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  5. SEIBERT INSURANCE AGENCY, INC.

SEIBERT INSURANCE AGENCY, INC. - Florida Company Profile

Company Details

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

SEIBERT 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: 05 Apr 2022 (3 years ago)
Document Number: P07000114172
FEI/EIN Number 261265841

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 5121 EHRLICH ROAD, SUITE 111, TAMPA, FL, 33624, US
Mail Address: 989 14th Avenue S, Safety Harbor, FL, 34695, US
ZIP code: 33624
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SEIBERT INSURANCE AGENCY, INC. 401(K) PLAN 2023 261265841 2024-07-26 SEIBERT INSURANCE AGENCY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 524210
Sponsor’s telephone number 8139604672
Plan sponsor’s address 5121 EHRLICH RD, SUITE 111B, TAMPA, FL, 33624

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP , LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-07-26
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
SEIBERT INSURANCE AGENCY, INC. 401(K) PLAN 2022 261265841 2023-09-08 SEIBERT INSURANCE AGENCY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 524210
Sponsor’s telephone number 8139604672
Plan sponsor’s address 5121 EHRLICH RD, SUITE 111B, TAMPA, FL, 33624

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP , LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-09-08
Name of individual signing TARA EVANS, FOR TAG RESOURCES
Valid signature Filed with authorized/valid electronic signature
SEIBERT INSURANCE AGENCY, INC. 401(K) PLAN 2021 261265841 2022-07-20 SEIBERT INSURANCE AGENCY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 524210
Sponsor’s telephone number 8139604672
Plan sponsor’s address 5121 EHRLICH RD, SUITE 111B, TAMPA, FL, 33624

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
SEIBERT INSURANCE AGENCY, INC. 401(K) PLAN 2020 261265841 2021-07-12 SEIBERT INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 524210
Sponsor’s telephone number 8139604672
Plan sponsor’s address 5121 EHRLICH RD, SUITE 111B, TAMPA, FL, 33624

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
SEIBERT INSURANCE AGENCY, INC. 401(K) PLAN 2019 261265841 2020-10-14 SEIBERT INSURANCE AGENCY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 524210
Sponsor’s telephone number 8139604672
Plan sponsor’s address 5121 EHRLICH ROAD, SUITE 111B, TAMPA, FL, 33624

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing CANDICE BRANTLEY
Valid signature Filed with authorized/valid electronic signature
SEIBERT INSURANCE AGENCY, INC. 401(K) PLAN 2018 261265841 2019-10-14 SEIBERT INSURANCE AGENCY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 524210
Sponsor’s telephone number 8139604672
Plan sponsor’s address 5121 EHRLICH ROAD, SUITE 111B, TAMPA, FL, 33624

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing CANDICE BRANTLEY
Valid signature Filed with authorized/valid electronic signature
SEIBERT INSURANCE AGENCY, INC. 401(K) PLAN 2017 261265841 2018-09-26 SEIBERT INSURANCE AGENCY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 524210
Sponsor’s telephone number 8139604672
Plan sponsor’s address 5121 EHRLICH ROAD, SUITE 111B, TAMPA, FL, 33624

Signature of
Role Plan administrator
Date 2018-09-26
Name of individual signing CANDICE BRANTLEY
Valid signature Filed with authorized/valid electronic signature
SEIBERT INSURANCE AGENCY, INC. 401(K) PLAN 2016 261265841 2017-10-13 SEIBERT INSURANCE AGENCY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 524210
Sponsor’s telephone number 8139604672
Plan sponsor’s address 5121 EHRLICH ROAD, SUITE 111B, TAMPA, FL, 33624

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing CANDICE BRANTLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-13
Name of individual signing CANDICE BRANTLEY
Valid signature Filed with authorized/valid electronic signature
SEIBERT INSURANCE AGENCY, INC. 401(K) PLAN 2015 261265841 2016-10-13 SEIBERT INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 524210
Sponsor’s telephone number 8139604672
Plan sponsor’s address 5121 EHRLICH ROAD, SUITE 111B, TAMPA, FL, 33624

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing KARYN S. ROELING
Valid signature Filed with authorized/valid electronic signature
SEIBERT INSURANCE AGENCY, INC. 401(K) PLAN 2014 261265841 2015-07-13 SEIBERT INSURANCE AGENCY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-02-01
Business code 524210
Sponsor’s telephone number 8139604672
Plan sponsor’s address 5121 EHRLICH ROAD, SUITE 111B, TAMPA, FL, 33624

Signature of
Role Plan administrator
Date 2015-07-13
Name of individual signing KARYN S. ROELING
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ROELING KARYN President 989 14TH AVENUE S, SAFETY HARBOR, FL, 34695
ROELING KARYN Secretary 989 14TH AVENUE S, SAFETY HARBOR, FL, 34695
ROELING KARYN Director 989 14TH AVENUE S, SAFETY HARBOR, FL, 34695
ROELING KARYN Agent 989 14th Avenue S, Safety Harbor, FL, 34695

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-01-21 5121 EHRLICH ROAD, SUITE 111, TAMPA, FL 33624 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-21 989 14th Avenue S, Safety Harbor, FL 34695 -
REGISTERED AGENT NAME CHANGED 2013-01-24 ROELING, KARYN -
CHANGE OF PRINCIPAL ADDRESS 2008-01-07 5121 EHRLICH ROAD, SUITE 111, TAMPA, FL 33624 -

Documents

Name Date
ANNUAL REPORT 2025-01-17
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-01-03
ANNUAL REPORT 2016-02-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4606007008 2020-04-04 0455 PPP 5121 Ehrlich Rd. STE 111, TAMPA, FL, 33624-2015
Loan Status Date 2021-03-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 140200
Loan Approval Amount (current) 140200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 437740
Servicing Lender Name Flagship Bank
Servicing Lender Address 29750 US Hwy 19 North, CLEARWATER, FL, 33761-1510
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33624-2015
Project Congressional District FL-15
Number of Employees 13
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 437740
Originating Lender Name Flagship Bank
Originating Lender Address CLEARWATER, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 141376.12
Forgiveness Paid Date 2021-02-10

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Companies related by address

5121 EHRLICH ROAD, SUITE 111, TAMPA, FL, 33624, US

SEIBERT PROPERTIES, LLC

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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