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  5. COREY - KERLIN FUNERAL HOME, P.A.

COREY - KERLIN FUNERAL HOME, P.A.

Company Details

Entity Name: COREY - KERLIN FUNERAL HOME, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 29 Sep 1969 (55 years ago)
Last Event: AMENDMENT
Event Date Filed: 30 Apr 1984 (41 years ago)
Document Number: 601460
FEI/EIN Number 59-1277438
Address: 940 CESERY BOULEVARD, JACKSONVILLE, FL 32211
Mail Address: 940 CESERY BOULEVARD, JACKSONVILLE, FL 32211
ZIP code: 32211
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEES PROFIT SHARING PLAN AND TRUST OF COREY-KERLIN FUNERAL HOME, P.A. 2022 591277438 2024-05-20 COREY-KERLIN FUNERAL HOME, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-31
Business code 812210
Sponsor’s telephone number 9047448422
Plan sponsor’s address 940 CESERY BOULEVARD, JACKSONVILLE, FL, 32211
EMPLOYEES PROFIT SHARING PLAN AND TRUST OF COREY-KERLIN FUNERAL HOME, P.A. 2021 591277438 2023-02-07 COREY-KERLIN FUNERAL HOME, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-31
Business code 812210
Sponsor’s telephone number 9047448422
Plan sponsor’s address 940 CESERY BOULEVARD, JACKSONVILLE, FL, 32211
EMPLOYEES PROFIT SHARING PLAN AND TRUST OF COREY-KERLIN FUNERAL HOME, P.A. 2020 591277438 2022-06-29 COREY-KERLIN FUNERAL HOME, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-31
Business code 812210
Sponsor’s telephone number 9047448422
Plan sponsor’s address 940 CESERY BOULEVARD, JACKSONVILLE, FL, 32211

Signature of
Role Plan administrator
Date 2022-06-29
Name of individual signing MARK H. PITTMAN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEES PROFIT SHARING PLAN AND TRUST OF COREY-KERLIN FUNERAL HOME, P.A. 2020 591277438 2022-06-29 COREY-KERLIN FUNERAL HOME, P.A. 20
Three-digit plan number (PN) 001
Effective date of plan 1975-07-31
Business code 812210
Sponsor’s telephone number 9047448422
Plan sponsor’s address 940 CESERY BOULEVARD, JACKSONVILLE, FL, 32211

Signature of
Role Plan administrator
Date 2022-06-29
Name of individual signing MARK H. PITTMAN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEES PROFIT SHARING PLAN AND TRUST OF COREY-KERLIN FUNERAL HOME, P.A. 2019 591277438 2021-04-21 COREY-KERLIN FUNERAL HOME, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-31
Business code 812210
Sponsor’s telephone number 9047448422
Plan sponsor’s address 940 CESERY BOULEVARD, JACKSONVILLE, FL, 32211

Signature of
Role Plan administrator
Date 2021-04-21
Name of individual signing MARK H. PITTMAN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEES PROFIT SHARING PLAN AND TRUST OF COREY-KERLIN FUNERAL HOME, P.A. 2018 591277438 2020-01-12 COREY-KERLIN FUNERAL HOME, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-31
Business code 812210
Sponsor’s telephone number 9047448422
Plan sponsor’s address 940 CESERY BOULEVARD, JACKSONVILLE, FL, 32211

Signature of
Role Plan administrator
Date 2020-01-12
Name of individual signing MARK H. PITTMAN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEES PROFIT SHARING PLAN AND TRUST OF COREY-KERLIN FUNERAL HOME, P.A. 2017 591277438 2019-05-03 COREY-KERLIN FUNERAL HOME, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-31
Business code 812210
Sponsor’s telephone number 9047448422
Plan sponsor’s address 940 CESERY BOULEVARD, JACKSONVILLE, FL, 32211

Signature of
Role Plan administrator
Date 2019-05-03
Name of individual signing MARK H. PITTMAN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEES PROFIT SHARING PLAN AND TRUST OF COREY-KERLIN FUNERAL HOME, P.A. 2016 591277438 2018-02-15 COREY-KERLIN FUNERAL HOME, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-31
Business code 812210
Sponsor’s telephone number 9047448422
Plan sponsor’s address 940 CESERY BOULEVARD, JACKSONVILLE, FL, 32211

Signature of
Role Plan administrator
Date 2018-02-15
Name of individual signing MARK H. PITTMAN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEES PROFIT SHARING PLAN AND TRUST OF COREY-KERLIN FUNERAL HOME, P.A. 2015 591277438 2017-05-10 COREY-KERLIN FUNERAL HOME, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-31
Business code 812210
Sponsor’s telephone number 9047448422
Plan sponsor’s address 940 CESERY BOULEVARD, JACKSONVILLE, FL, 32211

Signature of
Role Plan administrator
Date 2017-05-10
Name of individual signing MARK H. PITTMAN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEES PROFIT SHARING PLAN AND TRUST OF COREY-KERLIN FUNERAL HOME, P.A. 2014 591277438 2016-02-26 COREY-KERLIN FUNERAL HOME, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-31
Business code 812210
Sponsor’s telephone number 9047448422
Plan sponsor’s address 940 CESERY BOULEVARD, JACKSONVILLE, FL, 32211

Signature of
Role Plan administrator
Date 2016-02-26
Name of individual signing MARK H. PITTMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NACKASHI, JERRY H Agent 940 CESERY BOULEVARD, JACKSONVILLE, FL 32211

President

Name Role Address
NACKASHI, JERRY President 3739 HILLIARD ROAD, JACKSONVILLE, FL

Treasurer

Name Role Address
NACKASHI, CARREME B Treasurer 3739 HILLIARD ROAD, JACKSONVILLE, FL 32217

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000105944 COREY - KERLIN FUNERAL HOME AND CREMATORY EXPIRED 2019-09-27 2024-12-31 No data 940 CESERY BOULEVARD, JACKSONVILLE, FL, 32211

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2016-03-03 NACKASHI, JERRY H No data
CHANGE OF PRINCIPAL ADDRESS 2010-03-29 940 CESERY BOULEVARD, JACKSONVILLE, FL 32211 No data
CHANGE OF MAILING ADDRESS 2010-03-29 940 CESERY BOULEVARD, JACKSONVILLE, FL 32211 No data
REGISTERED AGENT ADDRESS CHANGED 2010-03-29 940 CESERY BOULEVARD, JACKSONVILLE, FL 32211 No data
AMENDMENT 1984-04-30 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-02-16
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-04-11
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-03-03
ANNUAL REPORT 2015-03-20

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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