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A. DERRICK, INC.

Company Details

Entity Name: A. DERRICK, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active
Date Filed: 14 Jun 1996 (29 years ago)
Document Number: F96000002977
FEI/EIN Number 581336963
Address: 4920-22 DISTRIBUTION DR., TAMPA, FL, 33605
Mail Address: 4920-22 DISTRIBUTION DR., TAMPA, FL, 33605
ZIP code: 33605
County: Hillsborough
Place of Formation: GEORGIA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A-DERRICK, INC. 401K PLAN 2023 581336963 2024-07-18 A-DERRICK INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 423700
Sponsor’s telephone number 8132424506
Plan sponsor’s address 4920 DISTRIBUTION DR, TAMPA, FL, 336055926

Signature of

Role Plan administrator
Date 2024-07-18
Name of individual signing JOE LANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-18
Name of individual signing JOE LANE
Valid signature Filed with authorized/valid electronic signature
A-DERRICK, INC. 401K PLAN 2022 581336963 2023-08-01 A-DERRICK INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 423700
Sponsor’s telephone number 8132424506
Plan sponsor’s address 4920 DISTRIBUTION DR, TAMPA, FL, 336055926

Signature of

Role Plan administrator
Date 2023-08-01
Name of individual signing JOE LANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-01
Name of individual signing JOE LANE
Valid signature Filed with authorized/valid electronic signature
A-DERRICK INC 401K PLAN 2021 581336963 2022-04-29 A-DERRICK INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 423700
Sponsor’s telephone number 8132424506
Plan sponsor’s address 4920 DISTRIBUTION DR, TAMPA, FL, 336055926

Signature of

Role Plan administrator
Date 2022-04-29
Name of individual signing JOSEPH LANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-29
Name of individual signing JOSEPH LANE
Valid signature Filed with authorized/valid electronic signature
A-DERRICK INC 401K PLAN 2020 581336963 2022-03-22 A-DERRICK INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 423700
Sponsor’s telephone number 8132424506
Plan sponsor’s address 4920 DISTRIBUTION DR, TAMPA, FL, 336055926

Signature of

Role Plan administrator
Date 2022-03-22
Name of individual signing JOSEPH LANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-22
Name of individual signing JOSEPH LANE
Valid signature Filed with authorized/valid electronic signature
A-DERRICK INC 401K PLAN 2019 581336963 2020-09-17 A-DERRICK INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 423700
Sponsor’s telephone number 8132424506
Plan sponsor’s address 4920 DISTRIBUTION DR, TAMPA, FL, 336055926

Signature of

Role Plan administrator
Date 2020-09-17
Name of individual signing JOSEPH LANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-17
Name of individual signing JOSEPH LANE
Valid signature Filed with authorized/valid electronic signature
A-DERRICK INC 401K PLAN 2018 581336963 2019-08-07 A-DERRICK INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 423700
Sponsor’s telephone number 8132424506
Plan sponsor’s address 4920 DISTRIBUTION DR, TAMPA, FL, 336055926

Signature of

Role Plan administrator
Date 2019-08-07
Name of individual signing BRENDA LANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-07
Name of individual signing BRENDA LANE
Valid signature Filed with authorized/valid electronic signature
A-DERRICK INC 401K PLAN 2017 581336963 2018-07-25 A-DERRICK INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 423700
Sponsor’s telephone number 8132424506
Plan sponsor’s address 4920 DISTRIBUTION DR, TAMPA, FL, 336055926

Signature of

Role Plan administrator
Date 2018-07-25
Name of individual signing BRENDA LANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-25
Name of individual signing BRENDA LANE
Valid signature Filed with authorized/valid electronic signature
A-DERRICK INC 401K PLAN 2016 581336963 2017-03-13 A-DERRICK INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 423700
Sponsor’s telephone number 8132424506
Plan sponsor’s address 4920 DISTRIBUTION DR, TAMPA, FL, 336055926

Signature of

Role Plan administrator
Date 2017-03-13
Name of individual signing BRENDA LANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-13
Name of individual signing BRENDA LANE
Valid signature Filed with authorized/valid electronic signature
A-DERRICK INC 401K PLAN 2015 581336963 2016-05-19 A-DERRICK INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 423700
Sponsor’s telephone number 8132424506
Plan sponsor’s address 4920 DISTRIBUTION DR, TAMPA, FL, 336055926

Signature of

Role Plan administrator
Date 2016-05-19
Name of individual signing BRENDA LANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-19
Name of individual signing BRENDA LANE
Valid signature Filed with authorized/valid electronic signature
A-DERRICK INC 401K PLAN 2014 581336963 2015-08-04 A-DERRICK INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 423700
Sponsor’s telephone number 8132424506
Plan sponsor’s address 4920 DISTRIBUTION DR, TAMPA, FL, 336055926

Signature of

Role Plan administrator
Date 2015-08-04
Name of individual signing BRENDA LANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-04
Name of individual signing BRENDA LANE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Lane Joseph SSr. Agent TAMPA DISTRIBUTING CENTER, PHASE I, TAMPA, FL, 33605

President

Name Role Address
Joseph Lane SSr. President 1807 Broadleaf Ct, Trinity, FL, 34655

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-01-26 Lane, Joseph Scott, Sr. No data
CHANGE OF PRINCIPAL ADDRESS 2005-01-07 4920-22 DISTRIBUTION DR., TAMPA, FL 33605 No data
CHANGE OF MAILING ADDRESS 2005-01-07 4920-22 DISTRIBUTION DR., TAMPA, FL 33605 No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State