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  5. VANDERBILT INSURANCE GROUP, INC.

VANDERBILT INSURANCE GROUP, INC.

Company Details

Entity Name: VANDERBILT INSURANCE GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Aug 1999 (25 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P99000074325
FEI/EIN Number 650945609
Address: 606 BALD EAGLE DR., 301, MARCO ISLAND, FL, 34145
Mail Address: 606 BALD EAGLE DR., 301, MARCO ISLAND, FL, 34145
ZIP code: 34145
County: Collier
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VANDERBILT INSURANCE GROUP, INC. 401(K) PLAN 2012 650945609 2013-06-14 VANDERBILT INSURANCE GROUP, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-02-01
Business code 524210
Sponsor’s telephone number 2393934100
Plan sponsor’s address 606 BALD EAGLE DR. 301, MARCO ISLAND, FL, 34145

Signature of
Role Plan administrator
Date 2013-06-14
Name of individual signing JENNIFER FORSYTHE
Valid signature Filed with authorized/valid electronic signature
VANDERBILT INSURANCE GROUP, INC. 401K PLAN 2012 650945609 2013-06-14 VANDERBILT INSURANCE GROUP, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-02-01
Business code 524210
Sponsor’s telephone number 2393934100
Plan sponsor’s address 606 BALD EAGLE DRIVE 301, MARCO ISLAND, FL, 34145

Signature of
Role Plan administrator
Date 2013-06-14
Name of individual signing JENNIFER FORSYTHE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-14
Name of individual signing JENNIFER FORSYTHE
Valid signature Filed with authorized/valid electronic signature
VANDERBILT INSURANCE GROUP, INC. 401K PLAN 2011 650945609 2012-07-24 VANDERBILT INSURANCE GROUP, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-02-01
Business code 524210
Sponsor’s telephone number 2393934100
Plan sponsor’s address 606 BALD EAGLE DRIVE 301, MARCO ISLAND, FL, 34145

Plan administrator’s name and address
Administrator’s EIN 650945609
Plan administrator’s name VANDERBILT INSURANCE GROUP, INC.
Plan administrator’s address 606 BALD EAGLE DRIVE 301, MARCO ISLAND, FL, 34145
Administrator’s telephone number 2393934100

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing JENNIFER FORSYTHE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-24
Name of individual signing JENNIFER FORSYTHE
Valid signature Filed with authorized/valid electronic signature
VANDERBILT INSURANCE GROUP, INC. 401K PLAN 2010 650945609 2011-04-25 VANDERBILT INSURANCE GROUP, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-02-01
Business code 524210
Sponsor’s telephone number 2393934100
Plan sponsor’s address 606 BALD EAGLE DRIVE 301, MARCO ISLAND, FL, 34145

Plan administrator’s name and address
Administrator’s EIN 650945609
Plan administrator’s name VANDERBILT INSURANCE GROUP, INC.
Plan administrator’s address 606 BALD EAGLE DRIVE 301, MARCO ISLAND, FL, 34145
Administrator’s telephone number 2393934100

Signature of
Role Plan administrator
Date 2011-04-25
Name of individual signing JENNIFER FORSYTHE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-25
Name of individual signing JENNIFER FORSYTHE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WOODWARD CRAIG R Agent 606 BALD EAGLE DR., STE 500, MARCO ISLAND, FL, 34145

Director

Name Role Address
FORSYTHE ROBERT W Director 17010 PORTA VECCHIO WAY, #201, NAPLES, FL, 34110
FORSYTHE JENNIFER Director 17010 PORTA VECCHIO WAY, #201, NAPLES, FL, 34110
COX JOEL MJR. Director 770 SOUTHERN PINE DR., NAPLES, FL, 34103
COX COLLEEN W Director 770 SOUTHERN PINE DR., NAPLES, FL, 34103

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
REINSTATEMENT 2014-04-24 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2003-01-16 606 BALD EAGLE DR., 301, MARCO ISLAND, FL 34145 No data
CHANGE OF MAILING ADDRESS 2003-01-16 606 BALD EAGLE DR., 301, MARCO ISLAND, FL 34145 No data

Documents

Name Date
REINSTATEMENT 2014-04-24
ANNUAL REPORT 2012-01-13
ANNUAL REPORT 2011-01-07
ANNUAL REPORT 2010-02-18
ANNUAL REPORT 2009-02-06
ANNUAL REPORT 2008-01-07
ANNUAL REPORT 2007-01-19
ANNUAL REPORT 2006-01-05
ANNUAL REPORT 2005-01-07
ANNUAL REPORT 2004-05-03

Related by officers

FORSYTHE JENNIFER

SACRED CRUSH, LLC BEHAVIORAL RESOURCE & COUNSELING CENTER INC.

COX COLLEEN W

JCCC LIFE PARTNERS, L.L.C.

WOODWARD CRAIG R

ORCHID ENTERPRISES, L.L.C. PULLMAN PROPERTIES, L.L.C. SUTHERLAND-DAVIDSON, L.L.C. BATINAU SHOWROOMS USA, L.L.C. DM OF MARCO, CORP. JCCC LIFE PARTNERS, L.L.C. PERONUS, INC. COMMUNICATIONS CONSULTING CORPORATION OF MARCO ISLAND GOODLAND ARTS ALLIANCE, INC. 212 WINDBROOK CT., 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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