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  5. EVERGREEN INSURANCE AGENCY, INC.

EVERGREEN INSURANCE AGENCY, INC. - Florida Company Profile

Company Details

Entity Name: EVERGREEN INSURANCE AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

EVERGREEN INSURANCE AGENCY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 19 Jul 2006 (19 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 Oct 2010 (15 years ago)
Document Number: P06000095049
FEI/EIN Number 205297323

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 583 105TH AVENUE NO., STE. 2, ROYAL PALM BEACH, FL, 33411
Mail Address: 583 105TH AVENUE NO., STE. 2, ROYAL PALM BEACH, FL, 33411
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVERGREEN INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST 2022 205297323 2023-05-09 EVERGREEN INSURANCE AGENCY INC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 5619668883
Plan sponsor’s address 583 105TH AVE STE 2, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2023-05-09
Name of individual signing JENNIFER MCDEAVITT
Valid signature Filed with authorized/valid electronic signature
EVERGREEN INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST 2021 205297323 2022-04-12 EVERGREEN INSURANCE AGENCY INC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 5619668883
Plan sponsor’s address 583 105TH AVE STE 2, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2022-04-12
Name of individual signing JENNIFER MCDEAVITT
Valid signature Filed with authorized/valid electronic signature
EVERGREEN INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST 2020 205297323 2021-05-26 EVERGREEN INSURANCE AGENCY INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 5619668883
Plan sponsor’s address 583 105TH AVE STE 2, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
EVERGREEN INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN & TRUST 2019 205297323 2020-07-02 EVERGREEN INSURANCE AGENCY INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 5619668883
Plan sponsor’s address 583 105TH AVE STE 2, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2020-07-02
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
EVERGREEN INSURANCE AGENCY INC 401K PROFIT SHARING PLAN 2017 205297323 2018-07-26 EVERGREEN INSURANCE AGENCY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 5619668883
Plan sponsor’s address 583 105TH AVE N. STE 2, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing JENNIFER MCDEAVITT
Valid signature Filed with authorized/valid electronic signature
EVERGREEN INSURANCE AGENCY INC 401K PROFIT SHARING PLAN 2016 205297323 2017-05-16 EVERGREEN INSURANCE AGENCY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524150
Sponsor’s telephone number 5619668883
Plan sponsor’s address 583 105TH AVE N. STE 2, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2017-05-16
Name of individual signing JENNIFER MCDEAVITT
Valid signature Filed with authorized/valid electronic signature
EVERGREEN INSURANCE AGENCY INC 401K PROFIT SHARING PLAN 2015 205297323 2016-09-07 EVERGREEN INSURANCE AGENCY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524150
Sponsor’s telephone number 5619668883
Plan sponsor’s address 583 105TH AVE N. STE 2, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2016-09-07
Name of individual signing JENNIFER MCDEAVITT
Valid signature Filed with authorized/valid electronic signature
EVERGREEN INSURANCE AGENCY INC 401K PROFIT SHARING PLAN 2014 205297323 2015-07-20 EVERGREEN INSURANCE AGENCY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524150
Sponsor’s telephone number 5619668883
Plan sponsor’s address 583 105TH AVE N. STE 2, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing JENNIFER MCDEAVITT
Valid signature Filed with authorized/valid electronic signature
EVERGREEN INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2013 205297323 2014-07-08 EVERGREEN INSURANCE AGENCY INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 5619668883
Plan sponsor’s address 583 105TH AVE N STE 2, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2014-07-08
Name of individual signing JENNIFER L MCDEAVITT
Valid signature Filed with authorized/valid electronic signature
EVERGREEN INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2012 205297323 2013-07-26 EVERGREEN INSURANCE AGENCY INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524210
Sponsor’s telephone number 5619668883
Plan sponsor’s address 583 105TH AVE N STE 2, ROYAL PALM BEACH, FL, 33411

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing EVERGREEN INSURANCE AGENCY INC
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MCDEAVITT JENNIFER L President 583 105TH AVE NO. STE-2, ROYAL PALM BEACH, FL, 33411
Oria Abel Vice President 583 105TH AVENUE NO., ROYAL PALM BEACH, FL, 33411
McDeavitt David PJr. Treasurer 583 105th Ave No. Suite-2, Royal Palm Beach, FL, 33411
Zeller Christopher Secretary 583 105TH AVENUE NO., ROYAL PALM BEACH, FL, 33411
MCDEAVITT JENNIFER L Agent 583 105TH AVE NO, ROYAL PALM BEACH, FL, 33411

Events

Event Type Filed Date Value Description
REINSTATEMENT 2010-10-04 - -
REGISTERED AGENT NAME CHANGED 2010-10-04 MCDEAVITT, JENNIFER L -
REGISTERED AGENT ADDRESS CHANGED 2010-10-04 583 105TH AVE NO, SUITE-2, ROYAL PALM BEACH, FL 33411 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2009-05-06 583 105TH AVENUE NO., STE. 2, ROYAL PALM BEACH, FL 33411 -
CHANGE OF MAILING ADDRESS 2009-05-06 583 105TH AVENUE NO., STE. 2, ROYAL PALM BEACH, FL 33411 -

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-05-12
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-26
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-01-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9706467006 2020-04-09 0455 PPP 583 105TH AVE N, SUITE 2, ROYAL PALM BEACH, FL, 33411-4301
Loan Status Date 2020-12-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 253620
Loan Approval Amount (current) 253620
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124448
Servicing Lender Name Flagler Bank
Servicing Lender Address 1801 Forest Hill Blvd, WEST PALM BEACH, FL, 33406-6021
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ROYAL PALM BEACH, PALM BEACH, FL, 33411-4301
Project Congressional District FL-20
Number of Employees 20
NAICS code 524210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 124448
Originating Lender Name Flagler Bank
Originating Lender Address WEST PALM BEACH, FL
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 255120.87
Forgiveness Paid Date 2020-11-17
3389428402 2021-02-04 0455 PPS 583 105th Ave N Unit 2, Royal Palm Beach, FL, 33411-4328
Loan Status Date 2021-11-10
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 253541
Loan Approval Amount (current) 253541
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124448
Servicing Lender Name Flagler Bank
Servicing Lender Address 1801 Forest Hill Blvd, WEST PALM BEACH, FL, 33406-6021
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Royal Palm Beach, PALM BEACH, FL, 33411-4328
Project Congressional District FL-20
Number of Employees 16
NAICS code 524210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 124448
Originating Lender Name Flagler Bank
Originating Lender Address WEST PALM BEACH, FL
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 254951.1
Forgiveness Paid Date 2021-08-30

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MCDEAVITT JENNIFER L

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JENIDA INSURANCE AGENCY, LLC - Inactive
Florida Limited Liability Co. (2007 - 2009)
JENIDA INSURANCE AGENCY, LLC - Inactive
Florida Limited Liability Co. (2007 - 2009)

Oria Abel

EVERGREEN BUSINESS MANAGEMENT INC - Inactive
Domestic Profit (2013 - 2021)

Companies related by address

No other companies in our directory share the same address as EVERGREEN INSURANCE AGENCY, INC.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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