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THE MIRIAM SOUTH CORPORATION

Company Details

Entity Name: THE MIRIAM SOUTH CORPORATION
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Apr 1979 (46 years ago)
Document Number: 616939
FEI/EIN Number 591901893
Address: 5031 S FLORIDA AVENUE, LAKELAND, FL, 33813-2511
Mail Address: 2418 Colonel Ford Drive, LAKELAND, FL, 33813, US
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIRIAM SOUTH CORPORATION 401(K) PROFIT SHARING PLAN 2016 591901893 2017-01-23 MIRIAM SOUTH CORPORATION 25
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 811190
Sponsor’s telephone number 8636441456
Plan sponsor’s address 5031 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33813

Signature of

Role Plan administrator
Date 2017-01-23
Name of individual signing WILLIAM ROBERTS
Valid signature Filed with authorized/valid electronic signature
MIRIAM SOUTH CORPORATION 401(K) PROFIT SHARING PLAN 2016 591901893 2017-10-09 MIRIAM SOUTH CORPORATION 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 811190
Sponsor’s telephone number 8636170248
Plan sponsor’s address 2418 COLONEL FORD DRIVE, LAKELAND, FL, 33813

Signature of

Role Plan administrator
Date 2017-10-09
Name of individual signing WILLIAM ROBERTS
Valid signature Filed with authorized/valid electronic signature
MIRIAM SOUTH CORPORATION 401(K) PROFIT SHARING PLAN 2016 591901893 2017-06-22 MIRIAM SOUTH CORPORATION 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 811190
Sponsor’s telephone number 8636170248
Plan sponsor’s address 2418 COLONEL FORD DRIVE, LAKELAND, FL, 33813
MIRIAM SOUTH CORPORATION 401(K) PROFIT SHARING PLAN 2015 591901893 2016-04-08 MIRIAM SOUTH CORPORATION 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 811190
Sponsor’s telephone number 8636441456
Plan sponsor’s address 5031 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33813

Signature of

Role Plan administrator
Date 2016-04-08
Name of individual signing WILLIAM ROBERTS
Valid signature Filed with authorized/valid electronic signature
MIRIAM SOUTH CORPORATION 401(K) PROFIT SHARING PLAN & TRUST 2014 591901893 2015-05-06 MIRIAM SOUTH CORPORATION 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 811190
Sponsor’s telephone number 8636441456
Plan sponsor’s address 5031 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33813

Signature of

Role Plan administrator
Date 2015-05-06
Name of individual signing WILLIAM ROBERTS
Valid signature Filed with authorized/valid electronic signature
MIRIAM SOUTH CORPORATION 401(K) PROFIT SHARING PLAN & TRUST 2013 591901893 2014-04-28 MIRIAM SOUTH CORPORATION 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 811190
Sponsor’s telephone number 8636441456
Plan sponsor’s address 5031 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33813

Signature of

Role Plan administrator
Date 2014-04-28
Name of individual signing WILLIAM ROBERTS
Valid signature Filed with authorized/valid electronic signature
MIRIAM SOUTH CORPORATION 401K PROFIT SHARING PLAN & TRUST 2012 591901893 2013-07-03 MIRIAM SOUTH CORPORATION 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 811190
Sponsor’s telephone number 8636441456
Plan sponsor’s address 5031 S. FLORIDA AVENUE, LAKELAND, FL, 33813

Plan administrator’s name and address

Administrator’s EIN 591901893
Plan administrator’s name MIRIAM SOUTH CORPORATION
Plan administrator’s address 5031 S. FLORIDA AVENUE, LAKELAND, FL, 33813
Administrator’s telephone number 8636441456

Signature of

Role Plan administrator
Date 2013-07-03
Name of individual signing WILLIAM ROBERTS
Valid signature Filed with authorized/valid electronic signature
MIRIAM SOUTH CORPORATION 401K PROFIT SHARING PLAN & TRUST 2011 591901893 2012-07-19 MIRIAM SOUTH CORPORATION 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 811190
Sponsor’s telephone number 8636441456
Plan sponsor’s address 5031 S. FLORIDA AVENUE, LAKELAND, FL, 33813

Plan administrator’s name and address

Administrator’s EIN 591901893
Plan administrator’s name MIRIAM SOUTH CORPORATION
Plan administrator’s address 5031 S. FLORIDA AVENUE, LAKELAND, FL, 33813
Administrator’s telephone number 8636441456

Signature of

Role Plan administrator
Date 2012-07-19
Name of individual signing WILLIAM ROBERTS
Valid signature Filed with authorized/valid electronic signature
MIRIAM SOUTH CORPORATION 401K PROFIT SHARING PLAN & TRUST 2010 591901893 2011-02-23 MIRIAM SOUTH CORPORATION 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 811190
Sponsor’s telephone number 8636441456
Plan sponsor’s address 5031 S. FLORIDA AVENUE, LAKELAND, FL, 33813

Plan administrator’s name and address

Administrator’s EIN 591901893
Plan administrator’s name MIRIAM SOUTH CORPORATION
Plan administrator’s address 5031 S. FLORIDA AVENUE, LAKELAND, FL, 33813
Administrator’s telephone number 8636441456

Signature of

Role Plan administrator
Date 2011-02-22
Name of individual signing WILLIAM ROBERTS
Valid signature Filed with authorized/valid electronic signature
MIRIAM SOUTH CORPORATION 401K PROFIT SHARING PLAN & TRUST 2009 591901893 2010-07-07 MIRIAM SOUTH CORPORATION 16
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 811190
Sponsor’s telephone number 8636441456
Plan sponsor’s address 5031 S. FLORIDA AVENUE, LAKELAND, FL, 33813

Plan administrator’s name and address

Administrator’s EIN 591901893
Plan administrator’s name MIRIAM SOUTH CORPORATION
Plan administrator’s address 5031 S. FLORIDA AVENUE, LAKELAND, FL, 33813
Administrator’s telephone number 8636441456

Agent

Name Role Address
ROBERTS WILLIAM L Agent 2418 COLONEL FORD DR, LAKELAND, FL, 33813

Vice President

Name Role Address
BERRY LINDA Vice President 4608 S PIPKIN RD, LAKELAND, FL, 33811

Secretary

Name Role Address
ROBERTS WILLIAM L Secretary 2418 COLONEL FORD DRIVE, LAKELAND, FL, 33813

Treasurer

Name Role Address
ROBERTS WILLIAM L Treasurer 2418 COLONEL FORD DRIVE, LAKELAND, FL, 33813

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2017-12-18 No data No data

Date of last update: 03 Jan 2025

Sources: Florida Department of State