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KELLER MEDICAL, INC.

Company Details

Entity Name: KELLER MEDICAL, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit Corporation
Status: Active
Date Filed: 24 Jun 2009 (16 years ago)
Document Number: F09000002540
FEI/EIN Number 26-2093764
Address: 1 N WAUKEGAN ROAD, NORTH CHICAGO, IL 60064
Mail Address: 1 N Waukegan Road, Tax Department AP34-3, North Chicago, IL 60064
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KELLER MEDICAL INC. 2016 262093764 2017-11-07 KELLER MEDICAL, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 339110
Sponsor’s telephone number 7722199993
Plan sponsor’s address 1239 SE INDIAN STREET, SUITE 112, STUART, FL, 349975633
THE ACCUMULATOR 401(K) PLAN 2016 262093764 2017-02-13 KELLER MEDICAL INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 339110
Sponsor’s telephone number 7722199993
Plan sponsor’s address 1239 SE INDIAN STREET, SUITE 112, STUART, FL, 34997

Plan administrator’s name and address

Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES, LLC
Plan administrator’s address 209 SOUTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401
Administrator’s telephone number 8664975501

Signature of

Role Plan administrator
Date 2017-02-13
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-13
Name of individual signing SCOTT SANDOW
Valid signature Filed with authorized/valid electronic signature
THE ACCUMULATOR 401(K) PLAN 2015 262093764 2016-06-08 KELLER MEDICAL INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 339110
Sponsor’s telephone number 7722199993
Plan sponsor’s address 1239 SE INDIAN STREET, SUITE 112, STUART, FL, 34997

Plan administrator’s name and address

Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES, LLC
Plan administrator’s address 209 SOUTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401
Administrator’s telephone number 8664975501

Signature of

Role Plan administrator
Date 2016-06-08
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-08
Name of individual signing SCOTT SANDOW
Valid signature Filed with authorized/valid electronic signature
THE ACCUMULATOR 401(K) PLAN 2014 262093764 2015-05-12 KELLER MEDICAL INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 339110
Sponsor’s telephone number 7722199993
Plan sponsor’s address 1239 SE INDIAN STREET, SUITE 112, STUART, FL, 34997

Plan administrator’s name and address

Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES, LLC
Plan administrator’s address 209 SOUTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401
Administrator’s telephone number 8664975501

Signature of

Role Plan administrator
Date 2015-05-12
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-12
Name of individual signing SCOTT SANDOW
Valid signature Filed with authorized/valid electronic signature
THE ACCUMULATOR 401(K) PLAN 2013 262093764 2014-06-03 KELLER MEDICAL INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 339110
Sponsor’s telephone number 7722199993
Plan sponsor’s address 1239 SE INDIAN STREET, SUITE 112, STUART, FL, 34997

Plan administrator’s name and address

Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES, LLC
Plan administrator’s address 209 SOUTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401

Signature of

Role Plan administrator
Date 2014-06-03
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-03
Name of individual signing SCOTT SANDOW
Valid signature Filed with authorized/valid electronic signature
THE ACCUMULATOR 401(K) PLAN 2012 262093764 2013-07-09 KELLER MEDICAL INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-05-01
Business code 339110
Sponsor’s telephone number 7722199993
Plan sponsor’s address 1239 SE INDIAN STREET, SUITE 112, STUART, FL, 34997

Plan administrator’s name and address

Administrator’s EIN 451739578
Plan administrator’s name TPS ANCILLARY SERVICES, LLC
Plan administrator’s address 209 SOUTH OLIVE AVENUE, WEST PALM BEACH, FL, 33401

Signature of

Role Plan administrator
Date 2013-07-09
Name of individual signing MELANIE WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-09
Name of individual signing SCOTT SANDOW
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATE CREATIONS NETWORK INC. Agent

President

Name Role Address
Reents, Scott T President 1 N Waukegan Road, North Chicago, IL 60064

Director

Name Role Address
Reents, Scott T Director 1 N Waukegan Road, North Chicago, IL 60064
Bristow, Lindsey M. Director 1 N Waukegan Road, North Chicago, IL 60064

Vice President

Name Role Address
Bristow, Lindsey M. Vice President 1 N Waukegan Road, North Chicago, IL 60064

Treasurer

Name Role Address
Purdue, David R Treasurer 1 N Waukegan Road, North Chicago, IL 60064

Asst. Secretary

Name Role Address
Corbin, Johanna M Asst. Secretary 1 N Waukegan Road, North Chicago, IL 60064
Weith, Emily Asst. Secretary 1 N Waukegan Road, North Chicago, IL 60064

Asst. Treasurer

Name Role Address
Klintworth, Wayne Asst. Treasurer 1 N Waukegan Road, North Chicago, IL 60064

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-05-01 Corporate Creations Network Inc, No data
REGISTERED AGENT ADDRESS CHANGED 2023-05-01 801 US Highway 1, North Palm Beach, FL 33408 No data
CHANGE OF MAILING ADDRESS 2022-04-28 1 N WAUKEGAN ROAD, NORTH CHICAGO, IL 60064 No data
CHANGE OF PRINCIPAL ADDRESS 2021-09-03 1 N WAUKEGAN ROAD, NORTH CHICAGO, IL 60064 No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-28
Reg. Agent Change 2021-08-27
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-04-01
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-05-01
AMENDED ANNUAL REPORT 2017-08-02
Reg. Agent Change 2017-08-01

Date of last update: 25 Jan 2025

Sources: Florida Department of State