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  5. JACKSONVILLE MEMORY GARDENS, INC.

JACKSONVILLE MEMORY GARDENS, INC.

Company Details

Entity Name: JACKSONVILLE MEMORY GARDENS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Feb 1956 (69 years ago)
Document Number: 190778
FEI/EIN Number 590779110
Address: 111 BLANDING BLVD, ORANGE PARK, FL, 32073
Mail Address: 111 BLANDING BLVD, ORANGE PARK, FL, 32073
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSONVILLE MEMORY GARDENS, INC 401(K) PROFIT SHARING PLAN & TRUST 2023 590779110 2024-06-11 JACKSONVILLE MEMORY GARDENS INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 9042722435
Plan sponsor’s address 111 BLANDING BOULEVARD, ORANGE PARK, FL, 32073

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-06-11
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE MEMORY GARDENS, INC 401(K) PROFIT SHARING PLAN & TRUST 2022 590779110 2023-07-31 JACKSONVILLE MEMORY GARDENS INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 9042722435
Plan sponsor’s address 111 BLANDING BOULEVARD, ORANGE PARK, FL, 32073

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE MEMORY GARDENS, INC 401(K) PROFIT SHARING PLAN & TRUST 2021 590779110 2022-10-14 JACKSONVILLE MEMORY GARDENS INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 9042722435
Plan sponsor’s address 111 BLANDING BOULEVARD, ORANGE PARK, FL, 32073

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE MEMORY GARDENS, INC. 401(K) PROFIT SHARING & TRUST 2020 590779110 2021-06-01 JACKSONVILLE MEMORY GARDENS, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 9042722435
Plan sponsor’s address 111 BLANDING BLVD, ORANGE PARK, FL, 320732629

Signature of
Role Plan administrator
Date 2021-06-01
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-01
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE MEMORY GARDENS, INC. 401(K) PROFIT SHARING & TRUST 2019 590779110 2020-06-02 JACKSONVILLE MEMORY GARDENS, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 9042722435
Plan sponsor’s address 111 BLANDING BLVD, ORANGE PARK, FL, 320732629

Signature of
Role Plan administrator
Date 2020-06-02
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-02
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE MEMORY GARDENS, INC. 401(K) PROFIT SHARING & TRUST 2018 590779110 2019-06-05 JACKSONVILLE MEMORY GARDENS, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 9042722435
Plan sponsor’s address 111 BLANDING BLVD, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2019-06-05
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-05
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE MEMORY GARDENS, INC. 401(K) PROFIT SHARING & TRUST 2017 590779110 2018-05-17 JACKSONVILLE MEMORY GARDENS, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 9042722435
Plan sponsor’s address 111 BLANDING BLVD, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2018-05-14
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-14
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE MEMORY GARDENS, INC. 401(K) PROFIT SHARING & TRUST 2016 590779110 2017-06-05 JACKSONVILLE MEMORY GARDENS, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 9042722435
Plan sponsor’s address 111 BLANDING BLVD, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2017-06-05
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-05
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE MEMORY GARDENS, INC. 401(K) PROFIT SHARING & TRUST 2015 590779110 2016-05-25 JACKSONVILLE MEMORY GARDENS, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 9042722435
Plan sponsor’s address 111 BLANDING BLVD, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2016-05-25
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-25
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE MEMORY GARDENS, INC. 401(K) PROFIT SHARING & TRUST 2014 590779110 2015-06-29 JACKSONVILLE MEMORY GARDENS, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 9042722435
Plan sponsor’s address 111 BLANDING BLVD, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2015-06-29
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-29
Name of individual signing JOHN F SHIPLEY SR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHIPLEY JOHN F Agent 111 BLANDING BLVD., ORANGE PARK, FL, 32073

Vice President

Name Role Address
PALMER VICTORIA S Vice President 111 BLANDING BLVD., ORANGE PARK, FL, 32073
KREPS TERESA A Vice President 111 BLANDING BLVD., ORANGE PARK, FL
KREPS KIM Vice President 111 BLANDING BLVD, ORANGE PARK, FL, 32073

President

Name Role Address
SHIPLEY JOHN F President 111 BLANDING BLVD, ORANGE PARK, FL, 32073

Secretary

Name Role Address
GALLUP ANNETTE M Secretary 111 BLANDING BLVD, ORANGE PARK, FL

Events

Event Type Filed Date Value Description
EVENT CONVERTED TO NOTES 1986-12-31 No data No data

Related by officers

GALLUP ANNETTE M

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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