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  5. BOLLENBACK & FORRET, P. A.

BOLLENBACK & FORRET, P. A. - Florida Company Profile

Company Details

Entity Name: BOLLENBACK & FORRET, P. A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BOLLENBACK & FORRET, P. A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
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: 11 Dec 1981 (43 years ago)
Document Number: F58075
FEI/EIN Number 592134908

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1000 PINELLAS STREET, CLEARWATER, FL, 33756, US
Mail Address: 1000 PINELLAS STREET, CLEARWATER, FL, 33756, US
ZIP code: 33756
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOLLENBACK & FORRET, PA 401(K) RETIREMENT PLAN 2023 592134908 2024-06-17 BOLLENBACK & FORRET, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 541211
Sponsor’s telephone number 7274465858
Plan sponsor’s address 1000 PINELLAS STREET, CLEARWATER, FL, 337563433
BOLLENBACK & FORRET, PA 401(K) RETIREMENT PLAN 2022 592134908 2023-10-16 BOLLENBACK & FORRET, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 541211
Sponsor’s telephone number 7274465858
Plan sponsor’s address 1000 PINELLAS STREET, CLEARWATER, FL, 337563433

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing SUZANNE PATRICK
Valid signature Filed with authorized/valid electronic signature
BOLLENBACK & FORRET, PA 401(K) RETIREMENT PLAN 2021 592134908 2022-09-09 BOLLENBACK & FORRET, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 541211
Sponsor’s telephone number 7274465858
Plan sponsor’s address 1000 PINELLAS STREET, CLEARWATER, FL, 337563433

Signature of
Role Plan administrator
Date 2022-08-12
Name of individual signing SUZANNE PATRICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-12
Name of individual signing SUZANNE PATRICK
Valid signature Filed with authorized/valid electronic signature
BOLLENBACK & FORRET, PA 401(K) RETIREMENT PLAN 2020 592134908 2021-06-23 BOLLENBACK & FORRET, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 541211
Sponsor’s telephone number 7274465858
Plan sponsor’s address 1000 PINELLAS STREET, CLEARWATER, FL, 337563433

Signature of
Role Plan administrator
Date 2021-06-23
Name of individual signing MICHAEL D. BOLLENBACK
Valid signature Filed with authorized/valid electronic signature
BOLLENBACK & FORRET, P.A. 401(K) RETIREMENT PLAN 2019 592134908 2020-09-03 BOLLENBACK & FORRET, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 541211
Sponsor’s telephone number 7274465858
Plan sponsor’s address 1000 PINELLAS STREET, CLEARWATER, FL, 337563433

Signature of
Role Plan administrator
Date 2020-09-03
Name of individual signing MICHAEL D. BOLLENBACK
Valid signature Filed with authorized/valid electronic signature
BOLLENBACK & FORRET, P.A. 401(K) RETIREMENT PLAN 2018 592134908 2019-07-12 BOLLENBACK & FORRET, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 541211
Sponsor’s telephone number 7274465858
Plan sponsor’s address 1000 PINELLAS STREET, CLEARWATER, FL, 337563433

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing MICHAEL D. BOLLENBACK
Valid signature Filed with authorized/valid electronic signature
BOLLENBACK & FORRET, P.A. 401(K) RETIREMENT PLAN 2017 592134908 2018-09-29 BOLLENBACK & FORRET, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 541211
Sponsor’s telephone number 7274465858
Plan sponsor’s address 1000 PINELLAS STREET, CLEARWATER, FL, 337563433

Signature of
Role Plan administrator
Date 2018-09-29
Name of individual signing MICHAEL D. BOLLENBACK
Valid signature Filed with authorized/valid electronic signature
BOLLENBACK & FORRET, P.A. 401(K) RETIREMENT PLAN 2016 592134908 2017-07-19 BOLLENBACK & FORRET, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 541211
Sponsor’s telephone number 7274465858
Plan sponsor’s address 1000 PINELLAS STREET, CLEARWATER, FL, 337563433

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing MICHAEL D. BOLLENBACK
Valid signature Filed with authorized/valid electronic signature
BOLLENBACK & FORRET, P.A. 401(K) RETIREMENT PLAN 2015 592134908 2016-06-09 BOLLENBACK & FORRET, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 541211
Sponsor’s telephone number 7274465858
Plan sponsor’s address 1000 PINELLAS STREET, CLEARWATER, FL, 337563433

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing MICHAEL D. BOLLENBACK
Valid signature Filed with authorized/valid electronic signature
BOLLENBACK & FORRET, P.A. 401(K) RETIREMENT PLAN 2014 592134908 2015-06-08 BOLLENBACK & FORRET, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 541211
Sponsor’s telephone number 7274465858
Plan sponsor’s address 1000 PINELLAS STREET, CLEARWATER, FL, 337563433

Signature of
Role Plan administrator
Date 2015-06-08
Name of individual signing MICHAEL D. BOLLENBACK
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
PATRICK SUZANNE E President 1000 PINELLAS STREET, CLEARWATER, FL, 33756
BUSCHART RICHARD G Vice President 1000 PINELLAS STREET, CLEARWATER, FL, 33756
PATRICK SUZANNE E Agent 1000 PINELLAS STREET, CLEARWATER, FL, 33756

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-07-07 PATRICK, SUZANNE E -
REGISTERED AGENT ADDRESS CHANGED 2001-01-22 1000 PINELLAS STREET, CLEARWATER, FL 33756 -
CHANGE OF PRINCIPAL ADDRESS 1999-02-21 1000 PINELLAS STREET, CLEARWATER, FL 33756 -
CHANGE OF MAILING ADDRESS 1999-02-21 1000 PINELLAS STREET, CLEARWATER, FL 33756 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-19
AMENDED ANNUAL REPORT 2022-07-07
ANNUAL REPORT 2022-01-11
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-01-07
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-01-20
ANNUAL REPORT 2016-01-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4095637202 2020-04-27 0455 PPP 1000 PINELLAS ST, CLEARWATER, FL, 33756
Loan Status Date 2021-07-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 264035
Loan Approval Amount (current) 264035
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123987
Servicing Lender Name Cogent Bank
Servicing Lender Address 420 S Orange Ave, Ste 150, ORLANDO, FL, 32801
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address CLEARWATER, PINELLAS, FL, 33756-0001
Project Congressional District FL-13
Number of Employees 18
NAICS code 541211
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 123987
Originating Lender Name Cogent Bank
Originating Lender Address ORLANDO, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 267012.73
Forgiveness Paid Date 2021-06-15

Companies related by officers

PATRICK SUZANNE E

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Florida Limited Liability Co. (2011 - 2013)
MAR TECK INDUSTRIES, INC. - Inactive
Domestic Profit (1984 - 1995)
MAR TECK INDUSTRIES, INC. - Inactive
Domestic Profit (1984 - 1995)
MAR TECK INDUSTRIES, INC. - Inactive
Domestic Profit (1984 - 1995)
LEADERSHIP PINELLAS FOUNDATION, INC. - Inactive
Domestic Non-Profit (2003 - 2009)

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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