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  5. SELF-RELIANCE INC.

SELF-RELIANCE INC.

Company Details

Entity Name: SELF-RELIANCE INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 19 Dec 1978 (46 years ago)
Last Event: AMENDMENT
Event Date Filed: 10 Apr 1995 (30 years ago)
Document Number: 745328
FEI/EIN Number 59-1855782
Address: 8901 N ARMENIA AVE., TAMPA, FL 33604
Mail Address: 8901 N ARMENIA AVE., TAMPA, FL 33604
ZIP code: 33604
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285980672 2012-08-03 2012-08-03 8901 N ARMENIA AVE, TAMPA, FL, 336041041, US 8901 N ARMENIA AVE, TAMPA, FL, 336041041, US

Contacts
Phone +1 813-375-3965
Fax 8133753970

Authorized person
Name MS. BRENDA RUEHL
Role EXECUTIVE DIRECTOR
Phone 8133753965

Taxonomy
Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SELF-RELIANCE 401(K) PLAN 2023 591855782 2024-07-23 SELF-RELIANCE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8133753965
Plan sponsor’s address 8901 N. ARMENIA AVE., TAMPA, FL, 33604

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
SELF-RELIANCE 401(K) PLAN 2022 591855782 2023-06-20 SELF-RELIANCE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8133753965
Plan sponsor’s address 8901 N. ARMENIA AVE., TAMPA, FL, 33604

Signature of
Role Plan administrator
Date 2023-06-20
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
SELF-RELIANCE 401(K) PLAN 2021 591855782 2022-07-20 SELF-RELIANCE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8139510336
Plan sponsor’s address 8901 N. ARMENIA AVE., TAMPA, FL, 33604

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
SELF-RELIANCE 401(K) PLAN 2020 591855782 2021-06-29 SELF-RELIANCE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8139510336
Plan sponsor’s address 8901 N. ARMENIA AVE., TAMPA, FL, 33604

Signature of
Role Plan administrator
Date 2021-06-29
Name of individual signing MICHELE PINEDA
Valid signature Filed with authorized/valid electronic signature
SELF RELIANCE, INC 401K PLAN 2019 591855782 2020-06-09 SELF RELIANCE, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8133753965
Plan sponsor’s address 8901 N. ARMENIA AVE, TAMPA, FL, 33604

Signature of
Role Plan administrator
Date 2020-06-09
Name of individual signing MICHELE PINEDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-09
Name of individual signing MICHELE PINEDA
Valid signature Filed with authorized/valid electronic signature
SELF RELIANCE, INC 401K PLAN 2018 591855782 2019-05-08 SELF RELIANCE, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8133753965
Plan sponsor’s address 8901 N. ARMENIA AVE, TAMPA, FL, 33604

Signature of
Role Plan administrator
Date 2019-05-08
Name of individual signing MICHELE PINEDA
Valid signature Filed with authorized/valid electronic signature
SELF RELIANCE, INC 401K PLAN 2017 591855782 2018-05-18 SELF RELIANCE, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8133753965
Plan sponsor’s address 8901 N. ARMENIA AVE, TAMPA, FL, 33604

Signature of
Role Plan administrator
Date 2018-05-18
Name of individual signing MICHELE PINEDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-18
Name of individual signing MICHELE PINEDA
Valid signature Filed with authorized/valid electronic signature
SELF RELIANCE, INC 401K PLAN 2016 591855782 2017-06-21 SELF RELIANCE, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8133753965
Plan sponsor’s address 8901 N. ARMENIA AVE, TAMPA, FL, 33604

Signature of
Role Plan administrator
Date 2017-06-21
Name of individual signing MICHELE PINEDA
Valid signature Filed with authorized/valid electronic signature
SELF RELIANCE, INC 401K PLAN 2015 591855782 2016-06-20 SELF RELIANCE, INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8133753965
Plan sponsor’s address 8901 N. ARMENIA AVE, TAMPA, FL, 33604

Signature of
Role Plan administrator
Date 2016-06-20
Name of individual signing MICHELE PINEDA
Valid signature Filed with authorized/valid electronic signature
SELF RELIANCE, INC 401K PLAN 2014 591855782 2015-06-15 SELF RELIANCE, INC 12
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8133753965
Plan sponsor’s address 8901 N. ARMENIA AVE, TAMPA, FL, 33604

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing MICHELE PINEDA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Martoccio, Gary Agent 8901 N. ARMENIA AVE., TAMPA, FL 33604

Director

Name Role Address
Cox, Matthew Director 8901 N ARMENIA AVE., TAMPA, FL 33604
Jenkins, Arizona, III Director 8901 N ARMENIA AVE., TAMPA, FL 33604
Horne, Natalie Director 8901 N ARMENIA AVE., TAMPA, FL 33604
Lebron, Samantha Director 8901 N ARMENIA AVE., TAMPA, FL 33604

Chairman

Name Role Address
Pancho, Raquel Chairman 8901 N ARMENIA AVE., TAMPA, FL 33604

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-02-03 Martoccio, Gary No data
REGISTERED AGENT ADDRESS CHANGED 2011-12-05 8901 N. ARMENIA AVE., TAMPA, FL 33604 No data
CHANGE OF PRINCIPAL ADDRESS 2004-02-02 8901 N ARMENIA AVE., TAMPA, FL 33604 No data
CHANGE OF MAILING ADDRESS 2004-02-02 8901 N ARMENIA AVE., TAMPA, FL 33604 No data
AMENDMENT 1995-04-10 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
AMENDED ANNUAL REPORT 2023-08-22
ANNUAL REPORT 2023-01-30
AMENDED ANNUAL REPORT 2022-07-07
ANNUAL REPORT 2022-03-14
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-03-04
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-03-16

Related by officers

Cox, Matthew

CORPORATE CREATIONS NETWORK INC.

Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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