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  5. PRODIGY ASSURANCE INC.

PRODIGY ASSURANCE INC.

Company Details

Entity Name: PRODIGY ASSURANCE INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Jun 2012 (13 years ago)
Last Event: AMENDMENT
Event Date Filed: 09 Nov 2018 (6 years ago)
Document Number: P12000051158
FEI/EIN Number 455428754
Address: 4613 North University Drive, #582, CORAL SPRINGS, FL, 33067, US
Mail Address: 4613 North University Drive, #582, CORAL SPRINGS, FL, 33067, US
ZIP code: 33067
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRODIGY ASSURANCE 401(K) P/S PLAN 2015 455428754 2016-04-14 PRODIGY ASSURANCE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 9545566521
Plan sponsor’s address 7522 WILES RD STE 211, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address
Administrator’s EIN 455428754
Plan administrator’s name PRODIGY ASSURANCE
Plan administrator’s address 7522 WILES RD STE 211, CORAL SPRINGS, FL, 33067
Administrator’s telephone number 9545566521

Signature of
Role Plan administrator
Date 2016-04-14
Name of individual signing CODY CLARK
Valid signature Filed with authorized/valid electronic signature
PRODIGY ASSURANCE 401(K) P/S PLAN 2015 455428754 2016-12-13 PRODIGY ASSURANCE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 9545566521
Plan sponsor’s address 7522 WILES RD STE 211, CORAL SPRINGS, FL, 33067

Signature of
Role Plan administrator
Date 2016-12-13
Name of individual signing PAUL STERN
Valid signature Filed with authorized/valid electronic signature
PRODIGY ASSURANCE 401(K) P/S PLAN 2014 455428754 2015-04-20 PRODIGY ASSURANCE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 9545566521
Plan sponsor’s address 7522 WILES RD STE 211, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address
Administrator’s EIN 455428754
Plan administrator’s name PRODIGY ASSURANCE
Plan administrator’s address 7522 WILES RD STE 211, CORAL SPRINGS, FL, 33067
Administrator’s telephone number 9545566521

Signature of
Role Plan administrator
Date 2015-04-20
Name of individual signing CODY CLARK
Valid signature Filed with authorized/valid electronic signature
PRODIGY ASSURANCE 401(K) P/S PLAN 2013 455428754 2014-06-04 PRODIGY ASSURANCE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 9545566521
Plan sponsor’s address 7522 WILES RD STE 211, CORAL SPRINGS, FL, 33067

Plan administrator’s name and address
Administrator’s EIN 455428754
Plan administrator’s name PRODIGY ASSURANCE
Plan administrator’s address 7522 WILES RD STE 211, CORAL SPRINGS, FL, 33067
Administrator’s telephone number 9545566521

Signature of
Role Plan administrator
Date 2014-06-04
Name of individual signing CODY CLARK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CLARK KATHERINE L Agent 4613 North University Drive, CORAL SPRINGS, FL, 33067

President

Name Role Address
CLARK CODY President 4613 North University Drive, CORAL SPRINGS, FL, 33067

Director

Name Role Address
CLARK CODY Director 4613 North University Drive, CORAL SPRINGS, FL, 33067

Secretary

Name Role Address
CLARK KATHERINE Secretary 4613 North University Drive, CORAL SPRINGS, FL, 33067

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000005995 PRODIGY ASSURANCE ADJUSTERS EXPIRED 2019-01-11 2024-12-31 No data 10482 NW 60TH PL, PARKLAND, FL, 33076

Events

Event Type Filed Date Value Description
AMENDMENT 2018-11-09 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-12 4613 North University Drive, #582, CORAL SPRINGS, FL 33067 No data
CHANGE OF MAILING ADDRESS 2018-03-12 4613 North University Drive, #582, CORAL SPRINGS, FL 33067 No data
REGISTERED AGENT ADDRESS CHANGED 2018-03-12 4613 North University Drive, #582, CORAL SPRINGS, FL 33067 No data
REGISTERED AGENT NAME CHANGED 2013-12-12 CLARK, KATHERINE L No data
REINSTATEMENT 2013-12-12 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-11
ANNUAL REPORT 2021-01-07
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-02-15
Amendment 2018-11-09
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-15

Related by officers

CLARK CODY

PHOTO REPORT, LLC PARKLAND STRONG LLC CRETE COATINGS LLC LUXSTYLE CHARTERS LLC CLAIM CLOUD INC. PASSION PROJECT COLLABORATION NETWORK INC. DIAMOND HANDS RENTALS LLC C-S PAVEMENT SERVICES, LLC CLARK DIGITAL SERVICE LLC

CLARK KATHERINE

SMARTHINKING, INC OF WASHINGTON DC PARKLAND STRONG LLC PARKLAND STRONG CHARITY INC. BOKAT GROUP LLC CLAIM CLOUD INC. PHILLIPS MARINE, LLC HEALTHWORKS ENTERPRISES, INC. A WEDDING HELPER, LLC WORLD POWER PRODUCTION, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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