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  5. COMMONWEALTH INSURANCE, INC.

COMMONWEALTH INSURANCE, INC.

Company Details

Entity Name: COMMONWEALTH INSURANCE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 06 Dec 2002 (22 years ago)
Document Number: P02000129466
FEI/EIN Number 32-0048260
Address: 4175 WOODLANDS PKWY, PALM HARBOR, FL 34685
Mail Address: 4175 WOODLANDS PKWY, PALM HARBOR, FL 34685
ZIP code: 34685
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMONWEALTH INSURANCE OF THE BAY AREA, INC. 401K PLAN 2014 201985532 2015-08-10 COMMONWEALTH INSURANCE 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-04-01
Business code 524210
Sponsor’s telephone number 7276433600
Plan sponsor’s address 3895 TAMPA RD, OLDSMAR, FL, 34677

Signature of
Role Plan administrator
Date 2015-08-10
Name of individual signing JASON BUTTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-10
Name of individual signing JASON BUTTS
Valid signature Filed with authorized/valid electronic signature
COMMONWEALTH INSURANCE OF THE BAY AREA, INC. 401K PLAN 2014 201985532 2015-06-15 COMMONWEALTH INSURANCE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-04-01
Business code 524210
Sponsor’s telephone number 7276433600
Plan sponsor’s address 3895 TAMPA RD, OLDSMAR, FL, 34677

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing JASON BUTTS
Valid signature Filed with authorized/valid electronic signature
COMMONWEALTH INSURANCE OF THE BAY AREA, INC. 401K PLAN 2013 201985532 2014-06-06 COMMONWEALTH INSURANCE 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-04-01
Business code 524210
Sponsor’s telephone number 7277844882
Plan sponsor’s address 925 FLORIDA AVENUE, PALM HARBOR, FL, 34683

Signature of
Role Plan administrator
Date 2014-06-06
Name of individual signing JASON BUTTS
Valid signature Filed with authorized/valid electronic signature
COMMONWEALTH INSURANCE OF THE BAY AREA, INC. 401K PLAN 2012 201985532 2014-03-27 COMMONWEALTH INSURANCE 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-04-01
Business code 524210
Sponsor’s telephone number 7277844882
Plan sponsor’s address 925 FLORIDA AVENUE, PALM HARBOR, FL, 34683

Signature of
Role Plan administrator
Date 2014-03-27
Name of individual signing JASON BUTTS
Valid signature Filed with authorized/valid electronic signature
COMMONWEALTH INSURANCE OF THE BAY AREA, INC. 401K PLAN 2012 201985532 2014-03-10 COMMONWEALTH INSURANCE 18
Three-digit plan number (PN) 001
Effective date of plan 2005-04-01
Business code 524210
Sponsor’s telephone number 7277844882
Plan sponsor’s address 925 FLORIDA AVENUE, PALM HARBOR, FL, 34683

Signature of
Role Plan administrator
Date 2014-03-10
Name of individual signing JASON BUTTS
Valid signature Filed with authorized/valid electronic signature
COMMONWEALTH INSURANCE OF THE BAY AREA, INC. 401K PLAN 2011 201985532 2012-07-31 COMMONWEALTH INSURANCE 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-04-01
Business code 524210
Sponsor’s telephone number 7277844882
Plan sponsor’s address 925 FLORIDA AVENUE, PALM HARBOR, FL, 34683

Plan administrator’s name and address
Administrator’s EIN 201985532
Plan administrator’s name COMMONWEALTH INSURANCE
Plan administrator’s address 925 FLORIDA AVENUE, PALM HARBOR, FL, 34683
Administrator’s telephone number 7277844882

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing JASON BUTTS
Valid signature Filed with authorized/valid electronic signature
COMMONWEALTH INSURANCE OF THE BAY AREA, INC. 401K PLAN 2010 201985532 2011-06-20 COMMONWEALTH INSURANCE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-04-01
Business code 524210
Sponsor’s telephone number 7277844882
Plan sponsor’s address 925 FLORIDA AVENUE, PALM HARBOR, FL, 34683

Plan administrator’s name and address
Administrator’s EIN 201985532
Plan administrator’s name COMMONWEALTH INSURANCE
Plan administrator’s address 925 FLORIDA AVENUE, PALM HARBOR, FL, 34683
Administrator’s telephone number 7277844882

Signature of
Role Plan administrator
Date 2011-06-20
Name of individual signing JASON BUTTS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LEDBETTER, JEFF Agent 4175 WOODLANDS PKWY, PALM HARBOR, FL 34685

President

Name Role Address
LEDBETTER, PRESIDENT, JEFF President 4175 WOODLANDS PKWY, PALM HARBOR, FL 34685

Documents

Name Date
ANNUAL REPORT 2024-03-01
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-03-27
ANNUAL REPORT 2021-02-07
ANNUAL REPORT 2020-05-19
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-04-07
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-06-16

Related by officers

LEDBETTER, JEFF

COMMONWEALTH INSURANCE, LLC LEDBETTER HOLDINGS, INC. COMMONWEALTH INSURANCE OF FLORIDA INC.

Related by address

4175 WOODLANDS PKWY, PALM HARBOR, FL 34685

ARWEX INTERNATIONAL, LLC CAROL CONOLOGUE PA 4175 PKWY LLC W.J. INVESTMENTS, L.L.C. COMMONWEALTH INSURANCE, LLC WHITE FLOWER, LLC LEDBETTER HOLDINGS, INC.

4175 WOODLANDS PKWY, PALM HARBOR, FL 34685

ARWEX INTERNATIONAL, LLC CAROL CONOLOGUE PA 4175 PKWY LLC W.J. INVESTMENTS, L.L.C. COMMONWEALTH INSURANCE, LLC WHITE FLOWER, LLC LEDBETTER HOLDINGS, INC.

Date of last update: 30 Jan 2025

Sources: Florida Department of State

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