| Entity Name: | SAM MAIMONE INSURANCE AGENCY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 May 2017 (8 years ago) |
| Document Number: | P17000045358 |
| FEI/EIN Number | 47-5657663 |
| Address: | 12620 BEACH BLVD, SUITE 8, JACKSONVILLE, FL 32246 |
| Mail Address: | 12620 BEACH BLVD, SUITE 8, JACKSONVILLE, FL 32246 |
| ZIP code: | 32246 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAM MAIMONE INSURANCE AGENCY RETIREMENT PLAN | 2021 | 475657663 | 2022-06-28 | SAM MAIMONE INSURANCE AGENCY, INC. | 6 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-06-28 |
| Name of individual signing | SAM MAIMONE |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 4078703403 |
| Plan sponsor’s address | 12620 BEACH BLVD #8, JACKSONVILLE, FL, 32246 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-23 |
| Name of individual signing | SAM MAIMONE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-06-23 |
| Name of individual signing | SAM MAIMONE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 4078703403 |
| Plan sponsor’s address | 12620 BEACH BLVD #8, JACKSONVILLE, FL, 32246 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-23 |
| Name of individual signing | SAM MAIMONE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-06-23 |
| Name of individual signing | SAM MAIMONE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MAIMONE, SAMUEL W | Agent | 12620 BEACH BLVD, SUITE 8, JACKSONVILLE, FL 32246 |
| Name | Role | Address |
|---|---|---|
| MAIMONE, SAMUEL | President | 12620 BEACH BLVD # 8, JACKSONVILLE, FL 32246 |
| Name | Role | Address |
|---|---|---|
| MAIMONE, SAMUEL | Vice President | 12620 BEACH BLVD # 8, JACKSONVILLE, FL 32246 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-16 |
| AMENDED ANNUAL REPORT | 2019-12-04 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-03-05 |
| Domestic Profit | 2017-05-19 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3918377106 | 2020-04-12 | 0491 | PPP | 12620 Beach Boulevard STE 8, Jacksonville, FL, 32246-7130 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 18 Feb 2025
Sources: Florida Department of State
