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  5. NEWBERRY CLINIC, P.A.

NEWBERRY CLINIC, P.A.

Company Details

Entity Name: NEWBERRY CLINIC, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 08 Mar 1982 (43 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 08 Feb 2001 (24 years ago)
Document Number: F69966
FEI/EIN Number 59-2183602
Address: 1619 6TH STREET SE., WINTER HAVEN, FL 33880
Mail Address: 1619 6TH STREET SE., WINTER HAVEN, FL 33880
ZIP code: 33880
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEWBERRY CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2012 592183602 2013-10-09 NEWBERRY CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8632933863
Plan sponsor’s mailing address 1619 6TH STREET, SE, WINTER HAVEN, FL, 33880
Plan sponsor’s address 1619 6TH STREET, SE, WINTER HAVEN, FL, 33880

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

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing GARY NEWBERRY
Valid signature Filed with authorized/valid electronic signature
NEWBERRY CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2011 592183602 2012-10-11 NEWBERRY CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8632933863
Plan sponsor’s mailing address 1619 6TH STREET, SE, WINTER HAVEN, FL, 33880
Plan sponsor’s address 1619 6TH STREET, SE, WINTER HAVEN, FL, 33880

Plan administrator’s name and address
Administrator’s EIN 592183602
Plan administrator’s name NEWBERRY CLINIC, P.A.
Plan administrator’s address 1619 6TH STREET, SE, WINTER HAVEN, FL, 33880
Administrator’s telephone number 8632933863

Number of participants as of the end of the plan year
Active participants 11
Number of participants with account balances as of the end of the plan year 8

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing GARY NEWBERRY
Valid signature Filed with authorized/valid electronic signature
NEWBERRY CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2010 592183602 2011-10-06 NEWBERRY CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8632933863
Plan sponsor’s mailing address 1619 6TH STREET, SE, WINTER HAVEN, FL, 33880
Plan sponsor’s address 1619 6TH STREET, SE, WINTER HAVEN, FL, 33880

Plan administrator’s name and address
Administrator’s EIN 592183602
Plan administrator’s name NEWBERRY CLINIC, P.A.
Plan administrator’s address 1619 6TH STREET, SE, WINTER HAVEN, FL, 33880
Administrator’s telephone number 8632933863

Number of participants as of the end of the plan year
Active participants 11
Number of participants with account balances as of the end of the plan year 8

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing GARY NEWBERRY
Valid signature Filed with authorized/valid electronic signature
NEWBERRY CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2009 592183602 2010-10-12 NEWBERRY CLINIC, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8632933893
Plan sponsor’s mailing address 1619 6TH STREET SE, WINTER HAVEN, FL, 33880
Plan sponsor’s address 1619 6TH STREET SE, WINTER HAVEN, FL, 33880

Plan administrator’s name and address
Administrator’s EIN 592183602
Plan administrator’s name NEWBERRY CLINIC, P.A.
Plan administrator’s address 1619 6TH STREET SE, WINTER HAVEN, FL, 33880
Administrator’s telephone number 8632933893

Number of participants as of the end of the plan year
Active participants 9
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 8
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 2010-10-12
Name of individual signing GARY NEWBERRY
Valid signature Filed with authorized/valid electronic signature
NEWBERRY CLINIC, P.A. PROFIT SHARING PLAN & TRUST 2009 592183602 2010-10-11 NEWBERRY CLINIC, P.A. 9
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8632933893
Plan sponsor’s mailing address 1619 6TH STREET SE, WINTER HAVEN, FL, 33880
Plan sponsor’s address 1619 6TH STREET SE, WINTER HAVEN, FL, 33880

Plan administrator’s name and address
Administrator’s EIN 592183602
Plan administrator’s name NEWBERRY CLINIC, P.A.
Plan administrator’s address 1619 6TH STREET SE, WINTER HAVEN, FL, 33880
Administrator’s telephone number 8632933893

Number of participants as of the end of the plan year
Active participants 9
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 8
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 2010-09-16
Name of individual signing GARY NEWBERRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BLANKENSHIP, RANDALL Agent 170 CENTRAL AVE E., WINTER HAVEN, FL 33880

President

Name Role Address
NEWBERRY, GARY W President 1123-Cypress Point W, WINTER HAVEN, FL 33880

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2001-02-08 NEWBERRY CLINIC, P.A. No data
CHANGE OF PRINCIPAL ADDRESS 1989-06-20 1619 6TH STREET SE., WINTER HAVEN, FL 33880 No data
CHANGE OF MAILING ADDRESS 1989-06-20 1619 6TH STREET SE., WINTER HAVEN, FL 33880 No data
REGISTERED AGENT NAME CHANGED 1989-06-20 BLANKENSHIP, RANDALL No data
REGISTERED AGENT ADDRESS CHANGED 1989-06-20 170 CENTRAL AVE E., WINTER HAVEN, FL 33880 No data
NAME CHANGE AMENDMENT 1982-05-19 THE NEWBERRY CLINIC OF CHIROPRACTIC, P.A. No data

Documents

Name Date
ANNUAL REPORT 2025-01-04
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-07-17
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-25
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-02-17

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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