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PACIFIC BENEFITS GROUP NORTHWEST, L.L.C.

Company Details

Entity Name: PACIFIC BENEFITS GROUP NORTHWEST, L.L.C.
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Foreign
Status: Active
Date Formed: 29 Dec 2008 (Companies founded in December 2008)
Business ALEI: 0958736
Annual report due: 31 Mar 2025
NAICS code: 524210 - Insurance Agencies and Brokerages
Business address: 1500 NW Bethany Blvd., Beaverton, OR, 97006, United States
Mailing address: 10751 DEERWOOD PARK BLVD SUITE 200, JACKSONVILLE, FL, United States, 32256
Office jurisdiction address: 1500 NW Bethany Blvd., Ste. 200, Beaverton, OR, 97006, United States
Place of Formation: OREGON
E-Mail: mscrivner@fortegra.com

Agent

Name Role
CORPORATE CREATIONS NETWORK INC. Agent

Officer

Name Role Business address Residence address
MICHAEL VRBAN Officer 10751 DEERWOOD PARK BLVD, SUITE 200, JACKSONVILLE, FL, 32256, United States 221 CLEARLAKE DR., PONTE VEDRA BEACH, FL, 32082, United States
Edward Pena Officer No data 10751 Deerwood Park Blvd., Ste.200, JACKSONVILLE, FL, 32256, United States
RICHARD KAHLBAUGH Officer 10751 DEERWOOD PARK BLVD, SUITE 200, JACKSONVILLE, FL, 32256, United States 25330 MARSH LANDING PARKWAY, PONTE VEDRA BEACH, FL, 32082, United States
John Short Officer 10751 Deerwood Park Blvd Ste 200, Jacksonville, FL, 32256-4836, United States 10751 Deerwood Park Blvd Ste 200, Jacksonville, FL, 32256-4836, United States
LOTS INTERMEDIATE CO. Officer 10751 DEERWOOD PARK BLVD, SUITE 200, JACKSONVILLE, FL, 32256, United States 10751 DEERWOOD PARK BLVD, SUITE 200, JACKSONVILLE, FL, 32256, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012303647 2024-02-15 No data Annual Report Annual Report No data
BF-0011290615 2023-02-07 No data Annual Report Annual Report No data
BF-0010302330 2022-02-16 No data Annual Report Annual Report 2022
0007163255 2021-02-16 No data Annual Report Annual Report 2021
0007034413 2020-12-09 2020-12-09 Change of Business Address Business Address Change No data
0006736668 2020-01-30 No data Annual Report Annual Report 2020
0006427222 2019-03-06 No data Annual Report Annual Report 2019
0006242958 2018-09-06 2018-09-06 Change of Agent Address Agent Address Change No data
0006195097 2018-06-04 2018-06-04 Change of Agent Agent Change No data
0006155924 2018-04-04 2018-04-04 Change of Agent Name Change of Agent Name No data

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website