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  5. E-TELEQUOTE INSURANCE, INC.

E-TELEQUOTE INSURANCE, INC.

Headquarter

Company Details

Entity Name: E-TELEQUOTE INSURANCE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 07 Nov 2013 (11 years ago)
Last Event: CONVERSION
Event Date Filed: 07 Nov 2013 (11 years ago)
Document Number: P13000091682
FEI/EIN Number 20-2312336
Address: 12750 Citrus Park Lane, Ste 110, Tampa, FL 33625
Mail Address: 12750 Citrus Park Lane, Ste 110, Tampa, FL 33625
ZIP code: 33625
County: Hillsborough
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of E-TELEQUOTE INSURANCE, INC., MISSISSIPPI 1037379 MISSISSIPPI
Headquarter of E-TELEQUOTE INSURANCE, INC., RHODE ISLAND 000903952 RHODE ISLAND
Headquarter of E-TELEQUOTE INSURANCE, INC., ALASKA 10018581 ALASKA
Headquarter of E-TELEQUOTE INSURANCE, INC., ALABAMA 000-297-137 ALABAMA
Headquarter of E-TELEQUOTE INSURANCE, INC., KENTUCKY 0879440 KENTUCKY
Headquarter of E-TELEQUOTE INSURANCE, INC., COLORADO 20141089403 COLORADO
Headquarter of E-TELEQUOTE INSURANCE, INC., CONNECTICUT 1135214 CONNECTICUT
Headquarter of E-TELEQUOTE INSURANCE, INC., IDAHO 606499 IDAHO
Headquarter of E-TELEQUOTE INSURANCE, INC., ILLINOIS CORP_69428827 ILLINOIS

Central Index Key

CIK number Mailing Address Business Address Phone
2040002 5659 RIO VISTA DRIVE, CLEARWATER, FL, 33760 5659 RIO VISTA DRIVE, CLEARWATER, FL, 33760 813-601-5021

Filings since 2024-10-08
Form type D
File number 021-526136
Filing date 2024-10-08
File View File

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
E-TELEQUOTE INSURANCE 401(K) PLAN 2018 202312336 2019-10-09 E-TELEQUOTE INSURANCE, INC. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 7279539462
Plan sponsor’s address 5659 RIO VISTA DRIVE, CLEARWATER, FL, 33760

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing ASGHAR HUSAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-09
Name of individual signing ASGHAR HUSAIN
Valid signature Filed with authorized/valid electronic signature
E-TELEQUOTE INSURANCE 401(K) PLAN 2017 202312336 2018-05-30 E-TELEQUOTE INSURANCE, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 7275108698
Plan sponsor’s address 14450 46TH STREET N, SUITE 105, CLEARWATER, FL, 33762

Signature of
Role Plan administrator
Date 2018-05-30
Name of individual signing ASGHAR HUSAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-30
Name of individual signing ASGHAR HUSAIN
Valid signature Filed with authorized/valid electronic signature
E-TELEQUOTE INSURANCE 401(K) PLAN 2016 202312336 2017-08-31 E-TELEQUOTE INSURANCE, INC 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 7275108698
Plan sponsor’s address 14450 46TH STREET N, SUITE 105, CLEARWATER, FL, 33762

Signature of
Role Plan administrator
Date 2017-08-31
Name of individual signing ASGHAR HUSAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-31
Name of individual signing ASGHAR HUSAIN
Valid signature Filed with authorized/valid electronic signature
E-TELEQUOTE INSURANCE 401(K) PLAN 2015 202312336 2016-06-30 E-TELEQUOTE INSURANCE, INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 7275108698
Plan sponsor’s address 14450 46TH STREET N, SUITE 105, CLEARWATER, FL, 33762

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing ASGHAR HUSAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-30
Name of individual signing ASGHAR HUSAIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

Executive Vice President

Name Role Address
Wells, Michael K. Executive Vice President 5659 Rio Vista Dr., Clearwater, FL 33760
Geer, Stacey K. Executive Vice President 5659 Rio Vista Dr., Clearwater, FL 33760
Jendusa, Nicholas Adam Executive Vice President 5659 Rio Vista Dr., Clearwater, FL 33760

Secretary

Name Role Address
Geer, Stacey K. Secretary 5659 Rio Vista Dr., Clearwater, FL 33760

Chief Accounting Officer

Name Role Address
McSheffrey, Jonathan Chief Accounting Officer 5659 Rio Vista Dr., Clearwater, FL 33760

Director

Name Role Address
Uchytil, Craig Director 5659 Rio Vista Dr., Clearwater, FL 33760
Geer, Stacey K. Director 5659 Rio Vista Dr., Clearwater, FL 33760
Miller, Michael Wayne Director 5659 Rio Vista Dr., Clearwater, FL 33760
Brown, Lisa Director 5659 Rio Vista Dr., Clearwater, FL 33760
Peterman, Robert H., Jr Director 5659 Rio Vista Dr., Clearwater, FL 33760

Chief Executive Officer

Name Role Address
Uchytil, Craig Chief Executive Officer 5659 Rio Vista Dr., Clearwater, FL 33760

President

Name Role Address
Uchytil, Craig President 5659 Rio Vista Dr., Clearwater, FL 33760

Treasurer

Name Role Address
Wells, Michael K. Treasurer 5659 Rio Vista Dr., Clearwater, FL 33760

Asst Secretary

Name Role Address
Behnia, Asa Asst Secretary 5659 Rio Vista Dr., Clearwater, FL 33760

Executive Chairman

Name Role Address
Miller, Michael Wayne Executive Chairman 5659 Rio Vista Dr., Clearwater, FL 33760

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000064989 EASYMED INSURANCE SERVICES ACTIVE 2023-05-25 2028-12-31 No data 5659 RIO VISTA DR, CLEARWATER, FL, 33760
G21000116385 EASYMEDICARE ACTIVE 2021-09-10 2026-12-31 No data 5659 RIO VISTA DR, CLEARWATER, FL, 33760

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-10-15 12750 Citrus Park Lane, Ste 110, Tampa, FL 33625 No data
CHANGE OF MAILING ADDRESS 2024-10-15 12750 Citrus Park Lane, Ste 110, Tampa, FL 33625 No data
REGISTERED AGENT NAME CHANGED 2021-09-30 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2021-09-30 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data
CONVERSION 2013-11-07 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L05000013368. CONVERSION NUMBER 100000135931

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-04-01
Reg. Agent Change 2021-09-30
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-01-25
ANNUAL REPORT 2018-01-31
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-04-01

Related by officers

Wells, Michael K.

PRIMERICA BROKERAGE SERVICES, INC.

Geer, Stacey K.

ETQ HK SPV, INC. PRIMERICA MORTGAGE, LLC PRIMERICA FINANCIAL SERVICES, LLC PRIMERICA BROKERAGE SERVICES, INC.

Jendusa, Nicholas Adam

PRIMERICA BROKERAGE SERVICES, INC.

McSheffrey, Jonathan

ETQ HK SPV, INC.

Uchytil, Craig

ETQ HK SPV, INC.

Miller, Michael Wayne

ETQ HK SPV, INC.

Brown, Lisa

PHELAN-MCDERMID SYNDROME FOUNDATION INC. ALL CLEAR FUELS INC WABCO GROUP INC CLEARWATER HEATWAVE BASKETBALL, INC. DIAMOND DUST, INC. FLORIDA YOUTH TRACK AND FIELD ASSOCIATION, INC.

Behnia, Asa

ETQ HK SPV, INC. PRIMERICA BROKERAGE SERVICES, INC.

Related by address

12750 Citrus Park Lane, Ste 110, Tampa, FL 33625

ETQ HK SPV, INC.

12750 Citrus Park Lane, Ste 110, Tampa, FL 33625

ETQ HK SPV, INC.

Date of last update: 22 Jan 2025

Sources: Florida Department of State

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