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  5. NATIONAL INSURANCE SERVICE PLAN, INC.

NATIONAL INSURANCE SERVICE PLAN, INC.

Company Details

Entity Name: NATIONAL INSURANCE SERVICE PLAN, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 22 Nov 1999 (25 years ago)
Date of dissolution: 02 May 2011 (14 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 02 May 2011 (14 years ago)
Document Number: P99000102111
FEI/EIN Number 650988985
Address: 3201 N. FED HWY, STE 214, FORT LAUDERDALE, FL, 33306
Mail Address: P O BOX 350004, FT. LAUDERDALE, FL, 33335-0004, US
ZIP code: 33306
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NATIONAL INSURANCE SERVICE PLAN, INC. 401(K) PLAN 2011 650988985 2012-08-31 NATIONAL INSURANCE SERVICE PLAN, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 9546463138
Plan sponsor’s address P.O. BOX 350004, FT. LAUDERDALE, FL, 333350004

Plan administrator’s name and address
Administrator’s EIN 650988985
Plan administrator’s name NATIONAL INSURANCE SERVICE PLAN, INC.
Plan administrator’s address P.O. BOX 350004, FT. LAUDERDALE, FL, 333350004
Administrator’s telephone number 9546463138

Signature of
Role Plan administrator
Date 2012-08-31
Name of individual signing RON RAYMOND
Valid signature Filed with authorized/valid electronic signature
NATIONAL INSURANCE SERVICE PLAN, INC. 401(K) PLAN 2010 650988985 2011-05-11 NATIONAL INSURANCE SERVICE PLAN, INC. 13
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 9546463138
Plan sponsor’s address P.O. BOX 350004, FT. LAUDERDALE, FL, 333350004

Plan administrator’s name and address
Administrator’s EIN 650988985
Plan administrator’s name NATIONAL INSURANCE SERVICE PLAN, INC.
Plan administrator’s address P.O. BOX 350004, FT. LAUDERDALE, FL, 333350004
Administrator’s telephone number 9546463138

Signature of
Role Employer/plan sponsor
Date 2011-05-11
Name of individual signing RON RAYMOND
Valid signature Filed with authorized/valid electronic signature
NATIONAL INSURANCE SERVICE PLAN, INC. 401(K) PLAN 2010 650988985 2011-05-11 NATIONAL INSURANCE SERVICE PLAN, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 9546463138
Plan sponsor’s address P.O. BOX 350004, FT. LAUDERDALE, FL, 333350004

Plan administrator’s name and address
Administrator’s EIN 650988985
Plan administrator’s name NATIONAL INSURANCE SERVICE PLAN, INC.
Plan administrator’s address P.O. BOX 350004, FT. LAUDERDALE, FL, 333350004
Administrator’s telephone number 9546463138

Signature of
Role Plan administrator
Date 2011-05-11
Name of individual signing RON RAYMOND
Valid signature Filed with authorized/valid electronic signature
NATIONAL INSURANCE SERVICE PLAN, INC. 401(K) PLAN 2009 650988985 2010-10-07 NATIONAL INSURANCE SERVICE PLAN, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 9546463138
Plan sponsor’s address P.O. BOX 350004, FT. LAUDERDALE, FL, 33335

Plan administrator’s name and address
Administrator’s EIN 650988985
Plan administrator’s name NATIONAL INSURANCE SERVICE PLAN, INC.
Plan administrator’s address P.O. BOX 350004, FT. LAUDERDALE, FL, 33335
Administrator’s telephone number 9546463138

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing RONALD RAYMOND
Valid signature Filed with authorized/valid electronic signature
NATIONAL INSURANCE SERVICE PLAN, INC. 401(K) PLAN 2009 650988985 2010-08-27 NATIONAL INSURANCE SERVICE PLAN, INC. 5
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 541990
Sponsor’s telephone number 9546463138
Plan sponsor’s address P.O. BOX 350004, FT. LAUDERDALE, FL, 33335

Plan administrator’s name and address
Administrator’s EIN 650988985
Plan administrator’s name NATIONAL INSURANCE SERVICE PLAN, INC.
Plan administrator’s address P.O. BOX 350004, FT. LAUDERDALE, FL, 33335
Administrator’s telephone number 9546463138

Signature of
Role Employer/plan sponsor
Date 2010-08-27
Name of individual signing RONALD RAYMOND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RAYMOND RONALD A Agent 3201 NO FEDERAL HWY, FORT LAUDERDALE, FL, 33306

President

Name Role Address
RAYMOND RONALD A President 1625 S.E. 10TH AVE,#903, FT. LAUDERDALE, FL, 33316

Secretary

Name Role Address
RAYMOND RONALD A Secretary 1625 S.E. 10TH AVE,#903, FT. LAUDERDALE, FL, 33316

Director

Name Role Address
RAYMOND RONALD A Director 1625 S.E. 10TH AVE,#903, FT. LAUDERDALE, FL, 33316

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2011-05-02 No data No data
CHANGE OF MAILING ADDRESS 2011-04-28 3201 N. FED HWY, STE 214, FORT LAUDERDALE, FL 33306 No data
REGISTERED AGENT ADDRESS CHANGED 2007-03-16 3201 NO FEDERAL HWY, STE 214, FORT LAUDERDALE, FL 33306 No data
REGISTERED AGENT NAME CHANGED 2004-03-26 RAYMOND, RONALD A No data
CHANGE OF PRINCIPAL ADDRESS 2002-03-18 3201 N. FED HWY, STE 214, FORT LAUDERDALE, FL 33306 No data

Documents

Name Date
Voluntary Dissolution 2011-05-02
ANNUAL REPORT 2011-04-28
ANNUAL REPORT 2010-02-03
ANNUAL REPORT 2009-03-24
ANNUAL REPORT 2008-03-23
ANNUAL REPORT 2007-03-16
ANNUAL REPORT 2006-02-16
ANNUAL REPORT 2005-03-18
ANNUAL REPORT 2004-03-26
ANNUAL REPORT 2003-01-08

Related by officers

RAYMOND RONALD A

COLUMBIA ADJUSTING SERVICES, INC. PERFORMANCE MOTORSPORTS SPECIALTIES, L.L.C. AUDIT SERVICE CORPORATION CITYWIDE INSURANCE SERVICES, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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