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EPIC-PREMIER INSURANCE SOLUTIONS, INC.

Company Details

Entity Name: EPIC-PREMIER INSURANCE SOLUTIONS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 31 May 1996 (29 years ago)
Date of dissolution: 29 Sep 2020 (4 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 29 Sep 2020 (4 years ago)
Document Number: P96000047727
FEI/EIN Number 593380363
Address: 4223 SOUTH PIPKIN ROAD, SUITE 100, LAKELAND, FL, 33811
Mail Address: 4223 SOUTH PIPKIN ROAD, SUITE 100, LAKELAND, FL, 33811
ZIP code: 33811
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EPIC-PREMIER INSURANCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 2019 593380363 2020-11-02 EPIC-PREMIER INSURANCE SOLUTIONS, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 541511
Sponsor’s telephone number 8636865110
Plan sponsor’s address 4223 SOUTH PIPKIN ROAD, SUITE 100, LAKELAND, FL, 33811

Signature of

Role Plan administrator
Date 2020-11-02
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
EPIC-PREMIER INSURANCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 2019 593380363 2020-10-27 EPIC-PREMIER INSURANCE SOLUTIONS, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 541511
Sponsor’s telephone number 8636865110
Plan sponsor’s address 4223 SOUTH PIPKIN ROAD, SUITE 100, LAKELAND, FL, 338111442

Signature of

Role Plan administrator
Date 2020-10-27
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
EPIC-PREMIER INSURANCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 2016 593380363 2018-05-16 EPIC-PREMIER INSURANCE SOLUTIONS, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 541511
Sponsor’s telephone number 8636865110
Plan sponsor’s address 4223 SOUTH PIPKIN ROAD, SUITE 100, LAKELAND, FL, 338111442

Signature of

Role Plan administrator
Date 2018-05-16
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
EPIC-PREMIER INSURANCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 2015 593380363 2017-06-05 EPIC-PREMIER INSURANCE SOLUTIONS, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 541511
Sponsor’s telephone number 8636865110
Plan sponsor’s address 4223 SOUTH PIPKIN ROAD SUITE 100, LAKELAND, FL, 338111442

Signature of

Role Plan administrator
Date 2017-06-05
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
EPIC-PREMIER INSURANCE SOLUTIONS, INC. 401K PROFI SHARING PLAN 2014 593380363 2016-06-07 EPIC-PREMIER INSURANCE SOLUTIONS, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 541511
Sponsor’s telephone number 8636855110
Plan sponsor’s address 4223 SOUTH PIPKIN ROAD SUITE 100, LAKELAND, FL, 33811

Signature of

Role Plan administrator
Date 2016-06-07
Name of individual signing PHILLIP GRIMES
Valid signature Filed with authorized/valid electronic signature
EPIC-PREMIER INSURANCE SOLUTIONS, INC. 401K PROFI SHARING PLAN 2013 593380363 2015-02-26 EPIC-PREMIER INSURANCE SOLUTIONS, INC. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 541511
Sponsor’s telephone number 8636855110
Plan sponsor’s address 4223 SOUTH PIPKIN ROAD SUITE 100, LAKELAND, FL, 33811

Signature of

Role Plan administrator
Date 2015-02-26
Name of individual signing PHILLIP GRIMES
Valid signature Filed with authorized/valid electronic signature
EPIC-PREMIER INSURANCE SOLUTIONS, INC. 401K PROFI SHARING PLAN 2012 593380363 2014-05-13 EPIC-PREMIER INSURANCE SOLUTIONS, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 541511
Sponsor’s telephone number 8636855110
Plan sponsor’s address 4223 SOUTH PIPKIN ROAD SUITE 100, LAKELAND, FL, 33811

Signature of

Role Plan administrator
Date 2014-05-13
Name of individual signing PHILLIP GRIMES
Valid signature Filed with authorized/valid electronic signature
PREMIER INSURANCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 2009 593380363 2010-12-03 EPIC-PREMIER INSURANCE SOLUTIONS, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Business code 541511
Sponsor’s telephone number 8636865110
Plan sponsor’s address 4223 S PIPKIN ROAD, LAKELAND, FL, 338111442

Plan administrator’s name and address

Administrator’s EIN 593380363
Plan administrator’s name EPIC-PREMIER INSURANCE SOLUTIONS, INC.
Plan administrator’s address 4223 S PIPKIN ROAD, LAKELAND, FL, 338111442
Administrator’s telephone number 8636865110

Signature of

Role Plan administrator
Date 2010-12-03
Name of individual signing PHILLIP GRIMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-12-03
Name of individual signing PHILLIP GRIMES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

DSC

Name Role Address
GRIMES ROBERT M DSC 3077 Shoal Creek Village Dr, LAKELAND, FL, 33803

Director

Name Role Address
GRIMES KEVIN R Director 455 Enclave Dr, LAKELAND, FL, 33803
GRIMES PHILLIP W Director 606 Grasslands Village Circle, LAKELAND, FL, 33803

President

Name Role Address
GRIMES KEVIN R President 455 Enclave Dr, LAKELAND, FL, 33803

Vice President

Name Role Address
GRIMES PHILLIP W Vice President 606 Grasslands Village Circle, LAKELAND, FL, 33803

Treasurer

Name Role Address
GRIMES PHILLIP W Treasurer 606 Grasslands Village Circle, LAKELAND, FL, 33803

Events

Event Type Filed Date Value Description
MERGER 2020-09-29 No data CORPORATION WAS PART OF A MERGER. NON-QUALIFIED CORPORATION WAS INSURITY, INC.. MERGER NUMBER 700000205907
REGISTERED AGENT NAME CHANGED 2020-06-26 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-26 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 No data
CANCEL ADM DISS/REV 2007-10-11 No data No data
CHANGE OF MAILING ADDRESS 2007-10-11 4223 SOUTH PIPKIN ROAD, SUITE 100, LAKELAND, FL 33811 No data
CHANGE OF PRINCIPAL ADDRESS 2007-10-11 4223 SOUTH PIPKIN ROAD, SUITE 100, LAKELAND, FL 33811 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data
MERGER 2005-12-29 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 0. MERGER NUMBER 700000054907
NAME CHANGE AMENDMENT 2005-12-20 EPIC-PREMIER INSURANCE SOLUTIONS, INC. No data
AMENDMENT AND NAME CHANGE 1996-08-26 PREMIER INSURANCE SOLUTIONS, INC. No data

Documents

Name Date
Merger 2020-09-29
Reg. Agent Change 2020-06-26
ANNUAL REPORT 2020-01-07
ANNUAL REPORT 2019-01-09
ANNUAL REPORT 2018-01-02
ANNUAL REPORT 2017-01-04
ANNUAL REPORT 2016-01-07
ANNUAL REPORT 2015-01-06
ANNUAL REPORT 2014-01-07
ANNUAL REPORT 2013-01-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State