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  5. FLORIDA SEPTIC, INC.

FLORIDA SEPTIC, INC.

Company Details

Entity Name: FLORIDA SEPTIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Jan 1961 (64 years ago)
Document Number: 244251
FEI/EIN Number 591091650
Address: 5757 SE 211TH STREET, HAWTHORNE, FL, 32640
Mail Address: 5757 SE 211TH STREET, HAWTHORNE, FL, 32640, US
ZIP code: 32640
County: Putnam
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA SEPTIC, INC. 401(K) PROFIT SHARING PLAN 2023 591091650 2024-07-31 FLORIDA SEPTIC INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-11-01
Business code 327300
Sponsor’s telephone number 3524812455
Plan sponsor’s address 5757 SE 211ST, HAWTHORNE, FL, 32640

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
FLORIDA SEPTIC, INC. 401(K) PROFIT SHARING PLAN 2022 591091650 2023-10-16 FLORIDA SEPTIC INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-11-01
Business code 327300
Sponsor’s telephone number 3524812455
Plan sponsor’s address 5757 SE 211ST, HAWTHORNE, FL, 32640

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
FLORIDA SEPTIC, INC. 401(K) PROFIT SHARING PLAN 2021 591091650 2022-09-08 FLORIDA SEPTIC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-11-01
Business code 238300
Sponsor’s telephone number 3524812455
Plan sponsor’s address 5757 SE 211TH STREET, HAWTHORNE, FL, 32640

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

Signature of
Role Plan administrator
Date 2022-09-08
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
FLORIDA SEPTIC, INC. 401(K) PROFIT SHARING PLAN 2020 591091650 2021-04-08 FLORIDA SEPTIC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-11-01
Business code 238300
Sponsor’s telephone number 3524812455
Plan sponsor’s address 5757 SE 211TH STREET, HAWTHORNE, FL, 32640

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

Signature of
Role Plan administrator
Date 2021-04-08
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
FLORIDA SEPTIC, INC. 401(K) PROFIT SHARING PLAN 2019 591091650 2020-10-15 FLORIDA SEPTIC 22
Three-digit plan number (PN) 001
Effective date of plan 2005-11-01
Business code 238300
Sponsor’s telephone number 3524812455
Plan sponsor’s address 5757 SE 211TH STREET, HAWTHORNE, FL, 32640

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

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
FLORIDA SEPTIC, INC. 401(K) PROFIT SHARING PLAN 2019 591091650 2021-02-18 FLORIDA SEPTIC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-11-01
Business code 238300
Sponsor’s telephone number 3524812455
Plan sponsor’s address 5757 SE 211TH STREET, HAWTHORNE, FL, 32640

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

Signature of
Role Plan administrator
Date 2021-02-18
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
FLORIDA SEPTIC, INC. 401(K) PROFIT SHARING PLAN 2018 591091650 2020-01-07 FLORIDA SEPTIC, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-11-01
Business code 339900
Sponsor’s telephone number 3524812455
Plan sponsor’s address 5757 SE 211TH STREET, HAWTHORNE, FL, 32640

Signature of
Role Plan administrator
Date 2019-12-23
Name of individual signing SUSAN ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-12-23
Name of individual signing SUSAN ALLEN
Valid signature Filed with authorized/valid electronic signature
FLORIDA SEPTIC, INC. 401(K) PROFIT SHARING PLAN 2017 591091650 2018-12-12 FLORIDA SEPTIC, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-11-01
Business code 339900
Sponsor’s telephone number 3524812455
Plan sponsor’s address 5757 SE 211TH STREET, HAWTHORNE, FL, 32640

Signature of
Role Plan administrator
Date 2018-12-12
Name of individual signing SUSAN ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-12-12
Name of individual signing SUSAN ALLEN
Valid signature Filed with authorized/valid electronic signature
FLORIDA SEPTIC, INC. 401(K) PROFIT SHARING PLAN 2016 591091650 2017-11-20 FLORIDA SEPTIC, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-11-01
Business code 339900
Sponsor’s telephone number 3524812455
Plan sponsor’s address 5757 SE 211TH STREET, HAWTHORNE, FL, 32640

Signature of
Role Plan administrator
Date 2017-11-20
Name of individual signing SUSAN G. ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-20
Name of individual signing SUSAN G. ALLEN
Valid signature Filed with authorized/valid electronic signature
FLORIDA SEPTIC, INC. 401(K) PROFIT SHARING PLAN 2015 591091650 2016-11-21 FLORIDA SEPTIC, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-11-01
Business code 339900
Sponsor’s telephone number 3524812455
Plan sponsor’s address P. O. BOX 545, HAWTHORNE, FL, 32640

Signature of
Role Plan administrator
Date 2016-11-21
Name of individual signing SUSAN ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-11-21
Name of individual signing SUSAN ALLEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
VAUSE, DULCIE I. Agent 5757 SE 211TH STREET, HAWTHORNE, FL, 32640

President

Name Role Address
Allen Susan G President 5757 SE 211TH STREET, HAWTHORNE, FL, 32640

Director

Name Role Address
Allen Susan G Director 5757 SE 211TH STREET, HAWTHORNE, FL, 32640
Vause Dulcie I Director 5757 SE 211TH STREET, HAWTHORNE, FL
Palmer Andrew J Director 5757 SE 211TH STREET, HAWTHORNE, FL

Vice President

Name Role Address
Vause Dulcie I Vice President 5757 SE 211TH STREET, HAWTHORNE, FL
Vause Joan E Vice President 5757 SE 211th Street, Hawthorne, FL, 32640

Secretary

Name Role Address
Palmer Andrew J Secretary 5757 SE 211TH STREET, HAWTHORNE, FL

Treasurer

Name Role Address
Palmer Andrew J Treasurer 5757 SE 211TH STREET, HAWTHORNE, FL

Asst

Name Role Address
Palmer Andrew J Asst 5757 SE 211TH STREET, HAWTHORNE, FL, 32640

Events

Event Type Filed Date Value Description
AMENDMENT 2019-12-03 No data No data
AMENDMENT 1985-04-11 No data No data
NAME CHANGE AMENDMENT 1981-05-29 FLORIDA SEPTIC, INC. No data
NAME CHANGE AMENDMENT 1964-12-21 HAWTHORNE CONCRETE AND SUPPLY, INC. No data
NAME CHANGE AMENDMENT 1961-01-30 FLORIDA SEPTIC AND MARINE, INC. No data

Related by officers

VAUSE, DULCIE I.

FLORIDA MARINE ENGINEERS, INC.

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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