| Entity Name: | MARION NELSON FUNERAL HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Nov 1961 (63 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 Feb 1995 (30 years ago) |
| Document Number: | 600070 |
| FEI/EIN Number | 59-0966014 |
| Address: | 454 SOUTH BUCK MOORE ROAD, LAKE WALES, FL 33853 |
| Mail Address: | 454 SOUTH BUCK MOORE ROAD, LAKE WALES, FL 33853 |
| ZIP code: | 33853 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARION NELSON FUNERAL HOME, INC. 401(K) PLAN | 2023 | 590966014 | 2024-05-03 | MARION NELSON FUNERAL HOME, INC. | 9 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-03 |
| Name of individual signing | WILLIAM GILL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 812210 |
| Sponsor’s telephone number | 8636762541 |
| Plan sponsor’s address | 454 SOUTH BUCK MOORE ROAD, P.O. BOX 829, LAKE WALES, FL, 33853 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-01 |
| Name of individual signing | WILLIAM GILL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-05-01 |
| Name of individual signing | WILLIAM GILL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 812210 |
| Sponsor’s telephone number | 8636762541 |
| Plan sponsor’s address | 454 SOUTH BUCK MOORE ROAD, LAKE WALES, FL, 33853 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-06 |
| Name of individual signing | WILLIAM D GILL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-09-06 |
| Name of individual signing | WILLIAM D GILL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 812210 |
| Sponsor’s telephone number | 8636762541 |
| Plan sponsor’s address | 454 SOUTH BUCK MOORE ROAD, LAKE WALES, FL, 33853 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-04 |
| Name of individual signing | WILLIAM D GILL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-10-04 |
| Name of individual signing | WILLIAM D GILL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Gill, William D. | Agent | 454 SOUTH BUCK MOORE ROAD, LAKE WALES, FL 33853 |
| Name | Role | Address |
|---|---|---|
| GILL, WILLIAM D | Treasurer | 3815 COUNTRY OAKS LANE, LAKE WALES, FL 33898 |
| Name | Role | Address |
|---|---|---|
| Richels, Kristina R. | Secretary | 885 COUNTRY LAKE CIR, Lake Wales, FL 33898 |
| Name | Role | Address |
|---|---|---|
| NELSON, J. BARRETT | Chief Executive Officer | 923 SR 60 EAST, LAKE WALES, FL 33853 |
| Name | Role | Address |
|---|---|---|
| GILL, WILLIAM D | Chief Operating Officer | 3815 COUNTRY OAKS LANE, LAKE WALES, FL 33898 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2018-01-31 | Gill, William D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-31 | 454 SOUTH BUCK MOORE ROAD, LAKE WALES, FL 33853 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-07 | 454 SOUTH BUCK MOORE ROAD, LAKE WALES, FL 33853 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-07 | 454 SOUTH BUCK MOORE ROAD, LAKE WALES, FL 33853 | No data |
| AMENDMENT | 1995-02-14 | No data | No data |
| NAME CHANGE AMENDMENT | 1982-03-22 | MARION NELSON FUNERAL HOME, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-01-31 |
| AMENDED ANNUAL REPORT | 2017-07-07 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-02-15 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
