| Entity Name: | CITIZENS NATIONAL LIFE INSURANCE COMPANY |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Aug 1985 (39 years ago) |
| Date of dissolution: | 12 Nov 2024 (3 months ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 12 Nov 2024 (3 months ago) |
| Document Number: | P07086 |
| FEI/EIN Number | 75-0892859 |
| Address: | 11815 Alterra Parkway, Suite 1500, AUSTIN, TX 78758 |
| Mail Address: | PO BOX 149151, AUSTIN, TX 78714 |
| Place of Formation: | TEXAS |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| WELCH, LARRY D. | Vice President | PO BOX 149151, AUSTIN, TX 78714 |
| Kinlaw, Sheryl | Vice President | PO BOX 149151, AUSTIN, TX 78714 |
| Waite, Harvey J | Vice President | PO BOX 149151, AUSTIN, TX 78714 |
| Cox, Kerry L | Vice President | PO BOX 149151, AUSTIN, TX 78714 |
| Conklin, Jeffery P | Vice President | PO BOX 149151, AUSTIN, TX 78714 |
| Lewis, Bryon Matthew | Vice President | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| WELCH, LARRY D. | Compliance | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Mauldin, Robert M, III | Director | PO BOX 149151, AUSTIN, TX 78714 |
| Kinlaw, Sheryl | Director | PO BOX 149151, AUSTIN, TX 78714 |
| Waite, Harvey J | Director | PO BOX 149151, AUSTIN, TX 78714 |
| Conklin, Jeffery P | Director | PO BOX 149151, AUSTIN, TX 78714 |
| Lewis, Bryon Matthew | Director | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Mauldin, Robert M, III | Chief Executive Officer | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Mauldin, Robert M, III | President | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Mauldin, Robert M, III | Chief Marketing Officer | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Patel, Rebecca | Assistant Secretary | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Kinlaw, Sheryl | Chief Legal Officer | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Waite, Harvey J | Chief Actuary | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Cox, Kerry L | Head of Underwriting | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Conklin, Jeffery P | Chief Financial Officer | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Conklin, Jeffery P | Treasurer | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Conklin, Jeffery P | Chair | PO BOX 149151, AUSTIN, TX 78714 |
| Name | Role | Address |
|---|---|---|
| Lewis, Bryon Matthew | Operations | PO BOX 149151, AUSTIN, TX 78714 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000038782 | CICA LIFE | ACTIVE | 2022-03-25 | 2027-12-31 | No data | 11815 ALTERRA PKWY, FLOOR 15, AUSTIN, TX, 78758 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT CHANGED | 2024-11-12 | REGISTERED AGENT REVOKED | No data |
| REVOKED FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-16 | 11815 Alterra Parkway, Suite 1500, AUSTIN, TX 78758 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-06 | 11815 Alterra Parkway, Suite 1500, AUSTIN, TX 78758 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-29 | CT CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-29 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| NAME CHANGE AMENDMENT | 2004-07-02 | CITIZENS NATIONAL LIFE INSURANCE COMPANY | No data |
| Name | Date |
|---|---|
| Withdrawal | 2024-11-12 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
