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  5. BIOACTIVE NUTRITIONAL, INC.

BIOACTIVE NUTRITIONAL, INC.

Company Details

Entity Name: BIOACTIVE NUTRITIONAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Dec 1986 (38 years ago)
Document Number: J48699
FEI/EIN Number 592746310
Address: 1803 N WICKHAM ROAD, MELBOURNE, FL, 32935, US
Mail Address: 1803 N WICKHAM ROAD, MELBOURNE, FL, 32935, US
ZIP code: 32935
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BIOACTIVE NUTRITIONAL, INC. 401(K) PROFIT SHARING PLAN 2023 592746310 2024-08-14 BIOACTIVE NUTRITIONAL, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 3218483234
Plan sponsor’s address 1803 N WICKHAM ROAD,, SUITE 6, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2024-08-14
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
BIOACTIVE NUTRITIONAL INC 401(K) PROFIT SHARING PLAN & TRUST 2022 592746310 2023-04-04 BIOACTIVE NUTRITIONAL INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 3218483234
Plan sponsor’s address 1803 NORTH WICKHAM ROAD, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2023-04-04
Name of individual signing DANIEL CLARK
Valid signature Filed with authorized/valid electronic signature
BIOACTIVE NUTRITIONAL INC 401(K) PROFIT SHARING PLAN & TRUST 2021 592746310 2022-07-14 BIOACTIVE NUTRITIONAL INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 3218483234
Plan sponsor’s address 1803 NORTH WICKHAM ROAD, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2022-07-14
Name of individual signing DANIEL CLARK
Valid signature Filed with authorized/valid electronic signature
BIOACTIVE NUTRITIONAL INC 401(K) PROFIT SHARING PLAN & TRUST 2020 592746310 2021-07-27 BIOACTIVE NUTRITIONAL INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 3218483234
Plan sponsor’s address 1803 NORTH WICKHAM ROAD, MELBOURNE, FL, 32935

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing DANIEL CLARK
Valid signature Filed with authorized/valid electronic signature
BIOACTIVE NUTRITIONAL INC 401(K) PROFIT SHARING PLAN & TRUST 2019 592746310 2020-08-14 BIOACTIVE NUTRITIONAL INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 3212549525
Plan sponsor’s address 1803 N WICKHAM RD STE 6, MELBOURNE, FL, 329358149

Signature of
Role Plan administrator
Date 2020-08-14
Name of individual signing DANIEL CLARK
Valid signature Filed with authorized/valid electronic signature
BIOACTIVE NUTRITIONAL INC 401 K PROFIT SHARING PLAN TRUST 2018 592746310 2019-07-11 BIOACTIVE NUTRITIONAL INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 3212549525
Plan sponsor’s address 1803 N WICKHAM RD STE 6, MELBOURNE, FL, 329358149

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing DANIEL CLARK
Valid signature Filed with authorized/valid electronic signature
BIOACTIVE NUTRITIONAL INC 401 K PROFIT SHARING PLAN TRUST 2017 592746310 2018-06-08 BIOACTIVE NUTRITIONAL INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 3212549525
Plan sponsor’s address 1803 N WICKHAM RD STE 6, MELBOURNE, FL, 329358149

Signature of
Role Plan administrator
Date 2018-06-08
Name of individual signing DANIEL CLARK JR
Valid signature Filed with authorized/valid electronic signature
BIOACTIVE NUTRITIONAL INC 401 K PROFIT SHARING PLAN TRUST 2016 592746310 2017-07-05 BIOACTIVE NUTRITIONAL INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 3212549525
Plan sponsor’s address 1803 N WICKHAM RD STE 6, MELBOURNE, FL, 329358149

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing DANIEL CLARK
Valid signature Filed with authorized/valid electronic signature
BIOACTIVE NUTRITIONAL INC 401 K PROFIT SHARING PLAN TRUST 2015 592746310 2016-06-17 BIOACTIVE NUTRITIONAL INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 3212549525
Plan sponsor’s address 1803 N WICKHAM RD STE 6, MELBOURNE, FL, 329358149

Signature of
Role Plan administrator
Date 2016-06-17
Name of individual signing DANIEL CLARK JR
Valid signature Filed with authorized/valid electronic signature
BIOACTIVE NUTRITIONAL INC 401 K PROFIT SHARING PLAN TRUST 2014 592746310 2015-07-21 BIOACTIVE NUTRITIONAL INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 3212549525
Plan sponsor’s address 1803 N WICKHAM RD STE 6, MELBOURNE, FL, 329358149

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing DANIEL CLARK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Daniel G Clark, Jr Agent 1803 N WICKHAM ROAD, MELBOURNE, FL, 32935

Treasurer

Name Role Address
SHASHAGUAY CAROLYN C Treasurer 1803 N WICKHAM ROAD, MELBOURNE, FL, 32935

Vice President

Name Role Address
SHASHAGUAY PAUL J Vice President 1803 N WICKHAM ROAD, MELBOURNE, FL, 32935

President

Name Role Address
CLARK DANIEL G President 1803 N WICKHAM ROAD, MELBOURNE, FL, 32935

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1988-10-17 BIOACTIVE NUTRITIONAL, INC. No data

Related by officers

SHASHAGUAY PAUL J

FLORIDA FAMILY EDUCATION CORP.

CLARK DANIEL G

INSIDE OUT HOME REPAIR SW FLORIDA LLC THE VENUS CHRISTIAN YOUTH ASSOCIATION, INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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