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HomeMy WebLinkAbout2022 - 2024 WC ExemptionEFFECTIVE DATE: PERSON: BUSINESS NAME AND ADDRESS: SCOPE OF BUSINESS OR TRADE: RYAN A RUSKAY RMPK FUNDING, INC. 601 HERITAGE DR. #402 JUPITER, FL 33458 FEIN: JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * IMPORTANT: Pursuant to subsection 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850) 413-1609E01564216 Clerical Office Employees- NOC NON-CONSTRUCTION INDUSTRY EXEMPTION 9/13/2022 EXPIRATION DATE:9/12/2024 020609342 EMAIL:RRUSKAY@RMPKFUNDING.COM This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.