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  5. CAPITAL INSURANCE HOLDINGS, INC.

CAPITAL INSURANCE HOLDINGS, INC.

Company Details

Entity Name: CAPITAL INSURANCE HOLDINGS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Dec 2010 (14 years ago)
Last Event: AMENDMENT
Event Date Filed: 04 Oct 2021 (3 years ago)
Document Number: P10000103127
FEI/EIN Number 274483283
Address: 2457 CARE DRIVE, SUITE A200, TALLAHASSEE, FL, 32308, US
Mail Address: PO BOX 15949, TALLAHASSEE, FL, 32317, US
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAPITAL INSURANCE HOLDINGS, INC. RETIREMENT PLAN 2023 274483283 2024-07-08 CAPITAL INSURANCE HOLDINGS, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 524290
Sponsor’s telephone number 8503863100
Plan sponsor’s mailing address PO BOX 15949, TALLAHASSEE, FL, 32317
Plan sponsor’s address 2457 CARE DRIVE, SUITE A200, SUITE A200, TALLAHASSEE, FL, 32308

Number of participants as of the end of the plan year
Active participants 22
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 26
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing BARBARA CATNEY
Valid signature Filed with authorized/valid electronic signature
CAPITAL INSURANCE HOLDINGS, INC. RETIREMENT PLAN 2022 274483283 2023-07-27 CAPITAL INSURANCE HOLDINGS, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 524290
Sponsor’s telephone number 8503863100
Plan sponsor’s mailing address PO BOX 15949, TALLAHASSEE, FL, 32317
Plan sponsor’s address 2457 CARE DRIVE, SUITE A200, SUITE A200, TALLAHASSEE, FL, 32308

Number of participants as of the end of the plan year
Active participants 21
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 5
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 26
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing BARBARA CATNEY
Valid signature Filed with authorized/valid electronic signature
CAPITAL INSURANCE HOLDINGS, INC. RETIREMENT PLAN 2021 274483283 2022-10-05 CAPITAL INSURANCE HOLDINGS, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 524290
Sponsor’s telephone number 8503863100
Plan sponsor’s mailing address PO BOX 15949, TALLAHASSEE, FL, 32317
Plan sponsor’s address 2457 CARE DRIVE, SUITE A200, SUITE A200, TALLAHASSEE, FL, 32308

Number of participants as of the end of the plan year
Active participants 17
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 6
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 23
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing BARBARA CATNEY
Valid signature Filed with authorized/valid electronic signature
CAPITAL INSURANCE HOLDINGS INC. RETIREMENT PLAN 2017 274483283 2018-07-18 CAPITAL INSURANCE HOLDINGS INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 524290
Sponsor’s telephone number 8503863100
Plan sponsor’s address 1425 E PIEDMONT DR STE 301, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing BARBARA CATNEY
Valid signature Filed with authorized/valid electronic signature
CAPITAL INSURANCE HOLDINGS INC. RETIREMENT PLAN 2016 274483283 2017-07-31 CAPITAL INSURANCE HOLDINGS INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 524290
Sponsor’s telephone number 8503863100
Plan sponsor’s address 1425 E PIEDMONT DR STE 301, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing BARBARA CATNEY
Valid signature Filed with authorized/valid electronic signature
CAPITAL INSURANCE HOLDINGS INC. RETIREMENT PLAN 2015 274483283 2016-08-02 CAPITAL INSURANCE HOLDINGS INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 524290
Sponsor’s telephone number 8503863100
Plan sponsor’s address 1425 E PIEDMONT DR STE 301, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2016-08-02
Name of individual signing BARBARA CATNEY
Valid signature Filed with authorized/valid electronic signature
CAPITAL INSURANCE HOLDINGS INC. RETIREMENT PLAN 2014 274483283 2015-07-28 CAPITAL INSURANCE HOLDINGS INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 524290
Sponsor’s telephone number 8503863100
Plan sponsor’s address 1425 E PIEDMONT DR STE 301, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing BARBARA CATNEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-28
Name of individual signing BARBARA CATNEY
Valid signature Filed with authorized/valid electronic signature
CAPITAL INSURANCE HOLDINGS INC. RETIREMENT PLAN 2013 274483283 2014-07-29 CAPITAL INSURANCE HOLDINGS INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 524290
Sponsor’s telephone number 8503863100
Plan sponsor’s address 1425 E PIEDMONT DR STE 301, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing BARBARA CATNEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-29
Name of individual signing BARBARA CATNEY
Valid signature Filed with authorized/valid electronic signature
CAPITAL INSURANCE HOLDINGS INC. RETIREMENT PLAN 2012 274483283 2013-10-01 CAPITAL INSURANCE HOLDINGS INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 524290
Sponsor’s telephone number 8503863100
Plan sponsor’s address 1425 E PIEDMONT DR STE 301, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2013-10-01
Name of individual signing RYAN OVERSTREET
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-01
Name of individual signing RYAN OVERSTREET
Valid signature Filed with authorized/valid electronic signature
CAPITAL INSURANCE HOLDINGS INC. RETIREMENT PLAN 2011 274483283 2012-10-08 CAPITAL INSURANCE HOLDINGS INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-12-01
Business code 524290
Sponsor’s telephone number 8503863100
Plan sponsor’s address 1425 E PIEDMONT DR STE 301, TALLAHASSEE, FL, 32308

Plan administrator’s name and address
Administrator’s EIN 274483283
Plan administrator’s name CAPITAL INSURANCE HOLDINGS INC.
Plan administrator’s address 1425 E PIEDMONT DR STE 301, TALLAHASSEE, FL, 32308
Administrator’s telephone number 8503863100

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing RYAN OVERSTREET
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-08
Name of individual signing DALTON ANDREW TATE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Moore Douglas W Agent 2457 CARE DRIVE, TALLAHASSEE, FL, 32308

Exec

Name Role Address
MOORE DAVID MJr. Exec 2457 CARE DRIVE, TALLAHASSEE, FL, 32308

President

Name Role Address
MOORE DOUGLAS W President 2457 CARE DRIVE, TALLAHASSEE, FL, 32308

Chief Financial Officer

Name Role Address
CATNEY BARBARA E Chief Financial Officer 2457 CARE DRIVE, TALLAHASSEE, FL, 32308

Director

Name Role Address
Franklin Carlton Jr. Director 2457 CARE DRIVE, TALLAHASSEE, FL, 32308
SNUGGS SARAH E Director 2457 CARE DRIVE, TALLAHASSEE, FL, 32308

Chief Operating Officer

Name Role Address
JERNIGAN MARIA M Chief Operating Officer 2457 CARE DRIVE, TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-10 2457 CARE DRIVE, SUITE A200, TALLAHASSEE, FL 32308 No data
CHANGE OF MAILING ADDRESS 2022-03-10 2457 CARE DRIVE, SUITE A200, TALLAHASSEE, FL 32308 No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-10 2457 CARE DRIVE, SUITE A200, TALLAHASSEE, FL 32308 No data
AMENDMENT 2021-10-04 No data No data
REGISTERED AGENT NAME CHANGED 2018-12-11 Moore, Douglas W No data

Documents

Name Date
ANNUAL REPORT 2024-04-10
AMENDED ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-03-10
Amendment 2021-10-04
ANNUAL REPORT 2021-03-09
ANNUAL REPORT 2020-05-01
ANNUAL REPORT 2019-04-05
AMENDED ANNUAL REPORT 2018-12-11
ANNUAL REPORT 2018-04-04

Related by officers

MOORE DOUGLAS W

CAPITAL ADMINISTRATIVE SERVICES, INC. DOUG'S DRYWALL, INC. SAULNIER FRAMING, INC SWEET RIPE DRINKS AMERICA, INC. DWM ENTERPRISES, LLC DOALMOR, INC. DRAGON DEFENSE TAE KWON DO, INC.

CATNEY BARBARA E

CAPITAL ADMINISTRATIVE SERVICES, INC.

SNUGGS SARAH E

CAPITAL ADMINISTRATIVE SERVICES, INC.

Related by address

2457 CARE DRIVE, SUITE A200, TALLAHASSEE, FL, 32308, US

CAPITAL ADMINISTRATIVE SERVICES, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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