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  5. MENDEZ M INSURANCE AGENCY, INC.

MENDEZ M INSURANCE AGENCY, INC.

Company Details

Entity Name: MENDEZ M INSURANCE AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 19 Aug 2004 (20 years ago)
Date of dissolution: 27 Sep 2024 (4 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (4 months ago)
Document Number: P04000120321
FEI/EIN Number 743128861
Address: 17425 sw 97 avenue, Palmetto Bay, FL, 33157, US
Mail Address: 2047 ocean ridge circle, vero beach, FL, 32963, US
ZIP code: 33157
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MENDEZ M INSURANCE AGENCY, INC 401K PLAN 2023 743128861 2024-11-15 MENDEZ M INSURANCE AGENCY, INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3052782886
Plan sponsor’s address 17425 SW 97TH AVE, PALMETTO BAY, FL, 33157

Signature of
Role Plan administrator
Date 2024-11-15
Name of individual signing MIKE MENDEZ
Valid signature Filed with authorized/valid electronic signature
MENDEZ M INSURANCE AGENCY, INC 401K PLAN 2022 743128861 2023-06-12 MENDEZ M INSURANCE AGENCY, INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3052782886
Plan sponsor’s address 17425 SW 97TH AVE, PALMETTO BAY, FL, 33157

Signature of
Role Plan administrator
Date 2023-06-12
Name of individual signing MIKE MENDEZ
Valid signature Filed with authorized/valid electronic signature
MENDEZ M INSURANCE AGENCY, INC 401K PLAN 2021 743128861 2022-06-12 MENDEZ M INSURANCE AGENCY, INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3052782886
Plan sponsor’s address 17425 SW 97TH AVE, PALMETTO BAY, FL, 33157

Signature of
Role Plan administrator
Date 2022-06-12
Name of individual signing MIKE MENDEZ
Valid signature Filed with authorized/valid electronic signature
MENDEZ M INSURANCE AGENCY, INC 401K PLAN 2020 743128861 2021-09-14 MENDEZ M INSURANCE AGENCY, INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3052782886
Plan sponsor’s address 17425 SW 97TH AVE, PALMETTO BAY, FL, 33157

Signature of
Role Plan administrator
Date 2021-09-14
Name of individual signing MIKE MENDEZ
Valid signature Filed with authorized/valid electronic signature
MENDEZ M INSURANCE AGENCY, INC 401K PLAN 2019 743128861 2020-07-22 MENDEZ M INSURANCE AGENCY, INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3052782886
Plan sponsor’s address 17425 SW 97TH AVE, PALMETTO BAY, FL, 33157

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing MIKE MENDEZ
Valid signature Filed with authorized/valid electronic signature
MENDEZ M INSURANCE AGENCY, INC 401K PLAN 2018 743128861 2019-08-05 MENDEZ M INSURANCE AGENCY, INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3052782886
Plan sponsor’s address 17425 SW 97TH AVE, PALMETTO BAY, FL, 33157

Signature of
Role Plan administrator
Date 2019-08-05
Name of individual signing MIKE MENDEZ
Valid signature Filed with authorized/valid electronic signature
MENDEZ M INSURANCE AGENCY, INC 401K PLAN 2017 743128861 2018-09-25 MENDEZ M INSURANCE AGENCY, INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3052782886
Plan sponsor’s address 11655 S DIXIE HWY, MIAMI, FL, 33156

Signature of
Role Plan administrator
Date 2018-09-25
Name of individual signing MIKE MENDEZ
Valid signature Filed with authorized/valid electronic signature
MENDEZ M INSURANCE AGENCY, INC 401K PLAN 2016 743128861 2018-10-15 MENDEZ M INSURANCE AGENCY, INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3052782886
Plan sponsor’s address 11655 S DIXIE HWY, MIAMI, FL, 33156

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MIKE MENDEZ
Valid signature Filed with authorized/valid electronic signature
MENDEZ M INSURANCE AGENCY, INC. 401(K) PLAN 2015 743128861 2016-10-04 MENDEZ M INSURANCE AGENCY, INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3052782886
Plan sponsor’s address 11655 SOUTH DIXIE HIGHWAY, MIAMI, FL, 33156

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing MARIA C. MENDEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-04
Name of individual signing MARIA C. MENDEZ
Valid signature Filed with authorized/valid electronic signature
MENDEZ M INSURANCE AGENCY, INC. 401(K) PLAN 2014 743128861 2015-06-02 MENDEZ M INSURANCE AGENCY, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 524210
Sponsor’s telephone number 3052782886
Plan sponsor’s address 11655 SOUTH DIXIE HIGHWAY, MIAMI, FL, 33156

Signature of
Role Plan administrator
Date 2015-06-02
Name of individual signing MARIA C. MENDEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-02
Name of individual signing MARIA C. MENDEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MENDEZ MARIA C Agent 2047 ocean ridge circle, vero beach, FL, 32963

Director

Name Role Address
MENDEZ MARIA C Director 2047 ocean ridge circle, vero beach, FL, 32963
MENDEZ MICHAEL A Director 2047 ocean ridge circle, vero beach, FL, 32963

President

Name Role Address
MENDEZ MARIA C President 2047 ocean ridge circle, vero beach, FL, 32963

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-01-23 17425 sw 97 avenue, Palmetto Bay, FL 33157 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-23 2047 ocean ridge circle, vero beach, FL 32963 No data
CHANGE OF MAILING ADDRESS 2023-01-23 17425 sw 97 avenue, Palmetto Bay, FL 33157 No data
AMENDMENT 2016-01-04 No data No data
REINSTATEMENT 2014-10-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
CANCEL ADM DISS/REV 2005-10-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data

Documents

Name Date
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-05-17
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-06
Amendment 2016-01-04
ANNUAL REPORT 2015-01-12

Related by officers

MENDEZ MARIA C

LANGUAGE ARTS INTERNATIONAL CORPORATION C & M ELDERLY COMPANION CORP. MIAMI MCK., LLC MBA LATIN AMERICA LLC HOW22 TRANSPORT CORP. FOOTHOLD INVESTMENTS LLC HEARTFELT INVESTMENTS, LLC MADKAT MARKETING LLC FRENCH COUNTRY MANOR LLC 1925 INVESTMENT LLC

MENDEZ MICHAEL A

ROUNDTABLE INVESTMENTS LLC FOOTHOLD INVESTMENTS LLC HEARTFELT INVESTMENTS, LLC 11352 INVESTMENTS, LLC FRENCH COUNTRY MANOR LLC 1925 INVESTMENT LLC MAM LOAN SERVICES LLC LETS DILLY DALLY INC EDEN FAMILY FARM INC MICHAEL A. MENDEZ, P.A.

Related by address

2047 ocean ridge circle, vero beach, FL, 32963, US

ROUNDTABLE INVESTMENTS LLC FOOTHOLD INVESTMENTS LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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