Tradename: Terblanche

Business Address 1: 4868 Hwy 85, Ste 100, DPT # EXGA1391, Forest Park, GA 30297-2473

Business Address 2: 4868 Georgia Highway 85 Ste 100

Business City: Forest Park

Business State: GA

Business Zip: 30297-2485

Business Country: United States

Business Phone: (623) 404-0193

Affiant Name: James Dwane

Affiant Title: CEO

Tradename Formation Date: 12/12/2025

Parent Company: Mission Underwriting Managers, LLC - Terblanche Series

Filing Date: 06/26/2026

Nature Of Business: Nom-Resident Insurance Agency for Profit

Last Update Date: 06/26/2026