| Entity Name: | AMERICAN FAMILY INSURANCE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Sep 2017 (7 years ago) |
| Date of dissolution: | 23 Jun 2021 (4 years ago) |
| Last Event: | PENDING REINSTATEMENT |
| Event Date Filed: | 23 Jun 2021 (4 years ago) |
| Document Number: | P17000078842 |
| Mail Address: | 17511 BUCKINGHAM GARDEN DRIVE, LITHIA, FL 33547 |
| Address: | 6204 BENJAMIN RD, SUITE 200, TAMPA, FL 33634 |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN FAMILY INSURANCE 401(K) PLAN | 2023 | 364879453 | 2024-05-15 | AMERICAN FAMILY INSURANCE | 2 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-15 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9199064665 |
| Plan sponsor’s address | 867 W BLOOMINGDALE AVE, 7015, BRANDON, FL, 33508 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-26 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9199064665 |
| Plan sponsor’s address | 867 W BLOOMINGDALE AVE, 7015, BRANDON, FL, 33508 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-01 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PINO, LOURDES M | Agent | 17511 BUCKINGHAM GARDEN DR, LITHIA, FL 33547 |
| Name | Role | Address |
|---|---|---|
| PINO, LOURDES M | President | 17511 BUCKINGHAM GARDEN DRIVE, LITHIA, FL 33547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2017-09-29 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
