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  5. FLORIDA SPECIALTY INSURANCE COMPANY

FLORIDA SPECIALTY INSURANCE COMPANY

Company Details

Entity Name: FLORIDA SPECIALTY INSURANCE COMPANY
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 26 Aug 2015 (9 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: P15000070330
FEI/EIN Number 47-0706955
Address: Florida Department of Financial Services,, 325 John Knox Road, Atrium Building, TALLAHASSEE, FL, 32303, US
Mail Address: Florida Department of Financial Services,, 325 John Knox Road, Atrium Building, TALLAHASSEE, FL, 32303, US
ZIP code: 32303
County: Leon
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA SPECIALTY 401(K) 2021 470706955 2022-05-16 FLORIDA SPECIALTY INSURANCE COMPANY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 524150
Sponsor’s telephone number 8508788777
Plan sponsor’s address 325 JOHN KNOX ROAD, ATRIUM BUILDING, SUITE 101, TALLAHASSEE, FL, 32303

Plan administrator’s name and address
Administrator’s EIN 721396621
Plan administrator’s name DANIEL RODRIGUEZ
Plan administrator’s address 2633 CENTENNIAL BLVD., SUITE 200, TALLAHASSEE, FL, 32308
Administrator’s telephone number 8508788777

Signature of
Role Plan administrator
Date 2022-05-16
Name of individual signing DANIEL RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPECIALTY 401(K) 2020 470706955 2021-07-08 FLORIDA SPECIALTY INSURANCE COMPANY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 524150
Sponsor’s telephone number 8508788777
Plan sponsor’s address 325 JOHN KNOX ROAD, ATRIUM BUILDING, SUITE 101, TALLAHASSEE, FL, 32303

Plan administrator’s name and address
Administrator’s EIN 721396621
Plan administrator’s name DANIEL RODRIGUEZ
Plan administrator’s address 2633 CENTENNIAL BLVD., SUITE 200, TALLAHASSEE, FL, 32308
Administrator’s telephone number 8508788777

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing DANIEL RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPECIALTY 401(K) 2019 470706955 2020-07-31 FLORIDA SPECIALTY INSURANCE COMPANY 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 524150
Sponsor’s telephone number 8508788777
Plan sponsor’s address 325 JOHN KNOX ROAD, ATRIUM BUILDING, SUITE 101, TALLAHASSEE, FL, 32303

Plan administrator’s name and address
Administrator’s EIN 721396621
Plan administrator’s name DANIEL RODRIGUEZ
Plan administrator’s address 2633 CENTENNIAL BLVD., SUITE 200, TALLAHASSEE, FL, 32308
Administrator’s telephone number 8508788777

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing DANIEL RODRIGUEZ
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPECIALTY 401(K) 2018 470706955 2019-06-03 FLORIDA SPECIALTY INSURANCE COMPANY 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 524150
Sponsor’s telephone number 9412105673
Plan sponsor’s address 1 S. SCHOOL AVE, SUITE 900, SARASOTA, FL, 34237

Signature of
Role Plan administrator
Date 2019-06-03
Name of individual signing LAURA LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-03
Name of individual signing LAURA LOPEZ
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPECIALTY 401(K) 2017 470706955 2018-10-15 FLORIDA SPECIALTY INSURANCE COMPANY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 524150
Sponsor’s telephone number 9412105674
Plan sponsor’s address 1 S. SCHOOL AVE, SUITE 900, SARASOTA, FL, 34237

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing CRAIG M THOMAS
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPECIALTY 401(K) 2016 470706955 2017-10-13 FLORIDA SPECIALTY INSURANCE COMPANY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 524150
Sponsor’s telephone number 9412105674
Plan sponsor’s address 1 S. SCHOOL AVE, SUITE 900, SARASOTA, FL, 34237

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing CRAIG M THOMAS
Valid signature Filed with authorized/valid electronic signature
FLORIDA SPECIALTY 401(K) 2015 470706955 2016-10-14 FLORIDA SPECIALTY INSURANCE COMPANY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-05-01
Business code 524150
Sponsor’s telephone number 9412105674
Plan sponsor’s address 1 S. SCHOOL AVE, SUITE 900, SARASOTA, FL, 34237

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing CRAIG M THOMAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHIEF FINANCIAL OFFICER Agent PO BOX 6200 (32314-6200), TALLAHASSEE, FL, 323990000

Director

Name Role Address
ROWLAND VINCENT Director 1 South School Avenue, Sarasota, FL, 34237
LODEN WILLIAM Director 1 South School Avenue, Sarasota, FL, 34237
PATSCHAK SUSAN Director 1 South School Avenue, Sarasota, FL, 34237
Beyman Yaakov Director 1 South School Avenue, Sarasota, FL, 34237
Blumenfrucht Alex Director 1 South School Avenue, Sarasota, FL, 34237

President

Name Role Address
LODEN WILLIAM President 1 South School Avenue, Sarasota, FL, 34237

Chairman

Name Role Address
PATSCHAK SUSAN Chairman 1 South School Avenue, Sarasota, FL, 34237

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-01-13 Florida Department of Financial Services, Division of Liquidation and Rehabilitation, 325 John Knox Road, Atrium Building, Suite 101, TALLAHASSEE, FL 32303 No data
CHANGE OF MAILING ADDRESS 2017-01-13 Florida Department of Financial Services, Division of Liquidation and Rehabilitation, 325 John Knox Road, Atrium Building, Suite 101, TALLAHASSEE, FL 32303 No data

Documents

Name Date
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-26
AMENDED ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-02-18
Domestic Profit 2015-08-26

Related by officers

CHIEF FINANCIAL OFFICER

CASTLEPOINT FLORIDA INSURANCE COMPANY AXIS SPECIALTY INSURANCE COMPANY PALMETTO SURETY CORPORATION PEOPLE'S TRUST INSURANCE COMPANY BERKSHIRE HATHAWAY ASSURANCE CORPORATION SOUTHERN-OWNERS INSURANCE COMPANY AVATAR PROPERTY & CASUALTY INSURANCE COMPANY COVENTRY HEALTH AND LIFE INSURANCE COMPANY MAGUIRE INSURANCE AGENCY, INC. AETNA HEALTH INSURANCE COMPANY

ROWLAND VINCENT

FLORIDA SPECIALTY HOLDINGS, INC.

Beyman Yaakov

FLORIDA SPECIALTY HOLDINGS, INC.

Blumenfrucht Alex

FLORIDA SPECIALTY HOLDINGS, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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