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JACOBS INSURANCE INC. - Florida Company Profile

Company Details

Entity Name: JACOBS INSURANCE INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JACOBS INSURANCE 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: 10 Oct 2007 (18 years ago)
Document Number: P07000111517
FEI/EIN Number 352311434

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3525 MONTANTE BLVD, LAKE WORTH, FL, 33461, US
Mail Address: 3525 MONTANTE BLVD, PALM SPRINGS, FL, 33461, US
ZIP code: 33461
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACOBS INSURANCE, INC. 401(K) PLAN 2013 352311434 2014-02-05 JACOBS INSURANCE, INC 7
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 5619678400
Plan sponsor’s address 2135 S. CONGRESS AVENUE, SUITE B, WEST PALM BEACH, FL, 33406

Signature of

Role Plan administrator
Date 2014-02-05
Name of individual signing JOHN JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS INSURANCE, INC. 401(K) PLAN 2013 352311434 2014-02-06 JACOBS INSURANCE, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 5619678400
Plan sponsor’s address 2135 S. CONGRESS AVENUE, SUITE B, WEST PALM BEACH, FL, 33406

Signature of

Role Plan administrator
Date 2014-02-06
Name of individual signing JOHN JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS INSURANCE, INC. 401(K) PLAN 2013 352311434 2014-02-05 JACOBS INSURANCE, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 5619678400
Plan sponsor’s address 2135 S. CONGRESS AVENUE, SUITE B, WEST PALM BEACH, FL, 33406

Signature of

Role Plan administrator
Date 2014-02-05
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature
JACOBS INSURANCE, INC. 401(K) PLAN 2013 352311434 2014-01-30 JACOBS INSURANCE, INC 7
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 5619678400
Plan sponsor’s address 2135 S. CONGRESS AVENUE, SUITE B, WEST PALM BEACH, FL, 33406

Signature of

Role Plan administrator
Date 2014-01-30
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature
JACOBS INSURANCE, INC. 401(K) PLAN 2013 352311434 2014-01-30 JACOBS INSURANCE, INC 7
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 5619678400
Plan sponsor’s address 2135 S. CONGRESS AVENUE, SUITE B, WEST PALM BEACH, FL, 33406

Signature of

Role Plan administrator
Date 2014-01-30
Name of individual signing JOHN JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS INSURANCE, INC. 401(K) PLAN 2012 352311434 2013-03-27 JACOBS INSURANCE, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 5619678400
Plan sponsor’s address 2135 S. CONGRESS AVENUE, SUITE B, WEST PALM BEACH, FL, 33406

Signature of

Role Plan administrator
Date 2013-03-27
Name of individual signing JOHN JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS INSURANCE, INC. 401(K) PLAN 2011 352311434 2012-06-13 JACOBS INSURANCE, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 5619678400
Plan sponsor’s address 2135 S. CONGRESS AVENUE, SUITE B, WEST PALM BEACH, FL, 33406

Plan administrator’s name and address

Administrator’s EIN 352311434
Plan administrator’s name JACOBS INSURANCE, INC
Plan administrator’s address 2135 S. CONGRESS AVENUE, SUITE B, WEST PALM BEACH, FL, 33406
Administrator’s telephone number 5619678400

Signature of

Role Plan administrator
Date 2012-06-13
Name of individual signing JOHN JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2010 352311434 2011-05-23 JACOBS INSURANCE INC 9
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 5619678400
Plan sponsor’s address DBA JOHN JACOBS INSURANCE AGCY, 2135 S CONGRESS AVE, WEST PALM BEACH, FL, 334060000

Plan administrator’s name and address

Administrator’s EIN 352311434
Plan administrator’s name JACOBS INSURANCE INC
Plan administrator’s address DBA JOHN JACOBS INSURANCE AGCY, 2135 S CONGRESS AVE, WEST PALM BEACH, FL, 334060000
Administrator’s telephone number 5619678400

Signature of

Role Plan administrator
Date 2011-05-23
Name of individual signing JACOBS INSURANCE INC
Valid signature Filed with incorrect/unrecognized electronic signature
JACOBS INSURANCE INC 401 K PROFIT SHARING PLAN TRUST 2010 352311434 2011-06-06 JACOBS INSURANCE INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 524210
Sponsor’s telephone number 5619678400
Plan sponsor’s address DBA JOHN JACOBS INSURANCE AGCY, 2135 S CONGRESS AVE, WEST PALM BEACH, FL, 334060000

Plan administrator’s name and address

Administrator’s EIN 352311434
Plan administrator’s name JACOBS INSURANCE INC
Plan administrator’s address DBA JOHN JACOBS INSURANCE AGCY, 2135 S CONGRESS AVE, WEST PALM BEACH, FL, 334060000
Administrator’s telephone number 5619678400

Signature of

Role Plan administrator
Date 2011-06-06
Name of individual signing JACOBS INSURANCE INC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-06
Name of individual signing JACOBS INSURANCE INC
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CHRZANOWSKI JENNIFER Manager 3525 MONTANTE BLVD, LAKE WORTH, FL, 33461
CHRZANOWSKI JENNIFER Agent 3525 MONTANTE BLVD, LAKE WORTH, FL, 33461

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-29 3525 MONTANTE BLVD, LAKE WORTH, FL 33461 -
REGISTERED AGENT ADDRESS CHANGED 2024-01-29 3525 MONTANTE BLVD, LAKE WORTH, FL 33461 -
REGISTERED AGENT NAME CHANGED 2022-03-10 CHRZANOWSKI, JENNIFER -
CHANGE OF MAILING ADDRESS 2021-05-05 3525 MONTANTE BLVD, LAKE WORTH, FL 33461 -

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-02-16
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-02-27
ANNUAL REPORT 2017-03-10
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-02-10

Date of last update: 02 Apr 2025

Sources: Florida Department of State