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FLORIDA STATEWIDE INSURANCE, INC.

Company Details

Entity Name: FLORIDA STATEWIDE INSURANCE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Oct 2007 (17 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 19 Oct 2008 (16 years ago)
Document Number: P07000118916
FEI/EIN Number 320220639
Address: 2501 NW 34th Place, Unit B28, Pompano Beach, FL, 33069, US
Mail Address: 2501 NW 34th Place, Unit B28, Pompano Beach, FL, 33069, US
ZIP code: 33069
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA STATEWIDE INSURANCE 401(K) PLAN 2023 320220639 2024-05-13 FLORIDA STATEWIDE INSURANCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 9547347429
Plan sponsor’s address 2755 EAST OAKLAND PARK BLVD, SUITE 101, FORT LAUDERDALE, FL, 33306

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-13
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
FLORIDA STATEWIDE INSURANCE 401(K) PLAN 2022 320220639 2023-05-27 FLORIDA STATEWIDE INSURANCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 9547347429
Plan sponsor’s address 2755 EAST OAKLAND PARK BLVD, SUITE 101, FORT LAUDERDALE, FL, 33306

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
FLORIDA STATEWIDE INSURANCE 401(K) PLAN 2021 320220639 2022-06-01 FLORIDA STATEWIDE INSURANCE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 9547347429
Plan sponsor’s address 2755 EAST OAKLAND PARK BLVD, SUITE 101, FORT LAUDERDALE, FL, 33306

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-06-01
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
FLORIDA STATEWIDE INSURANCE 401(K) PLAN 2020 320220639 2021-05-25 FLORIDA STATEWIDE INSURANCE, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 9547347429
Plan sponsor’s address 2755 EAST OAKLAND PARK BLVD, SUITE 101, FORT LAUDERDALE, FL, 33306

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-05-25
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SANCHEZ RAYMOND J Agent 2501 NW 34th Place, Pompano Beach, FL, 33069

President

Name Role Address
SANCHEZ RAYMOND J President 2501 NW 34th Place, Pompano Beach, FL, 33069

Chief Operating Officer

Name Role Address
Johnson Nicole L Chief Operating Officer 12 Seneca Road, Sea Ranch Lakes, FL, 33308

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-31 2501 NW 34th Place, Unit B28, Pompano Beach, FL 33069 No data
CHANGE OF MAILING ADDRESS 2022-01-31 2501 NW 34th Place, Unit B28, Pompano Beach, FL 33069 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-31 2501 NW 34th Place, Unit B28, Pompano Beach, FL 33069 No data
CANCEL ADM DISS/REV 2008-10-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-23
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-02-01
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-02-01
ANNUAL REPORT 2016-03-26
ANNUAL REPORT 2015-04-23

Date of last update: 02 Jan 2025

Sources: Florida Department of State