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  5. DOUG MAYER INSURANCE AGENCY, INC.

DOUG MAYER INSURANCE AGENCY, INC.

Company Details

Entity Name: DOUG MAYER INSURANCE AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Oct 1996 (28 years ago)
Date of dissolution: 03 Mar 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 03 Mar 2022 (3 years ago)
Document Number: P96000082116
FEI/EIN Number 593404306
Address: 8260 36th Avenue North, St. Petersburg, FL, 33710, US
Mail Address: 8260 36th Avenue North, St. Petersburg, FL, 33710, US
ZIP code: 33710
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOUG MAYER INSURANCE AGENCY, INC. CASH BALANCE PLAN 2012 593404306 2014-10-30 DOUG MAYER INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 7273431275
Plan sponsor’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710

Signature of
Role Plan administrator
Date 2014-10-30
Name of individual signing DOUG MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-30
Name of individual signing DOUG MAYER
Valid signature Filed with authorized/valid electronic signature
DOUG MAYER INSURANCE AGENCY, INC. CASH BALANCE PLAN 2011 593404306 2012-10-02 DOUG MAYER INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 7273431275
Plan sponsor’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710

Plan administrator’s name and address
Administrator’s EIN 593404306
Plan administrator’s name DOUG MAYER INSURANCE AGENCY, INC.
Plan administrator’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710
Administrator’s telephone number 7273431275

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing DOUGLAS MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-02
Name of individual signing DOUGLAS MAYER
Valid signature Filed with authorized/valid electronic signature
DOUG MAYER INSURANCE AGENCY, INC. 401K PLAN 2011 593404306 2012-12-14 DOUG MAYER INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 7273431275
Plan sponsor’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710

Plan administrator’s name and address
Administrator’s EIN 593404306
Plan administrator’s name DOUG MAYER INSURANCE AGENCY, INC.
Plan administrator’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710
Administrator’s telephone number 7273431275

Signature of
Role Plan administrator
Date 2012-12-13
Name of individual signing DOUGLAS MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-12-13
Name of individual signing DOUGLAS MAYER
Valid signature Filed with authorized/valid electronic signature
DOUG MAYER INSURANCE AGENCY, INC. 401K PLAN 2011 593404306 2012-06-12 DOUG MAYER INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 7273431275
Plan sponsor’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710

Plan administrator’s name and address
Administrator’s EIN 593404306
Plan administrator’s name DOUG MAYER INSURANCE AGENCY, INC.
Plan administrator’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710
Administrator’s telephone number 7273431275

Signature of
Role Plan administrator
Date 2012-06-11
Name of individual signing DOUGLAS J MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-11
Name of individual signing DOUGLAS J MAYER
Valid signature Filed with authorized/valid electronic signature
DOUG MAYER INSURANCE AGENCY, INC. 401K SAFE HARBOR PLAN 2010 593404306 2011-10-07 DOUG MAYER INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 7273431275
Plan sponsor’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710

Plan administrator’s name and address
Administrator’s EIN 593404306
Plan administrator’s name DOUG MAYER INSURANCE AGENCY, INC.
Plan administrator’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710
Administrator’s telephone number 7273431275

Signature of
Role Plan administrator
Date 2011-10-07
Name of individual signing SANDRA TURNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-07
Name of individual signing SANDRA TURNER
Valid signature Filed with authorized/valid electronic signature
DOUG MAYER INSURANCE AGENCY, INC. CASH BALANCE PLAN 2010 593404306 2011-10-07 DOUG MAYER INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 7273431275
Plan sponsor’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710

Plan administrator’s name and address
Administrator’s EIN 593404306
Plan administrator’s name DOUG MAYER INSURANCE AGENCY, INC.
Plan administrator’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710
Administrator’s telephone number 7273431275

Signature of
Role Plan administrator
Date 2011-10-07
Name of individual signing SANDRA TURNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-07
Name of individual signing SANDRA TURNER
Valid signature Filed with authorized/valid electronic signature
DOUG MAYER INSURANCE AGENCY, INC. 401K SAFE HARBOR PLAN 2009 593404306 2010-09-15 DOUG MAYER INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 7273431275
Plan sponsor’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710

Plan administrator’s name and address
Administrator’s EIN 593404306
Plan administrator’s name DOUG MAYER INSURANCE AGENCY, INC.
Plan administrator’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710
Administrator’s telephone number 7273431275

Signature of
Role Plan administrator
Date 2010-09-15
Name of individual signing DOUG MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-15
Name of individual signing DOUG MAYER
Valid signature Filed with authorized/valid electronic signature
DOUG MAYER INSURANCE AGENCY, INC. CASH BALANCE PLAN 2009 593404306 2010-10-14 DOUG MAYER INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 7273431275
Plan sponsor’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710

Plan administrator’s name and address
Administrator’s EIN 593404306
Plan administrator’s name DOUG MAYER INSURANCE AGENCY, INC.
Plan administrator’s address 5737 9TH AVE. NORTH, ST. PETERSBURG, FL, 33710
Administrator’s telephone number 7273431275

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing DOUGLAS J MAYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing DOUGLAS J MAYER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MAYER DOUGLAS J Agent 8260 36th Avenue North, St. Petersburg, FL, 33710

President

Name Role Address
MAYER DOUGLAS J President 8260 36th Avenue North, St. Petersburg, FL, 33710

Director

Name Role Address
MAYER DOUGLAS J Director 8260 36th Avenue North, St. Petersburg, FL, 33710
MAYER PAMELA S Director 8260 36th Avenue North, St. Petersburg, FL, 33710

Secretary

Name Role Address
MAYER PAMELA S Secretary 8260 36th Avenue North, St. Petersburg, FL, 33710

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-03-03 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-10 8260 36th Avenue North, St. Petersburg, FL 33710 No data
CHANGE OF MAILING ADDRESS 2019-02-10 8260 36th Avenue North, St. Petersburg, FL 33710 No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-10 8260 36th Avenue North, St. Petersburg, FL 33710 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-03-03
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-02-07
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-02-01
Reg. Agent Change 2017-09-05
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-02-23
ANNUAL REPORT 2014-02-27

Related by officers

MAYER PAMELA S

LEADERSHIP VITALITY CORP. NOBLE CANINE, LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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