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ALLSAFE INSURANCE GROUP, INC.

Company Details

Entity Name: ALLSAFE INSURANCE GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 10 May 2004 (21 years ago)
Date of dissolution: 12 Mar 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 12 Mar 2021 (4 years ago)
Document Number: P04000075985
FEI/EIN Number 800108932
Address: 6819 sunrise place, Coral gables, FL, 33133, US
Mail Address: 6819 sunrise place, Coral gables, FL, 33133, US
ZIP code: 33133
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALLSAFE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2017 800108932 2018-07-19 ALLSAFE INSURANCE GROUP INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 3052625244
Plan sponsor’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331551691

Signature of

Role Plan administrator
Date 2018-07-19
Name of individual signing JORGE PENA
Valid signature Filed with authorized/valid electronic signature
ALLSAFE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2016 800108932 2017-05-31 ALLSAFE INSURANCE GROUP INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 3052625244
Plan sponsor’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331551691

Signature of

Role Plan administrator
Date 2017-05-31
Name of individual signing JORGE PENA
Valid signature Filed with authorized/valid electronic signature
ALLSAFE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2015 800108932 2016-06-06 ALLSAFE INSURANCE GROUP INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 3052625244
Plan sponsor’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331551691

Signature of

Role Plan administrator
Date 2016-06-06
Name of individual signing JORGE PENA
Valid signature Filed with authorized/valid electronic signature
ALLSAFE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2014 800108932 2015-06-16 ALLSAFE INSURANCE GROUP INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 3052625244
Plan sponsor’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331551691

Signature of

Role Plan administrator
Date 2015-06-16
Name of individual signing JORGE PENA
Valid signature Filed with authorized/valid electronic signature
ALLSAFE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2013 800108932 2014-05-12 ALLSAFE INSURANCE GROUP INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 3052625244
Plan sponsor’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331551691

Signature of

Role Plan administrator
Date 2014-05-12
Name of individual signing JORGE PENA
Valid signature Filed with authorized/valid electronic signature
ALLSAFE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2012 800108932 2013-05-28 ALLSAFE INSURANCE GROUP INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 3052625244
Plan sponsor’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331551691

Signature of

Role Plan administrator
Date 2013-05-28
Name of individual signing ALLSAFE INSURANCE GROUP INC
Valid signature Filed with authorized/valid electronic signature
ALLSAFE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2011 800108932 2012-07-24 ALLSAFE INSURANCE GROUP INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 3052625244
Plan sponsor’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331551691

Plan administrator’s name and address

Administrator’s EIN 800108932
Plan administrator’s name ALLSAFE INSURANCE GROUP INC
Plan administrator’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331551691
Administrator’s telephone number 3052625244

Signature of

Role Plan administrator
Date 2012-07-24
Name of individual signing ALLSAFE INSURANCE GROUP INC
Valid signature Filed with authorized/valid electronic signature
ALLSAFE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2011 800108932 2012-05-29 ALLSAFE INSURANCE GROUP INC 6
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 3052625244
Plan sponsor’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331551691

Plan administrator’s name and address

Administrator’s EIN 800108932
Plan administrator’s name ALLSAFE INSURANCE GROUP INC
Plan administrator’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331551691
Administrator’s telephone number 3052625244

Signature of

Role Plan administrator
Date 2012-05-29
Name of individual signing ALLSAFE INSURANCE GROUP INC
Valid signature Filed with incorrect/unrecognized electronic signature
ALLSAFE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2010 800108932 2011-07-14 ALLSAFE INSURANCE GROUP INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 3052625244
Plan sponsor’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331550000

Plan administrator’s name and address

Administrator’s EIN 800108932
Plan administrator’s name ALLSAFE INSURANCE GROUP INC
Plan administrator’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331550000
Administrator’s telephone number 3052625244

Signature of

Role Plan administrator
Date 2011-07-14
Name of individual signing ALLSAFE INSURANCE GROUP INC
Valid signature Filed with authorized/valid electronic signature
ALLSAFE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2010 800108932 2011-05-31 ALLSAFE INSURANCE GROUP INC 7
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 3052625244
Plan sponsor’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331550000

Plan administrator’s name and address

Administrator’s EIN 800108932
Plan administrator’s name ALLSAFE INSURANCE GROUP INC
Plan administrator’s address 7171 CORAL WAY STE 209, MIAMI, FL, 331550000
Administrator’s telephone number 3052625244

Signature of

Role Plan administrator
Date 2011-05-31
Name of individual signing ALLSAFE INSURANCE GROUP INC
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
PENA JORGE Agent 6819 sunrise place, Coral gables, FL, 33133

President

Name Role Address
PENA JACQUELINE President 6819 sunrise place, Coral gables, FL, 33133

Director

Name Role Address
PENA JACQUELINE Director 6819 sunrise place, Coral gables, FL, 33133
PENA JORGE Director 6819 sunrise place, Coral gables, FL, 33133

Chief Executive Officer

Name Role Address
PENA JORGE Chief Executive Officer 6819 sunrise place, Coral gables, FL, 33133

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000042628 ASI FLORIDA INSURANCE EXPIRED 2013-05-03 2018-12-31 No data 7171 CORAL WAY, #209, MIAMI, FL, 33155
G10000074497 ALL SAFE INSURANCE EXPIRED 2010-08-13 2015-12-31 No data 7171 CORAL WAY, #209, MIAMI, FL, 33155

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-03-12 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-07-08 6819 sunrise place, Coral gables, FL 33133 No data
CHANGE OF MAILING ADDRESS 2020-07-08 6819 sunrise place, Coral gables, FL 33133 No data
REGISTERED AGENT ADDRESS CHANGED 2020-07-08 6819 sunrise place, Coral gables, FL 33133 No data
AMENDMENT 2016-07-13 No data No data
REGISTERED AGENT NAME CHANGED 2014-01-27 PENA, JORGE No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-03-12
ANNUAL REPORT 2020-07-08
ANNUAL REPORT 2019-02-20
Off/Dir Resignation 2018-02-05
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-02-18
Amendment 2016-07-13
ANNUAL REPORT 2016-02-11
ANNUAL REPORT 2015-03-16
ANNUAL REPORT 2014-01-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State