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KELLER MEDICAL, INC. - Florida Company Profile

Company Details

Entity Name: KELLER MEDICAL, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 24 Jun 2009 (16 years ago)
Document Number: F09000002540
FEI/EIN Number 262093764

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1 N WAUKEGAN ROAD, NORTH CHICAGO, IL, 60064, US
Mail Address: 1 N Waukegan Road, Tax Department AP34-3, North Chicago, IL, 60064, US
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

Key Officers & Management

Name Role Address
Reents Scott T President 1 N Waukegan Road, North Chicago, IL, 60064
Bristow Lindsey M Director 1 N Waukegan Road, North Chicago, IL, 60064
Bristow Lindsey M Vice President 1 N Waukegan Road, North Chicago, IL, 60064
Purdue David R Treasurer 1 N Waukegan Road, North Chicago, IL, 60064
Corbin Johanna M Asst 1 N Waukegan Road, North Chicago, IL, 60064
Klintworth Wayne Asst 1 N Waukegan Road, North Chicago, IL, 60064
Weith Emily T Asst 1 N Waukegan Road, North Chicago, IL, 60064
CORPORATE CREATIONS NETWORK INC. Agent -

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-05-01 Corporate Creations Network Inc, -
REGISTERED AGENT ADDRESS CHANGED 2023-05-01 801 US Highway 1, North Palm Beach, FL 33408 -
CHANGE OF MAILING ADDRESS 2022-04-28 1 N WAUKEGAN ROAD, NORTH CHICAGO, IL 60064 -
CHANGE OF PRINCIPAL ADDRESS 2021-09-03 1 N WAUKEGAN ROAD, NORTH CHICAGO, IL 60064 -

Documents

Name Date
ANNUAL REPORT 2025-02-11
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

Date of last update: 01 Apr 2025

Sources: Florida Department of State