VAN WILDER INSURANCE AGENCY, INC.

Company Details

Entity Name:	VAN WILDER INSURANCE AGENCY, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Inactive
Date Filed:	24 Nov 1998 (26 years ago)
Date of dissolution:	28 Dec 2023 (a year ago)
Last Event:	VOLUNTARY DISSOLUTION
Event Date Filed:	28 Dec 2023 (a year ago)
Document Number:	P98000098827
FEI/EIN Number	593545322
Address:	2189 MARINER BLVD., SPRING HILL, FL, 34609-3860, US
Mail Address:	2189 MARINER BLVD., SPRING HILL, FL, 34609-3860, US
Place of Formation:	FLORIDA

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

VAN WILDER INSURANCE AGENCY, INC 401(K) PLAN

2018

593545322

2019-05-16

VAN WILDER INSURANCE AGENCY, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	524210
Sponsor’s telephone number	3526861003
Plan sponsor’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860

Signature of

Role	Plan administrator
Date	2019-05-16
Name of individual signing	VAN WILDER
Valid signature	Filed with authorized/valid electronic signature

VAN WILDER INSURANCE AGENCY, INC 401(K) PLAN

2017

593545322

2018-05-09

VAN WILDER INSURANCE AGENCY, INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	524210
Sponsor’s telephone number	3526861003
Plan sponsor’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860

Signature of

Role	Plan administrator
Date	2018-05-09
Name of individual signing	VANCE T WILDER
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2018-05-09
Name of individual signing	VAN WILDER INSURANCE AGENCY, INC
Valid signature	Filed with authorized/valid electronic signature

VAN WILDER INSURANCE AGENCY, INC. 401(K) PLAN

2016

593545322

2017-05-23

VAN WILDER INSURANCE AGENCY, INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	524210
Sponsor’s telephone number	3526861003
Plan sponsor’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860

Signature of

Role	Plan administrator
Date	2017-05-23
Name of individual signing	VAN WILDER
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2017-05-23
Name of individual signing	VAN WILDER
Valid signature	Filed with authorized/valid electronic signature

VAN WILDER INSURANCE AGENCY, INC. 401(K) PLAN

2015

593545322

2016-07-12

VAN WILDER INSURANCE AGENCY, INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	524210
Sponsor’s telephone number	3526861003
Plan sponsor’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860

Signature of

Role	Plan administrator
Date	2016-05-18
Name of individual signing	VAN WILDER
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2016-05-18
Name of individual signing	VAN WILDER
Valid signature	Filed with authorized/valid electronic signature

VAN WILDER INSURANCE AGENCY, INC. 401(K) PLAN

2014

593545322

2015-03-19

VAN WILDER INSURANCE AGENCY, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	524210
Sponsor’s telephone number	3526861003
Plan sponsor’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860

Signature of

Role	Plan administrator
Date	2015-03-19
Name of individual signing	JOANNE M WILDER
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2015-03-19
Name of individual signing	JOANNE M WILDER
Valid signature	Filed with authorized/valid electronic signature

VAN WILDER INSURANCE AGENCY, INC. 401(K) PLAN

2013

593545322

2014-06-06

VAN WILDER INSURANCE AGENCY, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	524210
Sponsor’s telephone number	3526861003
Plan sponsor’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860

Signature of

Role	Plan administrator
Date	2014-06-06
Name of individual signing	JOANNE WILDER
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2014-06-06
Name of individual signing	JOANNE WILDER
Valid signature	Filed with authorized/valid electronic signature

VAN WILDER INSURANCE AGENCY, INC. 401(K) PLAN

2012

593545322

2013-06-07

VAN WILDER INSURANCE AGENCY, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	524210
Sponsor’s telephone number	3526861003
Plan sponsor’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860

Signature of

Role	Plan administrator
Date	2013-06-07
Name of individual signing	JOANNE M WILDER
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-06-07
Name of individual signing	JOANNE M WILDER
Valid signature	Filed with authorized/valid electronic signature

VAN WILDER INSURANCE AGENCY, INC. 401(K) PLAN

2011

593545322

2012-05-25

VAN WILDER INSURANCE AGENCY, INC.

Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	524210
Sponsor’s telephone number	3526861003
Plan sponsor’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860

Plan administrator’s name and address

Administrator’s EIN	593545322
Plan administrator’s name	VAN WILDER INSURANCE AGENCY, INC.
Plan administrator’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860
Administrator’s telephone number	3526861003

Signature of

Role	Plan administrator
Date	2012-05-25
Name of individual signing	JOANNE M. WILDER
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2012-05-25
Name of individual signing	JOANNE M. WILDER
Valid signature	Filed with authorized/valid electronic signature

VAN WILDER INSURANCE AGENCY, INC. 401(K) PLAN

2011

593545322

2012-05-31

VAN WILDER INSURANCE AGENCY, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	524210
Sponsor’s telephone number	3526861003
Plan sponsor’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860

Plan administrator’s name and address

Administrator’s EIN	593545322
Plan administrator’s name	VAN WILDER INSURANCE AGENCY, INC.
Plan administrator’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860
Administrator’s telephone number	3526861003

Signature of

Role	Plan administrator
Date	2012-05-31
Name of individual signing	JOANNE M. WILDER
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2012-05-31
Name of individual signing	JOANNE M. WILDER
Valid signature	Filed with authorized/valid electronic signature

VAN WILDER INSURANCE AGENCY, INC. 401(K) PLAN

2010

593545322

2011-05-26

VAN WILDER INSURANCE AGENCY, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	524210
Sponsor’s telephone number	3526861003
Plan sponsor’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860

Plan administrator’s name and address

Administrator’s EIN	593545322
Plan administrator’s name	VAN WILDER INSURANCE AGENCY, INC.
Plan administrator’s address	2189 MARINER BLVD., SPRING HILL, FL, 346093860
Administrator’s telephone number	3526861003

Signature of

Role	Plan administrator
Date	2011-05-26
Name of individual signing	JOANNE M. WILDER
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2011-05-26
Name of individual signing	JOANNE M. WILDER
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Address
WILDER VANCE T	Agent	6039 LAKE MEADOWS DR, BROOKSVILLE, FL, 34601

President

Name	Role	Address
WILDER VANCE T	President	6039 LAKE MEADOWS DR, BROOKSVILLE, FL, 34601

Events

Event Type	Filed Date	Value	Description
VOLUNTARY DISSOLUTION	2023-12-28	No data	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2023-09-22	No data	No data
REGISTERED AGENT ADDRESS CHANGED	2008-03-24	6039 LAKE MEADOWS DR, BROOKSVILLE, FL 34601	No data
CHANGE OF PRINCIPAL ADDRESS	2002-07-15	2189 MARINER BLVD., SPRING HILL, FL 34609-3860	No data
CHANGE OF MAILING ADDRESS	2002-07-15	2189 MARINER BLVD., SPRING HILL, FL 34609-3860	No data
REGISTERED AGENT NAME CHANGED	1999-04-08	WILDER, VANCE T	No data

Documents

Name	Date
VOLUNTARY DISSOLUTION	2023-12-28
ANNUAL REPORT	2022-03-10
ANNUAL REPORT	2021-03-08
ANNUAL REPORT	2020-03-19
ANNUAL REPORT	2019-04-11
ANNUAL REPORT	2018-03-12
ANNUAL REPORT	2017-03-17
ANNUAL REPORT	2016-02-22
ANNUAL REPORT	2015-02-27
ANNUAL REPORT	2014-01-13
ANNUAL REPORT	2013-01-31
ANNUAL REPORT	2012-01-09
ANNUAL REPORT	2011-03-15
ANNUAL REPORT	2010-06-10
ANNUAL REPORT	2009-05-12
ANNUAL REPORT	2008-03-24
ANNUAL REPORT	2007-04-23
ANNUAL REPORT	2006-01-12
ANNUAL REPORT	2005-03-03
ANNUAL REPORT	2004-04-08

Date of last update: 02 Feb 2025

Sources: Florida Department of State

VAN WILDER INSURANCE AGENCY, INC.

Company Details

form 5500

Agent

President

Events

Documents

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