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KETCHUM, WOOD & BURGERT, CHARTERED

Company Details

Entity Name: KETCHUM, WOOD & BURGERT, CHARTERED
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Dec 1968 (56 years ago)
Document Number: 600724
FEI/EIN Number 591228604
Address: 1899 EIDER COURT, TALLAHASSEE, FL, 32308, US
Mail Address: POST OFFICE BOX 14389, TALLAHASSEE, FL, 32317, US
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KETCHUM, WOOD AND BURGERT, CHARTERED PROFIT SHARING PLAN 2018 591228604 2019-07-26 KETCHUM, WOOD & BURGERT, CHARTERED 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621510
Sponsor’s telephone number 8508785143
Plan sponsor’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308
KETCHUM, WOOD AND BURGERT, CHARTERED PROFIT SHARING PLAN 2017 591228604 2018-10-05 KETCHUM, WOOD & BURGERT, CHARTERED 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621510
Sponsor’s telephone number 8508785143
Plan sponsor’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308
KETCHUM, WOOD AND BURGERT, CHARTERED PROFIT SHARING PLAN 2016 591228604 2017-07-27 KETCHUM, WOOD & BURGERT, CHARTERED 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621510
Sponsor’s telephone number 8508785143
Plan sponsor’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308
KETCHUM, WOOD AND BURGERT, CHARTERED PROFIT SHARING PLAN 2015 591228604 2016-09-13 KETCHUM, WOOD & BURGERT, CHARTERED 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621510
Sponsor’s telephone number 8508785143
Plan sponsor’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308
KETCHUM, WOOD AND BURGERT, CHARTERED PROFIT SHARING PLAN 2014 591228604 2015-08-03 KETCHUM, WOOD & BURGERT, CHARTERED 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621510
Sponsor’s telephone number 8508785143
Plan sponsor’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308

Signature of

Role Plan administrator
Date 2015-08-03
Name of individual signing DAVID T STEWART
Valid signature Filed with authorized/valid electronic signature
KETCHUM, WOOD AND BURGERT, CHARTERED PROFIT SHARING PLAN 2013 591228604 2014-10-13 KETCHUM, WOOD & BURGERT, CHARTERED 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621510
Sponsor’s telephone number 8508785143
Plan sponsor’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308

Signature of

Role Plan administrator
Date 2014-10-13
Name of individual signing DAVID T STEWART
Valid signature Filed with authorized/valid electronic signature
KETCHUM, WOOD AND BURGERT, CHARTERED PROFIT SHARING PLAN 2012 591228604 2013-09-25 KETCHUM, WOOD & BURGERT, CHARTERED 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621510
Sponsor’s telephone number 8508785143
Plan sponsor’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308

Signature of

Role Plan administrator
Date 2013-09-25
Name of individual signing DAVID T STEWART
Valid signature Filed with authorized/valid electronic signature
KETCHUM, WOOD AND BURGERT, CHARTERED PROFIT SHARING PLAN 2011 591228604 2012-07-30 KETCHUM, WOOD & BURGERT, CHARTERED 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621510
Sponsor’s telephone number 8508785143
Plan sponsor’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308

Plan administrator’s name and address

Administrator’s EIN 591228604
Plan administrator’s name KETCHUM, WOOD & BURGERT, CHARTERED
Plan administrator’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308
Administrator’s telephone number 8508785143

Signature of

Role Plan administrator
Date 2012-07-30
Name of individual signing DAVID T STEWART
Valid signature Filed with authorized/valid electronic signature
KETCHUM, WOOD AND BURGERT, CHARTERED PROFIT SHARING PLAN 2010 591228604 2011-10-13 KETCHUM, WOOD & BURGERT, CHARTERED 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621510
Sponsor’s telephone number 8508785143
Plan sponsor’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308

Plan administrator’s name and address

Administrator’s EIN 591228604
Plan administrator’s name KETCHUM, WOOD & BURGERT, CHARTERED
Plan administrator’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308
Administrator’s telephone number 8508785143

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing DAVID T STEWART
Valid signature Filed with authorized/valid electronic signature
KETCHUM, WOOD AND BURGERT, CHARTERED PROFIT SHARING PLAN 2009 591228604 2010-10-04 KETCHUM, WOOD & BURGERT, CHARTERED 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-01-01
Business code 621510
Sponsor’s telephone number 8508785143
Plan sponsor’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308

Plan administrator’s name and address

Administrator’s EIN 591228604
Plan administrator’s name KETCHUM, WOOD & BURGERT, CHARTERED
Plan administrator’s address 1899 EIDER COURT, TALLAHASSEE, FL, 32308
Administrator’s telephone number 8508785143

Signature of

Role Plan administrator
Date 2010-10-04
Name of individual signing JERRY L HARRIS, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEWART DAVID T Agent 1899 EIDER COURT, TALLAHASSEE, FL, 32308

President

Name Role Address
STEWART DAVID T President 1899 EIDER COURT, TALLAHASSEE, FL, 32308

Vice President

Name Role Address
SGAN STEPHEN L Vice President 1899 EIDER COURT, TALLAHASSEE, FL, 32308

Secretary

Name Role Address
PRICE CHRISTOPHER R Secretary 1899 EIDER COURT, TALLAHASSEE, FL, 32308

Treasurer

Name Role Address
WHITHAUS KENNETH Treasurer 1899 EIDER COURT, TALLAHASSEE, FL, 32308

Director

Name Role Address
Mageau Ronald P Director 1899 EIDER COURT, TALLAHASSEE, FL, 32308
CARLQUIST ERIN T Director 1899 Eider Ct., Tallahassee, FL, 32308

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000130329 KWB PATHOLOGY MARIANNA ACTIVE 2024-10-23 2029-12-31 No data 1899 EIDER CT., TALLAHASSEE, FL, 32308
G20000050512 KWB PATHOLOGY ASSOCIATES ACTIVE 2020-05-07 2025-12-31 No data P. O. BOX 14389, TALLAHASSEE, FL, 32317
G20000050133 KWB ACTIVE 2020-05-06 2025-12-31 No data P. O. BOX 14389, TALLAHASSEE, FL, 32317
G20000050128 PATHOLOGY ASSOCIATES ACTIVE 2020-05-06 2025-12-31 No data P. O. BOX 14389, TALLAHASSEE, FL, 32317
G17000014701 OFFICE OF THE MEDICAL EXAMINER, DISTRICT II ACTIVE 2017-01-16 2027-12-31 No data PO BOX 14389, TALLAHASSEE, FL, 32317

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1973-01-09 KETCHUM, WOOD & BURGERT, CHARTERED No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State