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  5. BERKELEY PREPARATORY SCHOOL, INC.

BERKELEY PREPARATORY SCHOOL, INC.

Company Details

Entity Name: BERKELEY PREPARATORY SCHOOL, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 24 Mar 1970 (55 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 07 Oct 2024 (4 months ago)
Document Number: 718233
FEI/EIN Number 59-1292802
Address: 4811 KELLY ROAD, TAMPA, FL 33615
Mail Address: 4811 KELLY ROAD, TAMPA, FL 33615
ZIP code: 33615
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BERKELEY PREPARATORY SCHOOL GROUP HEALTH INSURANCE PLAN 2017 591292802 2019-01-30 BERKELEY PREPARATORY SCHOOL 438
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-09-01
Business code 611000
Sponsor’s telephone number 8138851673
Plan sponsor’s mailing address 4811 KELLY RD, TAMPA, FL, 336155020
Plan sponsor’s address 4811 KELLY RD, TAMPA, FL, 336155020

Number of participants as of the end of the plan year
Active participants 246
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
BERKELEY PREPARATORY SCHOOL GROUP DISABILITY AND LIFE INSURANCE PLAN 2016 591292802 2018-02-22 BERKELEY PREPARATORY SCHOOL 232
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-10-01
Business code 611000
Sponsor’s telephone number 8138851673
Plan sponsor’s mailing address 4811 KELLY RD, TAMPA, FL, 336155020
Plan sponsor’s address 4811 KELLY ROAD, TAMPA, FL, 33615

Number of participants as of the end of the plan year
Active participants 234

Signature of
Role Plan administrator
Date 2018-02-22
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-22
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature
BERKELEY PREPARATORY SCHOOL GROUP DISABILITY AND LIFE INSURANCE PLAN 2014 591292802 2016-03-21 BERKELEY PREPARATORY SCHOOL 212
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-10-01
Business code 611000
Sponsor’s telephone number 8138851673
Plan sponsor’s mailing address 4811 KELLY ROAD, TAMPA, FL, 33615
Plan sponsor’s address 4811 KELLY ROAD, TAMPA, FL, 33615

Number of participants as of the end of the plan year
Active participants 224

Signature of
Role Plan administrator
Date 2016-03-21
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature
BERKELEY PREPARATORY SCHOOL GROUP HEALTH INSURANCE PLAN 2014 591292802 2016-03-21 BERKELEY PREPARATORY SCHOOL 375
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-09-01
Business code 611000
Sponsor’s telephone number 8138851673
Plan sponsor’s mailing address 4811 KELLY ROAD, TAMPA, FL, 33615
Plan sponsor’s address 4811 KELLY ROAD, TAMPA, FL, 33615

Number of participants as of the end of the plan year
Active participants 416
Retired or separated participants receiving benefits 2
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-03-21
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature
BERKELEY PREPARATORY SCHOOL GROUP DISABILITY AND LIFE INSURANCE PLAN 2012 591292802 2014-02-27 BERKELEY PREPARATORY SCHOOL 212
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1981-10-01
Business code 611000
Sponsor’s telephone number 8138851673
Plan sponsor’s mailing address 4811 KELLY ROAD, TAMPA, FL, 33615
Plan sponsor’s address 4811 KELLY ROAD, TAMPA, FL, 33615

Number of participants as of the end of the plan year
Active participants 208

Signature of
Role Plan administrator
Date 2014-02-27
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature
BERKELEY PREPARATORY SCHOOL GROUP HEALTH INSURANCE PLAN 2010 591292802 2012-03-15 BERKELEY PREPARATORY SCHOOL 187
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1998-09-01
Business code 611000
Sponsor’s telephone number 8138851673
Plan sponsor’s mailing address 4811 KELLY ROAD, TAMPA, FL, 33615
Plan sponsor’s address 4811 KELLY ROAD, TAMPA, FL, 33615

Plan administrator’s name and address
Administrator’s EIN 591292802
Plan administrator’s name BERKELEY PREPARATORY SCHOOL
Plan administrator’s address 4811 KELLY ROAD, TAMPA, FL, 33615
Administrator’s telephone number 8138851673

Number of participants as of the end of the plan year
Active participants 189
Retired or separated participants receiving benefits 1
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-03-15
Name of individual signing CHARLES SIMPSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SEIVOLD, JOSEPH Agent 4811 KELLY ROAD, TAMPA, FL 33615-2020

Chair

Name Role Address
Ross, Amy Chair 4028 Rocky Shores Dr, TAMPA, FL 33634

Treasurer

Name Role Address
Dolcimascolo, Paul Treasurer 2909 W Bay Vista, TAMPA, FL 33611

Vice Chair

Name Role Address
Wright, Andrew Vice Chair 3208 W Parkland Blvd, TAMPA, FL 33609

Secretary

Name Role Address
Frazier, Elizabeth Secretary 2808 W. Terrace Drive, Tampa, FL 33609

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2024-10-07 No data No data
AMENDED AND RESTATEDARTICLES 2020-11-23 No data No data
REGISTERED AGENT NAME CHANGED 2019-10-01 SEIVOLD, JOSEPH No data
REINSTATEMENT 2019-10-01 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
AMENDED AND RESTATEDARTICLES 2009-02-05 No data No data
CANCEL ADM DISS/REV 2007-10-24 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data
CANCEL ADM DISS/REV 2006-09-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data

Documents

Name Date
Amended and Restated Articles 2024-10-07
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-02-01
Amended and Restated Articles 2020-11-23
ANNUAL REPORT 2020-03-23
REINSTATEMENT 2019-10-01
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-27

Related by officers

Ross, Amy

THOMAS J. SULTENFUSS, M.D., P.A. S. MARK BURNETT, M.D., P.A.

Wright, Andrew

FLORIDA GROCERY MANUFACTURERS' REPRESENTATIVES, INC.

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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