HERMITAGE HEALTH AND LIFE INSURANCE COMPANY

Company Details

Entity Name:	HERMITAGE HEALTH AND LIFE INSURANCE COMPANY
Jurisdiction:	FLORIDA
Filing Type:	Foreign Profit Corporation
Status:	Inactive
Date Filed:	16 Apr 1984 (41 years ago)
Date of dissolution:	16 Nov 1987 (37 years ago)
Last Event:	INVOLUNTARILY DISSOLVED
Event Date Filed:	16 Nov 1987 (37 years ago)
Document Number:	P01622
FEI/EIN Number	00-0000000
Address:	377 RIVERSIDE DRIVE, P.O. BOX 2200, FRANKLIN, TN 37065-9200
Mail Address:	377 RIVERSIDE DRIVE, P.O. BOX 2200, FRANKLIN, TN 37065-9200
Place of Formation:	TENNESSEE

Agent

Name	Role	Address
CHIEF FINANCIAL OFFICER	Agent	P O BOX 6200 (32314-6200), 200 E. GAINES ST, TALLAHASSEE, FL 32399-0000

PEO

Name	Role	Address
BLALOCK, WILLIAM J.	PEO	377 RIVERSIDE DRIVE, FRANKLIN, TN

Secretary

Name	Role	Address
FAULKNER, JERRY W.	Secretary	377 RIVERSIDE DRIVE, FRANKLIN, TN
HATHCOCK, JR., ALFRED L.	Secretary	377 RIVERSIDE DRIVE, FRANKLIN, TN

Vice President

Name	Role	Address
FAULKNER, JERRY W.	Vice President	377 RIVERSIDE DRIVE, FRANKLIN, TN

General Counsel

Name	Role	Address
HATHCOCK, JR., ALFRED L.	General Counsel	377 RIVERSIDE DRIVE, FRANKLIN, TN

Executive Vice President

Name	Role	Address
CRUMPLER, H. HAROLD	Executive Vice President	377 RIVERSIDE DRIVE, FRANKLIN, TN

Treasurer

Name	Role	Address
WILSON, DONALD P.	Treasurer	377 RIVERSIDE DRIVE, FRANKLIN, TN

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2003-03-17	CHIEF FINANCIAL OFFICER	No data
REGISTERED AGENT ADDRESS CHANGED	2003-03-17	P O BOX 6200 (32314-6200), 200 E. GAINES ST, TALLAHASSEE, FL 32399-0000	No data
INVOLUNTARILY DISSOLVED	1987-11-16	No data	No data
CHANGE OF PRINCIPAL ADDRESS	1986-05-19	377 RIVERSIDE DRIVE, P.O. BOX 2200, FRANKLIN, TN 37065-9200	No data
CHANGE OF MAILING ADDRESS	1986-05-19	377 RIVERSIDE DRIVE, P.O. BOX 2200, FRANKLIN, TN 37065-9200	No data

Date of last update: 04 Feb 2025

Sources: Florida Department of State