| Entity Name: | US ASSURE INSURANCE SERVICES OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 22 Oct 2004 (20 years ago) |
| Date of dissolution: | 29 Aug 2024 (5 months ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 29 Aug 2024 (5 months ago) |
| Document Number: | P04000146036 |
| FEI/EIN Number | 59-3716329 |
| Address: | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Mail Address: | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| PETWAY, THOMAS F., IV | Chief Executive Officer | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| PETWAY, THOMAS F., IV | Treasurer | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| PETWAY, THOMAS F., IV | Director | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| EMANS, CHRISTOPHER F. | Vice Chairman | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| FERGUSON, M. ALAN | President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| BREEDLOVE, SELENA M. | Chief Financial Officer | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| BRISTOW, STEPHEN M. | Secretary | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| ANTHONY, AMBER S. | Secretary | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Yuskis, John Joseph, III | Secretary | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| HOLDEN, B. RACHELE | Secretary | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| BRISTOW, STEPHEN M. | Vice President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| ANTHONY, AMBER S. | Vice President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| ROBINSON, HARRELL G., III | Vice President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| HOLDEN, B. RACHELE | Vice President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| SCHERER, BILLY J. | Vice President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| DALTON, M. LORI | Vice President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| PAUGH, KELLI C | Vice President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Yuskis, John Joseph, III | Vice President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| STIVERS, MELINDA M. | Assistant Vice President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Hart, Ryan | Assistant Vice President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| NATHANSON, HEATHER | Assistant Vice President | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| ROBINSON, HARRELL G., III | Controller | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000072520 | HOME BUILDERS INSURANCE PROGRAM | ACTIVE | 2016-07-21 | 2026-12-31 | No data | US ASSURE ATTN: TASHA ORANGE, 8230 NATIONS WAY, JACKSONVILLE, FL, 32256 |
| G11000115950 | THE BUILDERS RISK PLAN | ACTIVE | 2011-12-01 | 2026-12-31 | No data | US ASSURE ATTN: TASHA ORANGE, 8230 NATIONS WAY, JACKSONVILLE, FL, 32256 |
| G02045900342 | INSURANCELINK | ACTIVE | 2002-02-14 | 2028-12-31 | No data | 8230 NATIONS WAY, JACKSONVILLE, FL, 32256 |
| G00343900001 | SMALL BUSINESS INSURANCE SERVICES | ACTIVE | 2000-12-08 | 2025-12-31 | No data | ATTN: SELENA BREEDLOVE, 8230 NATIONS WAY, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2024-08-29 | No data | CONVERSION MEMBER. NON-QUALIFIED CORPORATION WAS US ASSURE INSURANCE SERVICES OF FLO. CONVERSION NUMBER 100000257911 |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-11 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-02-11 | CORPORATION SERVICE COMPANY | No data |
| AMENDMENT | 2012-04-26 | No data | No data |
| NAME CHANGE AMENDMENT | 2012-04-26 | US ASSURE INSURANCE SERVICES OF FLORIDA, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-17 | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-17 | 8230 NATIONS WAY, JACKSONVILLE, FL 32256 | No data |
| MERGER | 2011-12-28 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 0. MERGER NUMBER 100000118761 |
| NAME CHANGE AMENDMENT | 2006-11-01 | USASSURE INSURANCE SERVICES OF FLORIDA, INC. | No data |
| AMENDMENT | 2004-12-22 | No data | No data |
| Name | Date |
|---|---|
| Conversion | 2024-08-29 |
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-01 |
| ANNUAL REPORT | 2016-04-25 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
