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  5. JCM INSURANCE, INC.

JCM INSURANCE, INC.

Company Details

Entity Name: JCM INSURANCE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 May 2003 (22 years ago)
Document Number: P03000058222
FEI/EIN Number 331059889
Address: 3003 Claire Ln, Suite 401, Jacksonville, FL, 32223, US
Mail Address: 3003 Claire Ln, Suite 401, Jacksonville, FL, 32223, US
ZIP code: 32223
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JCM INSURANCE INC 401(K) PLAN 2023 331059889 2024-05-15 JCM INSURANCE INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 9042622886
Plan sponsor’s address 3003 CLAIRE LN, STE 401, JACKSONVILLE, FL, 32223

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-15
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
JCM INSURANCE INC 401(K) PLAN 2022 331059889 2023-05-27 JCM INSURANCE INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 9042622886
Plan sponsor’s address 3003 CLAIRE LN, STE 401, JACKSONVILLE, FL, 32223

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
JCM INSURANCE INC 401(K) PLAN 2021 331059889 2022-05-19 JCM INSURANCE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 9042622886
Plan sponsor’s address 3003 CLAIRE LN, STE 401, JACKSONVILLE, FL, 32223

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
JCM INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 331059889 2021-07-14 JCM INSURANCE INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 9042622886
Plan sponsor’s address 10991 SAN JOSE BLVD STE 4, JACKSONVILLE, FL, 32223

Signature of
Role Plan administrator
Date 2021-07-14
Name of individual signing JAMES PIHL
Valid signature Filed with authorized/valid electronic signature
JCM INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 331059889 2020-04-10 JCM INSURANCE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 9042622886
Plan sponsor’s address 10991 SAN JOSE BLVD STE 4, JACKSONVILLE, FL, 32223

Signature of
Role Plan administrator
Date 2020-04-10
Name of individual signing JAMES PIHL
Valid signature Filed with authorized/valid electronic signature
JCM INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2018 331059889 2019-05-09 JCM INSURANCE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 9042622886
Plan sponsor’s address 10991 SAN JOSE BLVD STE 4, JACKSONVILLE, FL, 32223

Signature of
Role Plan administrator
Date 2019-05-09
Name of individual signing JAMES PIHL
Valid signature Filed with authorized/valid electronic signature
JCM INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2017 331059889 2018-06-27 JCM INSURANCE INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 9042622886
Plan sponsor’s address 10991 SAN JOSE BLVD STE 4, JACKSONVILLE, FL, 32223

Signature of
Role Plan administrator
Date 2018-06-27
Name of individual signing JAMES PIHL
Valid signature Filed with authorized/valid electronic signature
JCM INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2016 331059889 2017-07-20 JCM INSURANCE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 9042622886
Plan sponsor’s address 10991 SAN JOSE BLVD STE 4, JACKSONVILLE, FL, 32223

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing JAMES PIHL
Valid signature Filed with authorized/valid electronic signature
JCM INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2015 331059889 2016-06-09 JCM INSURANCE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 541990
Sponsor’s telephone number 9042622886
Plan sponsor’s address 10991 SAN JOSE BLVD STE 4, JACKSONVILLE, FL, 32223

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing JAMES PIHL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PIHL JAMES L Agent 3003 Claire Ln, Jacksonville, FL, 32223

President

Name Role Address
PIHL JAMES President 10991 SAN JOSE BLVD, STE 4, JACKSONVILLE, FL, 32223

Treasurer

Name Role Address
Pihl Chandra Treasurer 3003 Claire Ln, Jacksonville, FL, 32223

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000075361 BRIGHTWAY INSURANCE ACTIVE 2021-06-04 2026-12-31 No data 3003 CLAIRE LN, SUITE 401, JACKSONVILLE, FL, 32223
G15000117229 BRIGHTWAY INSURANCE EXPIRED 2015-11-18 2020-12-31 No data 10991 SAN JOSE BLVD, STE 4, JACKSONVILLE, FL, 32223

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-15 3003 Claire Ln, Suite 401, Jacksonville, FL 32223 No data
CHANGE OF MAILING ADDRESS 2021-03-15 3003 Claire Ln, Suite 401, Jacksonville, FL 32223 No data
REGISTERED AGENT ADDRESS CHANGED 2021-03-15 3003 Claire Ln, Suite 401, Jacksonville, FL 32223 No data
REGISTERED AGENT NAME CHANGED 2005-05-12 PIHL, JAMES L No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-04-03
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-04-07
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-21

Related by officers

PIHL JAMES

FLORIDA AUCTION DIRECT LLC PIHL PROPERTIES LLC CONTACT ME TRAVEL LLC JCM INSURANCE AGENCY LLC

PIHL JAMES L

ARTISAN BUILDERS OF NORTHEAST FLORIDA, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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