2021-11-05T13:53:15-05:00 2020-12-31 593186310 THOMAS HOWELL FERGUSON PA 2615 CENTENNIAL BLVD SUITE 200 TALLAHASSEE FL 32308 990 2020-01-01 593501857 FLORIDA SURPLUS LINES SERVICE OFFICE INC FLOR 8502247676 1441 MACLAY COMMERCE DRIVE NO 200 TALLAHASSEE FL 323123908 GARY PULLEN EXECUTIVE DIRECTOR 8502247676 2021-10-18 1 GARY PULLEN 999009999 STACEY T KOLKA P01371120 8506688100 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X GARY PULLEN 1441 MACLAY COMMERCE DRIVE NO 200 TALLAHASSEE FL 323123908 24274779 0 X WWW.FSLSO.COM X 1998 FL FACILITATING COMPLIANCE & PROVIDING ASSISTANCE & INFO. REGARDING THE FSLSO MARKETPLACE. 9 9 28 9 1856353 1141674 0 0 7653127 7220935 1107751 1212283 189382 191439 8950260 8624657 0 0 0 0 2993538 3365385 0 0 0 2492387 3765346 5485925 7130731 3464335 1493926 46009189 50419459 239522 523307 45769667 49896152 TO SERVE AND PROTECT OUR CUSTOMER'S INTEREST BY FACILITATING COMPLIANCE AND PROVIDING ASSISTANCE AND INFORMATION REGARDING THE FLORIDA SURPLUS LINES MARKETPLACE. 0 0 ASSESSING AND COLLECTING SURPLUS LINES TAX FOR THE STATE OF FLORIDA; ASSISTING CONSUMERS WITH LOCATING PROPERTY & CASUALTY INSURANCE AND OTHER HARD-TO-PLACE CONVERAGES IN THE STATE OF FLORIDA; OFFERING CONTINUING EDUCATION COURSES AND TRAINING PROGRAMS TO INSURANCE AGENTS AND PROFESSIONALS; OPERATING THE AGENT'S COMPLIANCE REVIEW PROGRAM WHICH IS DESIGNED TO PROMOTE CREDIBILITY WITHIN THE SURPLUS LINES MARKET; PROVIDING ACCESS TO INFORMATION ON ALL ASPECTS OF THE SURPLUS LINES MARKETPLACE, INCLUDING REGULATORY PROCESS, DISTRIBUTIONS SYSTEMS AND FINANCIAL ANALYSIS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 28 1 1 1 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SHEILA PEARSON 8502247676 1441 MACLAY COMMERCE DR SUITE 200 TALLAHASSEE FL 32312 CONOR O'LEARY DIRECTOR 1.00 X 0 0 0 DAVID HOLCOMBE VICE CHAIRMAN 1.50 X X 0 0 0 IRVIN SKIP WOLF III CHAIRMAN 2.00 X X 0 0 0 LORNA S WIRTZ SECRETARY/TREASURER 1.50 X X 0 0 0 MICHAEL FRANZESE DIRECTOR 1.00 X 0 0 0 ROY V FABRY DIRECTOR 1.00 X 0 0 0 STEVE FINVER DIRECTOR 1.00 X 0 0 0 TASHA CARTER AUG-DEC INS.CONS. ADVOCATE 1.00 X 0 0 0 KATHY COLANGELO DIRECTOR 1.00 X 0 0 0 GARY PULLEN EXECUTIVE DIRECTOR 45.00 X 320228 0 65139 SHEILA PEARSON CONTROLLER 45.00 X 133760 0 28429 BRYAN YOUNG ASSISTANT DIRECTOR 45.00 X 128743 0 23273 GEORGIE BARRETT DEP. DIR. OF OPERATIONS 45.00 X 142079 0 34390 JAMES FARMER SENIOR INFO. ARCHITECT 45.00 X 122620 0 17820 TIFFANY ANDERSON PRODUCT-BUS DEV MNGR 45.00 X 120147 0 32911 DANIEL MANN SENIOR SYSTEMS ENGINEER/DBA 45.00 X 120329 0 9234 1087906 0 211196 7 0 1 0 KIKODA LLC 2367 CENTERVILLE ROAD TALLAHASSEE FL 32308 PROGRAMMING SERVICES 2031380 NRKL ESOLUTIONS LLC 1800 FRUITVILLE PIKE LANCASTER PA 17601 PROGRAMMING SERVICES 466489 HEADSPRING PO BOX 679902 DALLAS TX 752679902 PROFESSIONAL SERVICES-CONSULTING 275004 CORELIGHT SOFTWARE INC 193 DOVER ROAD MONTPELIER VT 05602 PROGRAMMING SERVICES 269560 4 SERVICE FEES 900099 5484582 5484582 CLEARINGHOUSE FEES 900099 1736353 1736353 7220935 1212283 1212283 120901 81987 38914 38914 38914 15565153 15565153 0 35507 2982 32525 32525 LICENSING FEES 900099 120000 120000 120000 8624657 5517107 1856353 1251197 547556 2123322 132141 368912 193454 322145 154138 41104 50386 110912 1332339 90526 12206 237 927579 43246 INCOME TAX EXPENSE 301593 AGENT REVIEW 174185 DISASTER PREPAREDNESS 87411 TRAINING & EDUCATION 45219 72120 7130731 1494406 387564 3087476 3894125 1854 11173499 5770516 4531815 5402983 36848727 40708490 46765 24443 46009189 50419459 138974 422829 100548 100478 239522 523307 X 45769667 49896152 45769667 49896152 46009189 50419459 1493926 2632559 0 X 0 1 X 1 0 768076 768076 3550912 1592621 1958291 610618 486335 124283 6071921 3523034 2548887 171972 168526 3446 5402983 DESIGNATED FOR DEFERRED COMP -430649 DEFERRED COMPENSATION PAYABLE 430649 ACCRUED TAX EXPENSE 100478 100478 X 11209812 2632559 -50386 2582173 8627639 -2982 -2982 8624657 7083327 2982 2982 7080345 50386 50386 7130731 PART X, LINE 2: WITH FEW EXCEPTIONS, THE SERVICE OFFICE IS NO LONGER SUBJECT TO EXAMINATIONS BY MAJOR TAX JURISDICTIONS FOR YEARS ENDED DECEMBER 31, 2016 AND PRIOR. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD: $-2,982 PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD: $2,982 PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES PART XIII FOR AUDITED FINANCIAL STATEMENTS, COST OF GOOD SOLD ARE RECORDED AS AN EXPENSE. FOR TAX RETURN PURPOSES, COST OF GOODS SOLD ARE RECORDED ON THE STATEMENT OF REVENUES. X X X 0 1 0 GARY PULLEN EXECUTIVE DIRECTOR 267246 0 32070 0 20912 0 36380 0 28759 0 385367 0 0 0 GEORGIE BARRETT DEP. DIR. OF OPERATIONS 124342 0 10000 0 7737 0 9947 0 24443 0 176469 0 0 0 SHEILA PEARSON CONTROLLER 120206 0 10100 0 3454 0 7212 0 21217 0 162189 0 0 0 TIFFANY ANDERSON PRODUCT-BUS DEV MNGR 109200 0 12000 0 -1053 0 8736 0 24175 0 153058 0 0 0 BRYAN YOUNG ASSISTANT DIRECTOR 115198 0 8400 0 5145 0 9216 0 14057 0 152016 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 IRVIN "SKIP" WOLF III AND CONNOR O'LEARY HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 AND ACCOMPANYING SCHEDULES ARE PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 RETURN IS PROVIDED TO INTERNAL MANAGEMENT FOR REVIEW, LASTING APPROXIMATELY ONE WEEK. UPON COMPLETION OF INTERNAL REVIEW, THE RETURN IS PROVIDED TO THE BOARD FOR REVIEW AND COMMENT. UPON LAPSE OF THE COMMENT DEADLINE OR RESOLUTION OF ANY COMMENTS/REVIEW QUESTIONS, THE RETURN IS FILED WITH THE IRS IN A TIMELY FASHION. IF REVIEW COMMENTS REMAIN OUTSTANDING AT THE FILING DEADLINE, THEN THE RETURN WILL BE EXTENDED, IF ALLOWABLE. IF NOT ALLOWABLE, THE RETURN WILL BE FILED TIMELY AND THE RETURN PREPARER ALONG WITH INTERNAL MANAGEMENT WILL WORK WITH THE APPLICABLE EXECUTIVE COMMITTEE & AUDIT COMMITTEE MEMBERS TO RESOLVE ANY QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH EMPLOYEE IS GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY TO REVIEW AND SIGN. EMPLOYEES ARE DIRECTED TO DISCLOSE ANY KNOWN OR POTENTIAL CONFLICTS WITH THE POLICY TO THE EXECUTIVE DIRECTOR OR TO THE CHAIRMAN OF THE BOARD. THESE INSTANCES WILL BE INVESTIGATED AND DEALT WITH APPROPRIATELY. FORM 990, PART VI, SECTION B, LINE 15 IN 2020, AN INDEPENDENT COMPANY WAS HIRED TO EVALUATE SALARY RANGES IN COMPARISON TO OTHER INDUSTRY POSITIONS. THE COMPENSATION STUDY AND EVALUATION IS PERFORMED EVERY THREE YEARS. SALARY RANGE ADJUSTMENTS ARE APPROVED BY THE BOARD. EMPLOYEES ARE GIVEN AN EVALUATION DOCUMENT TO EVALUATE THEMSELVES. IT IS THEN GIVEN TO THEIR MANAGER TO EVALUATE. AFTER APPROVAL BY THE DEPUTY DIRECTOR OF OPERATIONS AND THE EXECUTIVE DIRECTOR, THE EVALUATION IS DISCUSSED WITH THE EMPLOYEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THREE MOST RECENT YEARS OF FINANCIAL STATEMENTS AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. DE MINIMIS SAFE HARBOR ELECTION TAXPAYER NAME: FLORIDA SURPLUS LINES SERVICE OFFICE TAXPAYER ADDRESS: 1441 MACLAY COMMERCE DRIVE, TALLAHASSEE, FL 32312 TAXPAYER ID: 59-3501857 YEAR-END: 12/31/2020 UNDER IRC REGULATION SECTION 1.263(A)-1(F), THE TAXPAYER HEREBY ELECTS TO APPLY THE DE MINIMIS SAFE HARBOR ELECTION.