| Entity Name: | MCC LIFE BROKERAGE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Nov 2003 (21 years ago) |
| Date of dissolution: | 19 Jan 2021 (4 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 19 Jan 2021 (4 years ago) |
| Document Number: | P03000129936 |
| FEI/EIN Number | 200390645 |
| Address: | 3550 BUSCHWOOD PARK DR., SUITE 255, TAMPA, FL, 33618 |
| Mail Address: | 3550 BUSCHWOOD PARK DR., SUITE 255, TAMPA, FL, 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | MCC LIFE BROKERAGE, INC., NEW YORK | 4088906 | NEW YORK |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MCC LIFE BROKERAGE INC 401(K) PROFIT SHARING PLAN & TRUST | 2020 | 200390645 | 2021-04-09 | MCC LIFE BROKERAGE INC | 11 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2021-04-09 |
| Name of individual signing | DARREN HOUCK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8136253688 |
| Plan sponsor’s address | 3550 BUSCHWOOD PARK DR, STE 255, TAMPA, FL, 336184450 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-22 |
| Name of individual signing | DARREN HOUCK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8136253688 |
| Plan sponsor’s address | 3550 BUSCHWOOD PARK DR, STE 255, TAMPA, FL, 336184450 |
Signature of
| Role | Plan administrator |
| Date | 2019-05-23 |
| Name of individual signing | MACKLIN KELLY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8136253688 |
| Plan sponsor’s address | 3550 BUSCHWOOD PARK DR, STE 255, TAMPA, FL, 336184450 |
Signature of
| Role | Plan administrator |
| Date | 2018-05-14 |
| Name of individual signing | MACKLIN KELLY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KELLY MACKLIN H | Agent | 3550 BUSCHWOOD PARK DR., TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| HOUCK DARREN J | Vice President | 3550 BUSCHWOOD PARK DR. - SUITE 255, TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| KELLY MACKLIN H | President | 9224 HIGHLAND RIDGE WAY, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2021-01-19 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L21000015897. CONVERSION NUMBER 700000209847 |
| REGISTERED AGENT NAME CHANGED | 2016-01-28 | KELLY, MACKLIN H | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-01 | 3550 BUSCHWOOD PARK DR., SUITE 255, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-01 | 3550 BUSCHWOOD PARK DR., SUITE 255, TAMPA, FL 33618 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-01 | 3550 BUSCHWOOD PARK DR., SUITE 255, TAMPA, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-19 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-14 |
| ANNUAL REPORT | 2014-03-27 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-03-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
