 4356 S. HOPKINS AVE., TITUSVILLE, FL, 32780

Plan administrator’s name and address
Administrator’s EIN 593736928
Plan administrator’s name SANDI SCOTT AGENCY, INC.
Plan administrator’s address 4356 S. HOPKINS AVE., TITUSVILLE, FL, 32780
Administrator’s telephone number 3212671656

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing DAVID LEONARD
Valid signature Filed with authorized/valid electronic signature
SANDI SCOTT AGENCY INC. 401(K) PLAN 2010 593736928 2011-10-13 SANDI SCOTT AGENCY, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3212671656
Plan sponsor’s address 4356 SOUTH HOPKINS AVENUE, TITUSVILLE, FL, 32780

Plan administrator’s name and address
Administrator’s EIN 593736928
Plan administrator’s name SANDI SCOTT AGENCY, INC.
Plan administrator’s address 4356 SOUTH HOPKINS AVENUE, TITUSVILLE, FL, 32780
Administrator’s telephone number 3212671656

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing BEVERLY HUDSON
Valid signature Filed with authorized/valid electronic signature
SANDI SCOTT AGENCY INC. 401(K) PLAN 2009 593736928 2010-09-08 SANDI SCOTT AGENCY, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3212671656
Plan sponsor’s address 4356 SOUTH HOPKINS AVENUE, TITUSVILLE, FL, 32780

Plan administrator’s name and address
Administrator’s EIN 593736928
Plan administrator’s name SANDI SCOTT AGENCY, INC.
Plan administrator’s address 4356 SOUTH HOPKINS AVENUE, TITUSVILLE, FL, 32780
Administrator’s telephone number 3212671656

Signature of
Role Plan administrator
Date 2010-09-08
Name of individual signing SANDRA SCOTT
Valid signature Filed with authorized/valid electronic signature
SCOTT AGENCY DEFINED BENEFIT PLAN 2009 593736928 2010-09-06 SANDI SCOTT AGENCY, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3212671656
Plan sponsor’s address 4356 S. HOPKINS AVE., TITUSVILLE, FL, 32780

Plan administrator’s name and address
Administrator’s EIN 593736928
Plan administrator’s name SANDI SCOTT AGENCY, INC.
Plan administrator’s address 4356 S. HOPKINS AVE., TITUSVILLE, FL, 32780
Administrator’s telephone number 3212671656

Signature of
Role Plan administrator
Date 2010-09-06
Name of individual signing DAVID LEONARD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SCOTT SANDI Agent 2664 WAGON RD, COCOA, FL, 32926

Manager

Name Role Address
SCOTT SANDI Manager 2664 WAGON RD, COCOA, FL, 32926

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-07-10 2664 WAGON RD, COCOA, FL 32926 No data
CHANGE OF MAILING ADDRESS 2013-07-10 2664 WAGON RD, COCOA, FL 32926 No data
REGISTERED AGENT ADDRESS CHANGED 2013-07-10 2664 WAGON RD, COCOA, FL 32926 No data

Documents

Name Date
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-04-04
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-04-02
ANNUAL REPORT 2015-03-13
ANNUAL REPORT 2014-02-23
ANNUAL REPORT 2013-07-10
ANNUAL REPORT 2012-02-09
ANNUAL REPORT 2011-02-17
ANNUAL REPORT 2010-02-16

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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