Search icon

BLAKE THOMAS INSURANCE, INC. - Florida Company Profile

Company Details

Entity Name: BLAKE THOMAS INSURANCE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BLAKE THOMAS INSURANCE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 14 Mar 2013 (12 years ago)
Date of dissolution: 22 Sep 2017 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (8 years ago)
Document Number: P13000024119
FEI/EIN Number 46-2272268

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 5889 S WILLIAMSON BLVD, SUITE 220, PORT ORANGE, FL, 32128
Mail Address: 5889 S WILLIAMSON BLVD, SUITE 220, PORT ORANGE, FL, 32128
ZIP code: 32128
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLAKE THOMAS INSURANCE 401(K) PLAN 2023 593034420 2024-06-07 BLAKE THOMAS INSURANCE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3867602020
Plan sponsor’s address 4639 CLYDE MORRIS BLVD, #107, PORT ORANGE, FL, 32129

Signature of

Role Plan administrator
Date 2024-06-07
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature
BLAKE THOMAS INSURANCE 401(K) PLAN 2022 593034420 2023-06-21 BLAKE THOMAS INSURANCE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3867602020
Plan sponsor’s address 5889 S. WILLIAMSON BLVD, #220, PORT ORANGE, FL, 32128

Signature of

Role Plan administrator
Date 2023-06-21
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature
BLAKE THOMAS INSURANCE 401(K) PLAN 2021 593034420 2022-06-27 BLAKE THOMAS INSURANCE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3867602020
Plan sponsor’s address 5889 S. WILLIAMSON BLVD, #220, PORT ORANGE, FL, 32128

Signature of

Role Plan administrator
Date 2022-06-27
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature
BLAKE THOMAS INSURANCE 401(K) PLAN 2020 593034420 2021-06-23 BLAKE THOMAS INSURANCE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3867602020
Plan sponsor’s address 5889 S. WILLIAMSON BLVD, #220, PORT ORANGE, FL, 32128

Signature of

Role Plan administrator
Date 2021-06-23
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature
BLAKE THOMAS INSURANCE 401(K) PLAN 2019 593034420 2020-09-03 BLAKE THOMAS INSURANCE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3867602020
Plan sponsor’s address 5889 S. WILLIAMSON BLVD, #220, PORT ORANGE, FL, 32128

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature
BLAKE THOMAS INSURANCE 401(K) PLAN 2018 593034420 2019-06-19 BLAKE THOMAS INSURANCE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3867602020
Plan sponsor’s address 5889 S. WILLIAMSON BLVD, #220, PORT ORANGE, FL, 32128

Signature of

Role Plan administrator
Date 2019-06-19
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature
BLAKE THOMAS INSURANCE 401(K) PLAN 2017 593034420 2018-06-25 BLAKE THOMAS INSURANCE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3867602020
Plan sponsor’s address 5889 S. WILLIAMSON BLVD, #220, PORT ORANGE, FL, 32128

Signature of

Role Plan administrator
Date 2018-06-25
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature
BLAKE THOMAS INSURANCE 401(K) PLAN 2016 593034420 2017-09-20 BLAKE THOMAS INSURANCE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3867602020
Plan sponsor’s address 5889 S. WILLIAMSON BLVD, #220, PORT ORANGE, FL, 32128

Signature of

Role Plan administrator
Date 2017-09-20
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature
BLAKE THOMAS INSURANCE 401(K) PLAN 2015 593034420 2016-08-16 BLAKE THOMAS INSURANCE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3867602020
Plan sponsor’s address 5889 S. WILLIAMSON BLVD, #220, PORT ORANGE, FL, 32128

Signature of

Role Plan administrator
Date 2016-08-16
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-16
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature
BLAKE THOMAS INSURANCE 401(K) PLAN 2014 593034420 2015-04-02 BLAKE THOMAS INSURANCE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 3867602020
Plan sponsor’s address 5889 S. WILLIAMSON BLVD. #220, PORT ORANGE, FL, 32128

Signature of

Role Plan administrator
Date 2015-04-02
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-02
Name of individual signing BLAKE THOMAS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
THOMAS BLAKE Secretary 5889 S WILLIAMSON BLVD, SUITE 220, PORT ORANGE, FL, 32128
THOMAS BLAKE Treasurer 5889 S WILLIAMSON BLVD, SUITE 220, PORT ORANGE, FL, 32128
THOMAS BLAKE Agent 5889 S WILLIAMSON BLVD, PORT ORANGE, FL, 32128
THOMAS BLAKE President 5889 S WILLIAMSON BLVD, SUITE 220, PORT ORANGE, FL, 32128

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -

Documents

Name Date
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-03-19
ANNUAL REPORT 2014-03-03
Domestic Profit 2013-03-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8970187108 2020-04-15 0491 PPP 5889 S WILLIAMSON BLVD #220, PORT ORANGE, FL, 32128-6111
Loan Status Date 2020-12-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 31265
Loan Approval Amount (current) 31265
Undisbursed Amount 0
Franchise Name -
Lender Location ID 456078
Servicing Lender Name Intracoastal Bank
Servicing Lender Address 1290 NW Palm Coast Pkwy, PALM COAST, FL, 32137-4738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PORT ORANGE, VOLUSIA, FL, 32128-6111
Project Congressional District FL-07
Number of Employees 1
NAICS code 524210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 456078
Originating Lender Name Intracoastal Bank
Originating Lender Address PALM COAST, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 31581.12
Forgiveness Paid Date 2021-04-20

Date of last update: 03 Apr 2025

Sources: Florida Department of State