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  5. CAVAFORM, INC.

CAVAFORM, INC.

Company Details

Entity Name: CAVAFORM, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 12 Apr 1978 (47 years ago)
Last Event: AMENDMENT
Event Date Filed: 22 Jul 1999 (26 years ago)
Document Number: 568412
FEI/EIN Number 59-1818157
Address: 2700 72ND ST NORTH, ST PETERSBURG, FL 33710
Mail Address: 2700 72ND ST NORTH, ST PETERSBURG, FL 33710
ZIP code: 33710
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAVAFORM, INC 401(K) PLAN 2014 591818157 2015-09-22 CAVAFORM, INC 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 332900
Sponsor’s telephone number 8004560523
Plan sponsor’s address 2700 72ND STREET NORTH, ST PETERSBURG, FL, 33710

Signature of
Role Plan administrator
Date 2015-09-22
Name of individual signing DAVID MASSIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-22
Name of individual signing DAVID MASSIE
Valid signature Filed with authorized/valid electronic signature
CAVAFORM, INC 401(K) PLAN 2013 591818157 2014-09-12 CAVAFORM, INC 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 332900
Sponsor’s telephone number 8004560523
Plan sponsor’s address 2700 72ND STREET NORTH, ST. PETERSBURG, FL, 33710

Signature of
Role Plan administrator
Date 2014-09-12
Name of individual signing DAVID MASSIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-12
Name of individual signing DAVID MASSIE
Valid signature Filed with authorized/valid electronic signature
CAVAFORM, INC 401(K) PLAN 2012 591818157 2013-10-03 CAVAFORM, INC 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 331200
Sponsor’s telephone number 8004560523
Plan sponsor’s address 2700 72ND STREET NORTH, ST PETERSBURG, FL, 33710

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing DAVID MASSIE
Valid signature Filed with authorized/valid electronic signature
CAVAFORM, INC 401(K) PLAN 2011 591818157 2012-10-04 CAVAFORM, INC 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 331200
Sponsor’s telephone number 8004560523
Plan sponsor’s address 2700 72ND STREET NORTH, ST PETERSBURG, FL, 33710

Plan administrator’s name and address
Administrator’s EIN 591818157
Plan administrator’s name CAVAFORM, INC
Plan administrator’s address 2700 72ND STREET NORTH, ST PETERSBURG, FL, 33710
Administrator’s telephone number 8004560523

Signature of
Role Plan administrator
Date 2012-10-04
Name of individual signing DAVID MASSIE
Valid signature Filed with authorized/valid electronic signature
CAVAFORM, INC 401(K) PLAN 2010 591818157 2011-10-13 CAVAFORM, INC 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 331200
Sponsor’s telephone number 7273843676
Plan sponsor’s address 2700 72ND STREET NORTH, ST PETERSBURG, FL, 33710

Plan administrator’s name and address
Administrator’s EIN 591818157
Plan administrator’s name CAVAFORM, INC
Plan administrator’s address 2700 72ND STREET NORTH, ST PETERSBURG, FL, 33710
Administrator’s telephone number 7273843676

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing DAVID MASSIE
Valid signature Filed with authorized/valid electronic signature
CAVAFORM, INC 401(K) PLAN 2009 591818157 2010-10-12 CAVAFORM, INC 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 331200
Sponsor’s telephone number 7273843676
Plan sponsor’s address 2700 72ND STREET NORTH, ST PETERSBURG, FL, 33710

Plan administrator’s name and address
Administrator’s EIN 591818157
Plan administrator’s name CAVAFORM, INC
Plan administrator’s address 2700 72ND STREET NORTH, ST PETERSBURG, FL, 33710
Administrator’s telephone number 7273843676

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing DAVID MASSIE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing DAVID MASSIE
Valid signature Filed with authorized/valid electronic signature
CAVAFORM, INC 401(K) PLAN 2009 591818157 2010-10-08 CAVAFORM, INC 63
Three-digit plan number (PN) 001
Effective date of plan 1994-06-01
Business code 331200
Sponsor’s telephone number 7273843676
Plan sponsor’s address 2700 72ND STREET NORTH, ST PETERSBURG, FL, 33710

Plan administrator’s name and address
Administrator’s EIN 591818157
Plan administrator’s name CAVAFORM, INC
Plan administrator’s address 2700 72ND STREET NORTH, ST PETERSBURG, FL, 33710
Administrator’s telephone number 7273843676

Agent

Name Role Address
SCALAMOGNA, NICK M Agent 2700 72ND ST NORTH, ST PETERSBURG, FL 33710

Comptroller

Name Role Address
SCALAMOGNA, NICK M Comptroller 2700 72nd Street N., St Petersburg, FL 33710

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000043617 SYBRIDGE TECHNOLOGIES ACTIVE 2023-04-05 2028-12-31 No data 20700 CIVIC CENTER DRIVE, SUITE 430, SOUTHFIELD, MI, 48076

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-17 SCALAMOGNA, NICK M No data
REGISTERED AGENT ADDRESS CHANGED 2008-07-21 2700 72ND ST NORTH, ST PETERSBURG, FL 33710 No data
AMENDMENT 1999-07-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-01-18
ANNUAL REPORT 2020-01-29
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-28
ANNUAL REPORT 2016-04-20
ANNUAL REPORT 2015-04-24

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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