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BEACHES INSURANCE SERVICES, INC.

Company Details

Entity Name: BEACHES INSURANCE SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 11 May 2004 (21 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P04000077369
FEI/EIN Number 900175285
Address: 301 3RD ST., SUITE A, NEPTUNE BEACH, FL, 32266
Mail Address: 301 3RD ST., SUITE A, NEPTUNE BEACH, FL, 32266
ZIP code: 32266
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEACHES INSURANCE SERVICES, INC. 401K PLAN 2010 900175285 2011-06-02 BEACHES INSURANCE SERVICES, INC. 3
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 9042701900
Plan sponsor’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266

Plan administrator’s name and address

Administrator’s EIN 900175285
Plan administrator’s name BEACHES INSURANCE SERVICES, INC.
Plan administrator’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
Administrator’s telephone number 9042701900

Signature of

Role Plan administrator
Date 2011-06-02
Name of individual signing JAMES R. PRITCHETT
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-06-02
Name of individual signing JAMES R. PRITCHETT
Valid signature Filed with incorrect/unrecognized electronic signature
BEACHES INSURANCE SERVICES, INC. 401K PLAN 2010 900175285 2011-12-13 BEACHES INSURANCE SERVICES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 9042701900
Plan sponsor’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266

Plan administrator’s name and address

Administrator’s EIN 900175285
Plan administrator’s name BEACHES INSURANCE SERVICES, INC.
Plan administrator’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
Administrator’s telephone number 9042701900

Signature of

Role Plan administrator
Date 2011-12-13
Name of individual signing JAMES R. PRITCHETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-12-13
Name of individual signing JAMES R. PRITCHETT
Valid signature Filed with authorized/valid electronic signature
BEACHES INSURANCE SERVICES, INC. 401K PLAN 2010 900175285 2011-06-02 BEACHES INSURANCE SERVICES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 9042701900
Plan sponsor’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266

Plan administrator’s name and address

Administrator’s EIN 900175285
Plan administrator’s name BEACHES INSURANCE SERVICES, INC.
Plan administrator’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
Administrator’s telephone number 9042701900

Signature of

Role Plan administrator
Date 2011-06-02
Name of individual signing JAMES PRITCHETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-02
Name of individual signing JAMES PRITCHETT
Valid signature Filed with authorized/valid electronic signature
BEACHES INSURANCE SERVICES, INC. 401K PLAN 2010 900175285 2011-06-02 BEACHES INSURANCE SERVICES, INC. 3
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 9042701900
Plan sponsor’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266

Plan administrator’s name and address

Administrator’s EIN 900175285
Plan administrator’s name BEACHES INSURANCE SERVICES, INC.
Plan administrator’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
Administrator’s telephone number 9042701900

Signature of

Role Plan administrator
Date 2011-06-02
Name of individual signing JAMES PRITCHETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-02
Name of individual signing JAMES PRITCHETT
Valid signature Filed with authorized/valid electronic signature
BEACHES INSURANCE SERVICES, INC. 401K PLAN 2010 900175285 2011-06-02 BEACHES INSURANCE SERVICES, INC. 3
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 9042701900
Plan sponsor’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266

Plan administrator’s name and address

Administrator’s EIN 900175285
Plan administrator’s name BEACHES INSURANCE SERVICES, INC.
Plan administrator’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
Administrator’s telephone number 9042701900

Signature of

Role Plan administrator
Date 2011-06-02
Name of individual signing JAMES R. PRITCHETT
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-06-02
Name of individual signing JAMES R. PRITCHETT
Valid signature Filed with incorrect/unrecognized electronic signature
BEACHES INSURANCE SERVICES, INC. 401K PLAN 2009 900175285 2011-06-02 BEACHES INSURANCE SERVICES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 9042701900
Plan sponsor’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266

Plan administrator’s name and address

Administrator’s EIN 900175285
Plan administrator’s name BEACHES INSURANCE SERVICES, INC.
Plan administrator’s address SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
Administrator’s telephone number 9042701900

Signature of

Role Plan administrator
Date 2011-06-02
Name of individual signing JAMES PRITCHETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-02
Name of individual signing JAMES PRITCHETT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PRITCHETT JAMES R Agent 301 3RD ST., NEPTUNE BEACH, FL, 32266

President

Name Role Address
PRITCHETT JAMES R President 301 3RD ST., SUITE A, NEPTUNE BEACH, FL, 32266

Vice President

Name Role Address
PRITCHETT AMY E Vice President 301 3RD ST., SUITE A, NEPTUNE BEACH, FL, 32266

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-01-13 301 3RD ST., SUITE A, NEPTUNE BEACH, FL 32266 No data
CHANGE OF MAILING ADDRESS 2010-01-13 301 3RD ST., SUITE A, NEPTUNE BEACH, FL 32266 No data
REGISTERED AGENT ADDRESS CHANGED 2010-01-13 301 3RD ST., SUITE A, NEPTUNE BEACH, FL 32266 No data
CANCEL ADM DISS/REV 2005-10-06 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data

Documents

Name Date
ANNUAL REPORT 2014-04-15
ANNUAL REPORT 2013-04-05
ANNUAL REPORT 2012-04-06
ANNUAL REPORT 2011-04-20
ANNUAL REPORT 2010-01-13
ANNUAL REPORT 2009-03-28
ANNUAL REPORT 2008-01-30
ANNUAL REPORT 2007-02-21
ANNUAL REPORT 2006-01-31
REINSTATEMENT 2005-10-06

Date of last update: 03 Feb 2025

Sources: Florida Department of State