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  5. FSV PAYMENT SYSTEMS, INC.

FSV PAYMENT SYSTEMS, INC.

Company Details

Entity Name: FSV PAYMENT SYSTEMS, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active
Date Filed: 03 Oct 2006 (18 years ago)
Document Number: F06000006328
FEI/EIN Number 201668501
Mail Address: 1200 South Pine Island Road, Plantation, FL, 33324, US
Address: 6410 SOUTHPOINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216
ZIP code: 32216
County: Duval
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FSV PAYMENT SYSTEMS INC. 401(K) RETIREMENT PLAN 2013 201668501 2014-04-14 FSV PAYMENT SYSTEMS, INC. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 518210
Sponsor’s telephone number 9044701799
Plan sponsor’s mailing address 6410 SOUTHPOINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216
Plan sponsor’s address 6410 SOUTHPOINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216

Plan administrator’s name and address
Administrator’s EIN 201668501
Plan administrator’s name FSV PAYMENT SYSTEMS, INC.
Plan administrator’s address 6410 SOUTHPOINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216
Administrator’s telephone number 9044701799

Number of participants as of the end of the plan year
Active participants 0
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

Signature of
Role Plan administrator
Date 2014-04-14
Name of individual signing WALLACE OSTEEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-14
Name of individual signing WALLACE OSTEEN
Valid signature Filed with authorized/valid electronic signature
FSV PAYMENT SYSTEMS INC. 401(K) RETIREMENT PLAN 2012 201668501 2013-07-29 FSV PAYMENT SYSTEMS, INC. 258
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 518210
Sponsor’s telephone number 8322016535
Plan sponsor’s mailing address 6410 SOUTHPOINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216
Plan sponsor’s address 6410 SOUTHPOINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216

Plan administrator’s name and address
Administrator’s EIN 201668501
Plan administrator’s name FSV PAYMENT SYSTEMS, INC.
Plan administrator’s address 6410 SOUTHPOINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216
Administrator’s telephone number 8322016535

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 71
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 72
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 2013-07-29
Name of individual signing WALLACE OSTEEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-29
Name of individual signing WALLACE OSTEEN
Valid signature Filed with authorized/valid electronic signature
FSV PAYMENT SYSTEMS INC. 401(K) RETIREMENT PLAN 2011 201668501 2012-07-24 FSV PAYMENT SYSTEMS, INC. 264
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 518210
Sponsor’s telephone number 8322016535
Plan sponsor’s mailing address 6410 SOUTH POINT PKWY, JACKSONVILLE, FL, 32216
Plan sponsor’s address 6410 SOUTH POINT PKWY, JACKSONVILLE, FL, 32216

Plan administrator’s name and address
Administrator’s EIN 201668501
Plan administrator’s name FSV PAYMENT SYSTEMS, INC.
Plan administrator’s address 6410 SOUTH POINT PKWY, JACKSONVILLE, FL, 32216
Administrator’s telephone number 8322016535

Number of participants as of the end of the plan year
Active participants 233
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 25
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 68
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 2012-07-24
Name of individual signing SHANNON COX
Valid signature Filed with authorized/valid electronic signature
FSV PAYMENT SYSTEMS INC. 401(K) RETIREMENT PLAN 2010 201668501 2011-10-12 FSV PAYMENT SYSTEMS, INC. 209
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 518210
Sponsor’s telephone number 8322016535
Plan sponsor’s mailing address 6410 SOUTH POINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216
Plan sponsor’s address 6410 SOUTH POINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216

Plan administrator’s name and address
Administrator’s EIN 201668501
Plan administrator’s name FSV PAYMENT SYSTEMS, INC.
Plan administrator’s address 6410 SOUTH POINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216
Administrator’s telephone number 8322016535

Number of participants as of the end of the plan year
Active participants 239
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 25
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 62
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 2011-10-12
Name of individual signing SHANNON COX
Valid signature Filed with authorized/valid electronic signature
FSV PAYMENT SYSTEMS INC. 401(K) RETIREMENT PLAN 2009 201668501 2010-10-11 FSV PAYMENT SYSTEMS, INC. 283
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-06-01
Business code 518210
Sponsor’s telephone number 8322016535
Plan sponsor’s mailing address 6410 SOUTH POINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216
Plan sponsor’s address 6410 SOUTH POINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216

Plan administrator’s name and address
Administrator’s EIN 201668501
Plan administrator’s name FSV PAYMENT SYSTEMS, INC.
Plan administrator’s address 6410 SOUTH POINT PKWY, SUITE 200, JACKSONVILLE, FL, 32216
Administrator’s telephone number 8322016535

Number of participants as of the end of the plan year
Active participants 194
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 15
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 51
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 2010-10-11
Name of individual signing SHANNON COX
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

Director

Name Role Address
Halenkamp John W Director 700 Deerfield Rd, Deerfield, IL, 60015
Hope Scott H Director 950 17th Street, Denver, CO, 80202
Klukken Peter W Director 302 W 3rd St, Cincinnati, OH, 45202

Exec

Name Role Address
Ratliff Angela Exec 6410 Southpoint Pkwy, Suite 200, Jacksonville, FL, 32216

Secretary

Name Role Address
Reid Alicia B Secretary 800 Nicollet Mall, Minneapolis, MN, 55402

Assi

Name Role Address
Bidon Linda E Assi 800 Nicollet Mall, Minneapolis, MN, 55402

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2013-02-08 6410 SOUTHPOINT PKWY, SUITE 200, JACKSONVILLE, FL 32216 No data
REGISTERED AGENT NAME CHANGED 2013-02-08 C T Corporation System No data
REGISTERED AGENT ADDRESS CHANGED 2013-02-08 1200 South Pine Island Road, Plantation, FL 33324 No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-05 6410 SOUTHPOINT PKWY, SUITE 200, JACKSONVILLE, FL 32216 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-05-08
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-04-05
ANNUAL REPORT 2015-02-11

Related by officers

Bidon Linda E

SCFD LLC SA CLV, INC. SA GROUP PROPERTIES, INC.

Related by address

1200 South Pine Island Road, Plantation, FL, 33324, US

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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