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Whitehaven Insurance Services, LLC

Details

Name: Whitehaven Insurance Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Jul 2015 (9 years ago) (Companies founded in July 2015)
Entity Number: 000-337-442
Register Number: 000337442
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 7069 SYDNEY CURVEMONTGOMERY, AL 36117

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WHITEHAVEN INSURANCE SERVICES, LLC HEALTH AND WELFARE BENEFIT PLAN 2020 474411179 2021-10-15 WHITEHAVEN INSURANCE SERVICES, LLC 12
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-08-01
Business code 524140
Sponsor’s telephone number 2519673323
Plan sponsor’s address 2201 OYSTER BAY LANE, GULF SHORES, AL, 36542

Plan administrator’s name and address

Administrator’s EIN 834125247
Plan administrator’s name ARSENAL HEALTH LLC
Plan administrator’s address 5151 HAMPSTEAD HIGH STREET STE 200, MONTGOMERY, AL, 36116
Administrator’s telephone number 3342607774

Signature of

Role Plan administrator
Date 2021-10-15
Name of individual signing THOMAS BRITT TAYLOR
WHITEHAVEN INSURANCE SERVICES, LLC HEALTH AND 2019 474411179 2020-10-14 WHITEHAVEN INSURANCE SERVICES, LLC 12
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-08-01
Business code 524140
Sponsor’s telephone number 2519673323
Plan sponsor’s address 2201 OYSTER BAY LANE, GULF SHORES, AL, 36542

Plan administrator’s name and address

Administrator’s EIN 834125247
Plan administrator’s name ARSENAL HEALTH LLC
Plan administrator’s address 5151 HAMPSTEAD HIGH STREET STE 200, MONTGOMERY, AL, 36116
Administrator’s telephone number 3342607774

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing THOMAS BRITT TAYLOR

Agent

Name Role Address
KITCHENS, JOHN W Agent 2512 PIKE ROADMONTGOMERY, AL 36064

Organizer

Name Role Address
ROBBINS, BRIAN T Organizer 2660 EASTCHASE LANE, SUITE 300MONTGOMERY, AL 36117

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State