2024-11-08T12:02:49-06:00 2023-12-31 593186310 THOMAS HOWELL FERGUSON PA 2615 CENTENNIAL BLVD SUITE 200 TALLAHASSEE FL 32308 990 2023-01-01 593501857 FLORIDA SURPLUS LINES SERVICE OFFICE INC FLOR 8502247676 1441 MACLAY COMMERCE DRIVE 200 TALLAHASSEE FL 323123908 MARK SHEALY EXECUTIVE DIRECTOR 8502247676 2024-11-07 1 0 STACEY T KOLKA P01371120 8506688100 2023 2024-10-15 13:58:12Z MARK SHEALY 1441 MACLAY COMMERCE DRIVE 200 TALLAHASSEE FL 323123908 17808387 0 X WWW.FSLSO.COM X 1998 FL FACILITATING COMPLIANCE & PROVIDING ASSISTANCE & INFO. REGARDING THE FSLSO MARKETPLACE. 9 9 34 12 3587690 1787371 0 0 9238505 11639211 1405695 -925309 512632 1325279 11156832 12039181 0 0 0 0 3565833 4195660 0 0 0 3622045 5125537 7187878 9321197 3968954 2717984 50239423 56291395 338641 715969 49900782 55575426 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 34 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 CHRISTINE MELLON 8502247676 1441 MACLAY COMMERCE DR SUITE 200 TALLAHASSEE FL 32312 TASHA CARTER INSURANCE CONSUMER ADVOCATE 1.00 X 0 0 0 VIRGINIA CLANCY DIRECTOR 1.00 X 0 0 0 STEVE CLEIN DIRECTOR 1.00 X 0 0 0 KATHY COLANGELO DIRECTOR 1.00 X 0 0 0 STEVE FINVER DIRECTOR 1.00 X 0 0 0 MICHAEL FRANZESE SECRETARY/TREASURER 1.00 X X 0 0 0 CONOR O'LEARY VICE CHAIRMAN 1.50 X X 0 0 0 LIZ SMITH DIRECTOR 2.00 X 0 0 0 LORNA WIRTZ CHAIRMAN 1.50 X X 0 0 0 IRVIN SKIP WOLF DIRECTOR (UNTIL 9/30) 1.00 X 0 0 0 DAVID HOLCOMBE CHAIRMAN (UNTIL 9/30) 1.00 X X 0 0 0 MARK SHEALY EXECUTIVE DIRECTOR 45.00 X 299818 0 48285 CHRISTINE MELLON CFO 45.00 X 99467 0 15521 GEORGIE BARRETT DEPUTY DIRECTOR OF OPERATIONS 45.00 X 174384 0 40793 BRYAN YOUNG DIRECTOR OF AGENT AND INSURER SERVICES 45.00 X 162790 0 30616 DANIEL MANN SR SYSTEMS ENGINEER/DBA 45.00 X 134899 0 19247 JAMES FARMER INFORMATION SECURITY OFFICER 45.00 X 133834 0 23374 TIFFANY ANDERSON DIRECTOR OF SLAS CLIENT SERVICES 45.00 X 133702 0 37039 GARY PULLEN FORMER EXECUTIVE DIRECTOR 45.00 X 246299 0 66000 1385193 0 280875 7 1 1 0 ACCENTURE 500 W MADISON ST CHICAGO IL 60661 SOFTWARE DEVELOPMENT 1198689 CORELIGHT SOFTWARE INC 193 DOVER ROAD MONTPELIER VT 05602 SOFTWARE DEVELOPMENT 580948 HOLLAND & KNIGHT LLP 315 S CALHOUN ST 600 TALLAHASSEE FL 32317 LEGAL REPRESENTATION 475986 HH STERLING 2256 TRESCOTT DRIVE TALLAHASSEE FL 32308 SOFTWARE DEVELOPMENT 217546 KIKODA LLC 1650 SUMMIT LAKE DR STE 101 TALLAHASSEE FL 32301 SOFTWARE DEVELOPMENT 197850 5 SERVICE FEES 900099 8488860 8488860 CLEARINGHOUSE FEES 900099 3150351 3150351 11639211 1786071 8049 1778022 43632 0 43632 43632 43632 3052608 5763988 -2711380 -2711380 -2711380 84573 5218 79355 79355 MISCELLANEOUS INCOME 900099 764953 764953 LICENSING FEES 900099 437339 437339 1202292 12039181 9341217 3587690 -889726 813200 2557390 155833 431128 238109 50532 548432 78260 141989 2263721 91776 160593 613815 110537 INCOME TAX EXPENSE 476523 AGENT REVIEW 182492 PUBLIC AWARENESS 160794 DISASTER PREPAREDNESS 151337 94736 9321197 701150 1404102 1893508 3164533 0 128515 0 73235 12021590 7813378 5905197 4208212 41697199 47202879 42369 109919 50239423 56291395 324083 698906 14558 17063 338641 715969 X 49900782 55575426 49900782 55575426 50239423 56291395 2717984 2956660 0 X 0 1 X 1 0 768076 768076 3600361 1903135 1697226 684914 511144 173770 6797847 5230362 1567485 170392 168737 1655 4208212 ACCRUED TAX EXPENSE -106819 DEFERRED LEASES 123882 17063 X 15001059 2956660 2956660 12044399 -5218 -5218 12039181 9326415 5218 5218 9321197 0 9321197 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, 2019 AND PRIOR. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD: $-5,218 PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD: $5,218 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 MARK SHEALY EXECUTIVE DIRECTOR 245275 0 45000 0 9543 0 19622 0 28663 0 348103 0 0 0 GARY PULLEN FORMER EXECUTIVE DIRECTOR 182517 0 29662 0 34120 0 14601 0 23209 0 284109 0 0 0 GEORGIE BARRETT DEPUTY DIRECTOR OF OPERATIONS 137191 0 27438 0 9755 0 10975 0 29818 0 215177 0 0 0 BRYAN YOUNG DIRECTOR OF AGENT AND INSURER SERVIC 128325 0 25665 0 8800 0 10266 0 20350 0 193406 0 0 0 TIFFANY ANDERSON DIRECTOR OF SLAS CLIENT SERVICES 125197 0 8505 0 0 0 10016 0 27023 0 170741 0 0 0 JAMES FARMER INFORMATION SECURITY OFFICER 118921 0 11892 0 3021 0 3568 0 19806 0 157208 0 0 0 DANIEL MANN SR SYSTEMS ENGINEER/DBA 122932 0 11967 0 0 0 10927 0 8320 0 154146 0 0 0 PART I, LINE 4B THE 2023 CONTRIBUTIONS TO THE NON-QUALIFIED DEFERRED COMPENSATION PLAN ON BEHALF OF GARY PULLEN WERE $66,000. 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 2023, 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 THREE MOST CURRENT YEARS OF FORM 990 AVAILABLE UPON REQUEST. NO OTHER DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. 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: 12/31/2023 UNDER IRC REGULATION SECTION 1.263(A)-1(F), THE TAXPAYER HEREBY ELECTS TO APPLY THE DE MINIMIS SAFE HARBOR ELECTION.