| Entity Name: | BUSH BROTHERS PROVISION CO. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Jan 1972 (53 years ago) |
| Document Number: | 393492 |
| FEI/EIN Number | 591370103 |
| Address: | 1931 North Dixie Highway, West Palm Beach, FL, 33407-6804, US |
| Mail Address: | 1931 North Dixie Highway, West Palm Beach, FL, 33407-6804, US |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BUSH BROTHERS PROVISION CO 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 591370103 | 2024-04-04 | BUSH BROTHERS PROVISION CO | 58 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2024-04-04 |
| Name of individual signing | CURTIS BUSH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 484120 |
| Sponsor’s telephone number | 5618326666 |
| Plan sponsor’s address | 1931 N DIXIE HWY, WEST PALM BEACH, FL, 334076007 |
Plan administrator’s name and address
| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-31 |
| Name of individual signing | CURTIS BUSH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 484120 |
| Sponsor’s telephone number | 5618326666 |
| Plan sponsor’s address | 1931 N DIXIE HWY, WEST PALM BEACH, FL, 334076007 |
Plan administrator’s name and address
| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-14 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Bush Harry DJr. | Agent | 1931 North Dixie Highway, West Palm Beach, FL, 334076804 |
| Name | Role | Address |
|---|---|---|
| Bush John P | Vice President | 1931 North Dixie Highway, West Palm Beach, FL, 334076804 |
| Reiff Jessica B | Vice President | 1931 North Dixie Highway, West Palm Beach, FL, 334076804 |
| Bush Harry DJr. | Vice President | 1931 North Dixie Highway, West Palm Beach, FL, 334076804 |
| Name | Role | Address |
|---|---|---|
| Bush Curtis J | President | 1931 North Dixie Highway, West Palm Beach, FL, 334076804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2023-06-22 | No data | CONVERSION MEMBER. NON-QUALIFIED CORPORATION WAS BUSH BROTHERS PROVISION CO., LLC. CONVERSION NUMBER 100000241601 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
