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KIRK HOWARD, O.D., P.A.

Company Details

Entity Name: KIRK HOWARD, O.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 05 Apr 1974 (51 years ago)
Document Number: 605105
FEI/EIN Number 591544061
Address: 2491 S. FERDON BLVD., FAMILY VISION CENTER, CRESTVIEW, FL, 32536, US
Mail Address: 2491 S. FERDON BLVD., CRESTVIEW, FL, 32536, US
ZIP code: 32536
County: Okaloosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIRK HOWARD, O.D., P.A. EMPLOYEES' 401(K) PLAN 2013 591544061 2014-10-01 KIRK HOWARD, O.D., P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-12-31
Business code 621320
Sponsor’s telephone number 8506829286
Plan sponsor’s address 4645 MEADOW LAKE DRIVE, CRESTVIEW, FL, 32539

Signature of

Role Plan administrator
Date 2014-10-01
Name of individual signing KIRK HOWARD, O.D.
Valid signature Filed with authorized/valid electronic signature
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN 2013 591544061 2014-10-01 KIRK HOWARD, O.D., P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-12-31
Business code 621320
Sponsor’s telephone number 8506824014
Plan sponsor’s address 4645 MEADOW LAKE DR, CRESTVIEW, FL, 32539

Signature of

Role Plan administrator
Date 2014-10-01
Name of individual signing KIRK HOWARD, O.D.
Valid signature Filed with authorized/valid electronic signature
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN 2012 591544061 2013-10-15 KIRK HOWARD, O.D., P.A. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-12-31
Business code 621320
Sponsor’s telephone number 8506824014
Plan sponsor’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing KIRK HOWARD, O.D.
Valid signature Filed with authorized/valid electronic signature
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN 2011 591544061 2012-07-13 KIRK HOWARD, O.D., P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-12-31
Business code 621320
Sponsor’s telephone number 8506824014
Plan sponsor’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536

Plan administrator’s name and address

Administrator’s EIN 591544061
Plan administrator’s name KIRK HOWARD, O.D., P.A.
Plan administrator’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
Administrator’s telephone number 8506824014

Signature of

Role Plan administrator
Date 2012-07-13
Name of individual signing KIRK HOWARD, O.D.
Valid signature Filed with authorized/valid electronic signature
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN 2010 591544061 2012-05-15 KIRK HOWARD, O.D., P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-12-31
Business code 621320
Sponsor’s telephone number 8506824014
Plan sponsor’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536

Plan administrator’s name and address

Administrator’s EIN 591544061
Plan administrator’s name KIRK HOWARD, O.D., P.A.
Plan administrator’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
Administrator’s telephone number 8506824014

Signature of

Role Plan administrator
Date 2012-05-15
Name of individual signing KIRK HOWARD, O.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-15
Name of individual signing KIRK HOWARD, O.D.
Valid signature Filed with authorized/valid electronic signature
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN 2010 591544061 2011-10-14 KIRK HOWARD, O.D., P.A. 9
Three-digit plan number (PN) 002
Effective date of plan 1974-12-31
Business code 621320
Sponsor’s telephone number 8506824014
Plan sponsor’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536

Plan administrator’s name and address

Administrator’s EIN 591544061
Plan administrator’s name KIRK HOWARD, O.D., P.A.
Plan administrator’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
Administrator’s telephone number 8506824014

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing KIRK HOWARD, O.D.
Valid signature Filed with authorized/valid electronic signature
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN 2009 591544061 2010-08-17 KIRK HOWARD, O.D., P.A. 11
Three-digit plan number (PN) 002
Effective date of plan 1974-12-31
Business code 621320
Sponsor’s telephone number 8506824014
Plan sponsor’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536

Plan administrator’s name and address

Administrator’s EIN 591544061
Plan administrator’s name KIRK HOWARD, O.D., P.A.
Plan administrator’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
Administrator’s telephone number 8506824014

Signature of

Role Plan administrator
Date 2010-08-17
Name of individual signing KIRK HOWARD, O.D.
Valid signature Filed with incorrect/unrecognized electronic signature
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN 2009 591544061 2010-08-17 KIRK HOWARD, O.D., P.A. 11
Three-digit plan number (PN) 002
Effective date of plan 1974-12-31
Business code 621320
Sponsor’s telephone number 8506824014
Plan sponsor’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536

Plan administrator’s name and address

Administrator’s EIN 591544061
Plan administrator’s name KIRK HOWARD, O.D., P.A.
Plan administrator’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
Administrator’s telephone number 8506824014

Signature of

Role Plan administrator
Date 2010-08-17
Name of individual signing KIRK HOWARD, O.D.
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-17
Name of individual signing KIRK HOWARD, O.D.
Valid signature Filed with incorrect/unrecognized electronic signature
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN 2009 591544061 2010-08-18 KIRK HOWARD, O.D., P.A. 11
Three-digit plan number (PN) 002
Effective date of plan 1974-12-31
Business code 621320
Sponsor’s telephone number 8506824014
Plan sponsor’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536

Plan administrator’s name and address

Administrator’s EIN 591544061
Plan administrator’s name KIRK HOWARD, O.D., P.A.
Plan administrator’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
Administrator’s telephone number 8506824014

Signature of

Role Plan administrator
Date 2010-08-18
Name of individual signing CHARLES HOWARD
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-08-18
Name of individual signing CHARLES HOWARD
Valid signature Filed with incorrect/unrecognized electronic signature
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN 2009 591544061 2010-08-19 KIRK HOWARD, O.D., P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1974-12-31
Business code 621320
Sponsor’s telephone number 8506824014
Plan sponsor’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536

Plan administrator’s name and address

Administrator’s EIN 591544061
Plan administrator’s name KIRK HOWARD, O.D., P.A.
Plan administrator’s address 2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
Administrator’s telephone number 8506824014

Signature of

Role Plan administrator
Date 2010-08-19
Name of individual signing KIRK HOWARD O.D. P.A.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-19
Name of individual signing KIRK HOWARD O.D. P.A.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HOWARD CHARLES K Agent 2491 S. FERDON BLVD., CRESTVIEW, FL, 32536

Director

Name Role Address
HOWARD CHARLES K Director 2491 S. FERDON BLVD, CRESTVIEW, FL, 32536

Officer

Name Role Address
Rose Jessica Officer 2491 S. FERDON BLVD., CRESTVIEW, FL, 32536

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
REINSTATEMENT 1995-10-13 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1995-08-25 No data No data
REINSTATEMENT 1993-10-04 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1993-08-13 No data No data
NAME CHANGE AMENDMENT 1985-02-21 KIRK HOWARD, O.D., P.A. No data
NAME CHANGE AMENDMENT 1979-04-09 DRS. ANDERSON & HOWARD OPTOMETRISTS, P.A. No data
NAME CHANGE AMENDMENT 1979-02-23 DRS. ANDERSON & HOWARD, P.A. No data

Date of last update: 02 Feb 2025

Sources: Florida Department of State