| Entity Name: | MID MOUNTAIN INSURANCE AGENCY, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 08 Feb 2007 |
| Company Number: | LLC_02104946 |
| File Number: | 02104946 |
| Type of Management: | Member Managed |
| Date Status Change: | 30 Dec 2024 |
| Address | 9635 M STREET, OMAHA, 68127, NE |
| Place of Formation: | NEBRASKA |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CORPORATE CREATIONS NETWORK INC., 1320 TOWER ROAD, SCHAUMBURG, 60173 | Agent | 2023-10-27 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| RICHARD S. KAHLBAUGH, 10751 DEERWOOD PARK BLVD. 200, JACKSONVILLE, FL, 32256 | Manager | 2024-01-05 |
| EWARD J. PENA, 10751 DEERWOOD PARK BLVD STE.200, JACKSONVILLE, FL, 32256 | Manager | 2024-01-05 |
| MICHAEL V. VRBAN, 10751 DEERWOOD PARK BLVD. 200, JACKSONVILLE, FL, 32256 | Manager | 2024-01-05 |
| JOHN G. SHORT, 10751 DEERWOOD PARK BLVD. 200, JACKSONVILLE, FL, 32256 | Manager | 2024-01-05 |
| LOTS INTERMEDIATE CO, 10751 DEERWOOD PARK BLVD. 200, JACKSONVILLE, FL, 32256 | Manager | 2024-01-05 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| FORTEGRA PERSONAL INSURANCE AGENCY | Assumed name | 2014-08-27 | No data | No data | 2020-01-09 |
| Name | Change Date |
|---|---|
| PACIFIC BENEFITS GROUP NORTHWEST, L.L.C. | 2024-12-30 |
Date of last update: 13 Jan 2025
