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DAN LARISCY INSURANCE AGENCY, INC.

Company Details

Entity Name: DAN LARISCY INSURANCE AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 13 Feb 2004 (21 years ago)
Date of dissolution: 18 Jun 2010 (15 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 18 Jun 2010 (15 years ago)
Document Number: P04000030430
FEI/EIN Number 20-0806262
Address: 1605 ALEXANDER ST SOUTH, 103, PLANT CITY, FL 33563
Mail Address: 1605 ALEXANDER ST SOUTH, 103, PLANT CITY, FL 33563
ZIP code: 33563
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAN LARISCY INSURANCE AGENCY INC 401K PLAN 2010 200806262 2010-09-24 DAN LARISCY INSURANCE AGENCY INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 8137527202
Plan sponsor’s address 1605 S ALEXANDER STREET SUITE 103, PLANT CITY, FL, 33563

Plan administrator’s name and address

Administrator’s EIN 200806262
Plan administrator’s name DAN LARISCY INSURANCE AGENCY INC
Plan administrator’s address 1605 S ALEXANDER STREET SUITE 103, PLANT CITY, FL, 33563
Administrator’s telephone number 8137527202

Signature of

Role Plan administrator
Date 2010-09-24
Name of individual signing B DANIEL LARISCY
Valid signature Filed with authorized/valid electronic signature
DAN LARISCY INSURANCE AGENCY, INC. 401(K) PLAN 2009 200806262 2010-07-06 DAN LARISCY INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 524210
Sponsor’s telephone number 8137527202
Plan sponsor’s address 1605 S. ALEXANDER ST., STE. 103, PLANT CITY, FL, 33563

Plan administrator’s name and address

Administrator’s EIN 200806262
Plan administrator’s name DAN LARISCY INSURANCE AGENCY, INC.
Plan administrator’s address 1605 S. ALEXANDER ST., STE. 103, PLANT CITY, FL, 33563
Administrator’s telephone number 8137527202

Signature of

Role Plan administrator
Date 2010-07-06
Name of individual signing B DANIEL LARISCY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-06
Name of individual signing B DANIEL LARISCY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HEMNESS, GERALD LJR. Agent EMMA HEMNESS, P.A., 205 NORTH PARSON AVENUE, BRANDON, FL 33510

Director

Name Role Address
LARISCY, B. DANIEL Director 1605 ALEXANDER ST SOUTH #103, PLANT CITY, FL 33563

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2010-06-18 No data No data
CHANGE OF PRINCIPAL ADDRESS 2005-02-11 1605 ALEXANDER ST SOUTH, 103, PLANT CITY, FL 33563 No data
CHANGE OF MAILING ADDRESS 2005-02-11 1605 ALEXANDER ST SOUTH, 103, PLANT CITY, FL 33563 No data

Documents

Name Date
Voluntary Dissolution 2010-06-18
ANNUAL REPORT 2010-01-09
ANNUAL REPORT 2009-02-01
ANNUAL REPORT 2008-02-04
ANNUAL REPORT 2007-01-04
ANNUAL REPORT 2006-02-09
ANNUAL REPORT 2005-02-11
Domestic Profit 2004-02-13

Date of last update: 30 Jan 2025

Sources: Florida Department of State