| Entity Name: | PHYSICIANS INSURANCE COMPANY |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Jan 2003 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 01 Jun 2018 (7 years ago) |
| Document Number: | P03000011788 |
| FEI/EIN Number | 134235490 |
| Address: | 2000 PGA Blvd., STE. 4440, Palm Beach Gardens, FL, 33408, US |
| Mail Address: | 901 S. Mopac Expressway, Plaza V, Suite 500, Austin, TX, 78746, US |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYSICIANS INSURANCE COMPANY 401(K) PROFIT SHARING PLAN & TRUST | 2010 | 134235490 | 2011-10-13 | PHYSICIANS INSURANCE COMPANY | 4 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 134235490 |
| Plan administrator’s name | PHYSICIANS INSURANCE COMPANY |
| Plan administrator’s address | 361 E HILLSBORO BLVD, DEERFIELD BEACH, FL, 33441 |
| Administrator’s telephone number | 9547885480 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-13 |
| Name of individual signing | WALTER BRYSH |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-13 |
| Name of individual signing | WALTER BRYSH |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 524290 |
| Sponsor’s telephone number | 9547885480 |
| Plan sponsor’s address | 361 E HILLSBORO BLVD, DEERFIELD BEACH, FL, 33441 |
Plan administrator’s name and address
| Administrator’s EIN | 134235490 |
| Plan administrator’s name | PHYSICIANS INSURANCE COMPANY |
| Plan administrator’s address | 361 E HILLSBORO BLVD, DEERFIELD BEACH, FL, 33441 |
| Administrator’s telephone number | 9547885480 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-13 |
| Name of individual signing | WALTER BRYSH |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-13 |
| Name of individual signing | WALTER BRYSH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 524290 |
| Sponsor’s telephone number | 9547885453 |
| Plan sponsor’s address | 3200 NE 14TH STREET, POMPANO BEACH, FL, 33062 |
Plan administrator’s name and address
| Administrator’s EIN | 134235490 |
| Plan administrator’s name | PHYSICIANS INSURANCE COMPANY |
| Plan administrator’s address | 3200 NE 14TH STREET, POMPANO BEACH, FL, 33062 |
| Administrator’s telephone number | 9547885453 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-26 |
| Name of individual signing | PHYSICIANS INSURANCE COMPANY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| PARACORP INCORPORATED | Agent |
| Name | Role | Address |
|---|---|---|
| Devin John | Director | 901 S. Mopac Expressway, Austin, TX, 78746 |
| Giese Deborah | Director | 901 S. Mopac Expressway, Austin, TX, 78746 |
| DONOHOE ROBERT D | Director | 901 S. Mopac Expressway, Austin, TX, 78746 |
| LaRock Brett | Director | 901 S. Mopac Expressway, AUSTIN, TX, 78746 |
| Harmon Gregory M | Director | 901 S. Mopac Expressway, Austin, TX, 78746 |
| Stewart Hayden | Director | 901 S. Mopac Expressway, Austin, TX, 78746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-08-05 | Paracorp Incorporated | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-05 | 155 Office Plaza Drive, 1st Floor, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-02 | 2000 PGA Blvd., STE. 4440, Palm Beach Gardens, FL 33408 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-24 | 2000 PGA Blvd., STE. 4440, Palm Beach Gardens, FL 33408 | No data |
| AMENDMENT | 2018-06-01 | No data | No data |
| AMENDMENT | 2005-05-31 | No data | No data |
| AMENDMENT | 2004-08-23 | No data | No data |
| AMENDMENT | 2003-02-07 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-05 |
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-04-17 |
| Amendment | 2018-06-01 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
