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  5. PCS INSURANCE GROUP INC.

PCS INSURANCE GROUP INC.

Company Details

Entity Name: PCS INSURANCE GROUP INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 16 Apr 2008 (17 years ago)
Last Event: AMENDMENT
Event Date Filed: 09 Mar 2016 (9 years ago)
Document Number: P08000038676
FEI/EIN Number 262423285
Address: 3315 HENDERSON BLVD, TAMPA, FL, 33609, US
Mail Address: 3315 HENDERSON BLVD, TAMPA, FL, 33609, US
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PCS INSURANCE GROUP INC 401(K) PROFIT SHARING PLAN & TRUST 2023 262423285 2025-01-23 PCS INSURANCE GROUP INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8138681010
Plan sponsor’s address 3315 HENDERSON BLVD STE 200, TAMPA, FL, 33609
PCS INSURANCE GROUP INC 401(K) PROFIT SHARING PLAN & TRUST 2022 262423285 2023-09-26 PCS INSURANCE GROUP INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8138681010
Plan sponsor’s address 3315 HENDERSON BLVD STE 200, TAMPA, FL, 33609
PCS INSURANCE GROUP INC 401(K) PROFIT SHARING PLAN & TRUST 2021 262423285 2022-07-28 PCS INSURANCE GROUP INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8138681010
Plan sponsor’s address 3315 HENDERSON BLVD STE 200, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing CHARLES PARK
Valid signature Filed with authorized/valid electronic signature
PCS INSURANCE GROUP INC 401(K) PROFIT SHARING PLAN & TRUST 2020 262423285 2021-10-06 PCS INSURANCE GROUP INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8138681010
Plan sponsor’s address 3315 HENDERSON BLVD STE 200, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing CHARLES PARK
Valid signature Filed with authorized/valid electronic signature
PCS INSURANCE GROUP INC 401(K) PROFIT SHARING PLAN & TRUST 2019 262423285 2020-08-05 PCS INSURANCE GROUP INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8138681010
Plan sponsor’s address 3315 HENDERSON BLVD STE 200, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2020-08-05
Name of individual signing CHARLES PARK
Valid signature Filed with authorized/valid electronic signature
PCS INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2018 262423285 2019-07-12 PCS INSURANCE GROUP INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8138681010
Plan sponsor’s address 3315 HENDERSON BLVD STE 200, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing CHARLES PARK
Valid signature Filed with authorized/valid electronic signature
PCS INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST 2017 262423285 2018-09-13 PCS INSURANCE GROUP INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8138681010
Plan sponsor’s address 3315 HENDERSON BLVD STE 200, TAMPA, FL, 33609

Signature of
Role Plan administrator
Date 2018-09-13
Name of individual signing CHARLES PARK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Park Charles LIV Agent 3315 HENDERSON BLVD, TAMPA, FL, 33609

President

Name Role Address
PARK CHARLES LIV President 3315 HENDERSON BLVD, TAMPA, FL, 33609

Treasurer

Name Role Address
BAXLEY SUSAN Treasurer 3315 HENDERSON BLVD, TAMPA, FL, 33609

Vice President

Name Role Address
GOOLSBY CHRIS Vice President 3315 HENDERSON BLVD, TAMPA, FL, 33609
De La Torre Anthony SIV Vice President 3315 HENDERSON BLVD, TAMPA, FL, 33609

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-01-25 Park, Charles L, IV No data
REGISTERED AGENT ADDRESS CHANGED 2017-01-06 3315 HENDERSON BLVD, SUITE 200, TAMPA, FL 33609 No data
CHANGE OF PRINCIPAL ADDRESS 2016-11-01 3315 HENDERSON BLVD, SUITE 200, TAMPA, FL 33609 No data
CHANGE OF MAILING ADDRESS 2016-11-01 3315 HENDERSON BLVD, SUITE 200, TAMPA, FL 33609 No data
AMENDMENT 2016-03-09 No data No data
AMENDMENT 2010-05-27 No data No data
AMENDMENT 2008-08-25 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-02-25
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-01-25
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-06
Amendment 2016-03-09

Related by officers

PARK CHARLES LIV

WHITE SOUND HOLDINGS, LLC

BAXLEY SUSAN

3315 HENDERSON, LLC WHITE SOUND HOLDINGS, LLC PCS PROPERTIES, LLC THE OLD COUNTRY BAPTIST CHURCH OF TURKEY CREEK, INC.

GOOLSBY CHRIS

E.T. SECURITY ENTERPRISES, INC.

Park Charles LIV

CPPC72, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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