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  5. RANDALL G. BLANKENSHIP, P.A.

RANDALL G. BLANKENSHIP, P.A.

Company Details

Entity Name: RANDALL G. BLANKENSHIP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Jan 1986 (39 years ago)
Document Number: H96937
FEI/EIN Number 592638054
Address: 99 6th Street SW, WINTER HAVEN, FL, 33880, US
Mail Address: 99 6th Street SW, WINTER HAVEN, FL, 33880, US
ZIP code: 33880
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RANDALL G. BLANKENSHIP, P.A. PROFIT SHARING PLAN AND TRUST 2013 592638054 2014-10-10 RANDALL G. BLANKENSHIP, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541110
Sponsor’s telephone number 8632992068
Plan sponsor’s mailing address 170 E. CENTRAL AVE, WINTER HAVEN, FL, 33880
Plan sponsor’s address 170 E. CENTRAL AVE, WINTER HAVEN, FL, 33880

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

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing RANDALL BLANKENSHIP
Valid signature Filed with authorized/valid electronic signature
RANDALL G. BLANKENSHIP, P.A. PROFIT SHARING PLAN & TRUST 2012 592638054 2013-10-11 RANDALL G. BLANKENSHIP, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541110
Sponsor’s telephone number 8632992068
Plan sponsor’s mailing address 170 E. CENTRAL AVE., WINTER HAVEN, FL, 33880
Plan sponsor’s address 170 E. CENTRAL AVE., WINTER HAVEN, FL, 33880

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing RANDALL BLANKENSHIP
Valid signature Filed with authorized/valid electronic signature
RANDALL G. BLANKENSHIP, P.A. PROFIT SHARING PLAN & TRUST 2011 592638054 2012-10-11 RANDALL G. BLANKENSHIP, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541110
Sponsor’s telephone number 8632992068
Plan sponsor’s mailing address 170 E CENTRAL AVENUE EAST, WINTER HAVEN, FL, 33880
Plan sponsor’s address 170 E CENTRAL AVENUE EAST, WINTER HAVEN, FL, 33880

Plan administrator’s name and address
Administrator’s EIN 592638054
Plan administrator’s name RANDALL G. BLANKENSHIP, P.A.
Plan administrator’s address 170 E CENTRAL AVENUE EAST, WINTER HAVEN, FL, 33880
Administrator’s telephone number 8632992068

Number of participants as of the end of the plan year
Active participants 2
Number of participants with account balances as of the end of the plan year 2

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing RANDALL BLANKENSHIP
Valid signature Filed with authorized/valid electronic signature
RANDALL G. BLANKENSHIP, P.A. PROFIT SHARING PLAN & TRUST 2010 592638054 2011-10-12 RANDALL G. BLANKENSHIP. P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541110
Sponsor’s telephone number 8632992068
Plan sponsor’s mailing address 170 CENTRAL AVENUE, EAST, WINTER HAVEN, FL, 33880
Plan sponsor’s address 170 CENTRAL AVENUE, EAST, WINTER HAVEN, FL, 33880

Plan administrator’s name and address
Administrator’s EIN 592638054
Plan administrator’s name RANDALL G. BLANKENSHIP. P.A.
Plan administrator’s address 170 CENTRAL AVENUE, EAST, WINTER HAVEN, FL, 33880
Administrator’s telephone number 8632992068

Number of participants as of the end of the plan year
Active participants 2
Number of participants with account balances as of the end of the plan year 2

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing RANDALL BLANKENSHIP
Valid signature Filed with authorized/valid electronic signature
RANDALL G. BLANKENSHIP, P.A. PROFIT SHARING PLAN & TRUST 2009 592638054 2010-10-13 RANDALL G. BLANKENSHIP, P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541110
Sponsor’s telephone number 8632992068
Plan sponsor’s mailing address 170 CENTRAL AVENUE, EAST, WINTER HAVEN, FL, 33880
Plan sponsor’s address 170 CENTRAL AVENUE, EAST, WINTER HAVEN, FL, 33880

Plan administrator’s name and address
Administrator’s EIN 592638054
Plan administrator’s name RANDALL G. BLANKENSHIP, P.A.
Plan administrator’s address 170 CENTRAL AVENUE, EAST, WINTER HAVEN, FL, 33880
Administrator’s telephone number 8632992068

Number of participants as of the end of the plan year
Active participants 2
Retired or separated participants receiving benefits 2
Number of participants with account balances as of the end of the plan year 2

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing RANDALL BLANKENSHIP
Valid signature Filed with authorized/valid electronic signature
RANDALL G. BLANKENSHIP, P.A. PROFIT SHARING PLAN & TRUST 2009 592638054 2010-10-13 RANDALL G. BLANKENSHIP, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 541110
Sponsor’s telephone number 8632992068
Plan sponsor’s mailing address 170 CENTRAL AVENUE, EAST, WINTER HAVEN, FL, 33880
Plan sponsor’s address 170 CENTRAL AVENUE, EAST, WINTER HAVEN, FL, 33880

Plan administrator’s name and address
Administrator’s EIN 592638054
Plan administrator’s name RANDALL G. BLANKENSHIP, P.A.
Plan administrator’s address 170 CENTRAL AVENUE, EAST, WINTER HAVEN, FL, 33880
Administrator’s telephone number 8632992068

Number of participants as of the end of the plan year
Active participants 2
Retired or separated participants receiving benefits 2
Number of participants with account balances as of the end of the plan year 2

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing RANDALL BLANKENSHIP
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BLANKENSHIP RANDALL G Agent 99 6th Street SW, WINTER HAVEN, FL, 33880

President

Name Role Address
BLANKENSHIP RANDALL G President 99 6th Street SW, WINTER HAVEN, FL, 33880

Secretary

Name Role Address
BLANKENSHIP RANDALL G Secretary 99 6th Street SW, WINTER HAVEN, FL, 33880

Treasurer

Name Role Address
BLANKENSHIP RANDALL G Treasurer 99 6th Street SW, WINTER HAVEN, FL, 33880

Director

Name Role Address
BLANKENSHIP RANDALL G Director 99 6th Street SW, WINTER HAVEN, FL, 33880

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2009-10-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
NAME CHANGE AMENDMENT 1992-06-04 RANDALL G. BLANKENSHIP, P.A. No data
NAME CHANGE AMENDMENT 1990-08-28 BLANKENSHIP & BLANKENSHIP, P.A. No data

Related by officers

BLANKENSHIP RANDALL G

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Related by address

99 6th Street SW, WINTER HAVEN, FL, 33880, US

JESSE J. BENNETT, JR., P.A.

99 6th Street SW, WINTER HAVEN, FL, 33880, US

JESSE J. BENNETT, JR., P.A.

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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