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FSA, INC.

Company Details

Entity Name: FSA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 28 Dec 1988 (36 years ago)
Date of dissolution: 22 Sep 2000 (24 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2000 (24 years ago)
Document Number: K54115
FEI/EIN Number 59-2935101
Address: 1920 FOUNTAINVIEW, HOUSTON, TX 77057
Mail Address: 1920 FOUNTAINVIEW, HOUSTON, TX 77057
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FSA, INC. 401(K) PLAN 2019 203531553 2020-10-15 FSA, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541310
Sponsor’s telephone number 8137498610
Plan sponsor’s address 7521 PAULA DR., P.O. BOX 261214, TAMPA, FL, 33685
FSA, INC. 401(K) PLAN 2019 203531553 2020-09-14 FSA, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541310
Sponsor’s telephone number 8137498610
Plan sponsor’s address 7521 PAULA DR., P.O. BOX 261214, TAMPA, FL, 33685
FSA, INC. 401(K) PLAN 2018 203531553 2019-06-07 FSA, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541310
Sponsor’s telephone number 8137498610
Plan sponsor’s address 6912 W. LINEBAUGH AVENUE, SUITE 102, TAMPA, FL, 33625

Signature of

Role Plan administrator
Date 2019-06-07
Name of individual signing FRANCISCO SEMSCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-07
Name of individual signing FRANCISCO SEMSCH
Valid signature Filed with authorized/valid electronic signature
FSA, INC. 401(K) PLAN 2017 203531553 2018-07-10 FSA, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541310
Sponsor’s telephone number 8137498610
Plan sponsor’s address 6912 W. LINEBAUGH AVENUE, SUITE 102, TAMPA, FL, 33625

Signature of

Role Plan administrator
Date 2018-07-10
Name of individual signing CARMEN RAMOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-10
Name of individual signing CARMEN RAMOS
Valid signature Filed with authorized/valid electronic signature
FSA, INC. 401(K) PLAN 2016 203531553 2017-04-05 FSA, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541310
Sponsor’s telephone number 8137498610
Plan sponsor’s address 6912 W. LINEBAUGH AVENUE, SUITE 102, TAMPA, FL, 33625

Signature of

Role Plan administrator
Date 2017-04-05
Name of individual signing FRANCISCO SEMSCH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-05
Name of individual signing FRANCISCO SEMSCH
Valid signature Filed with authorized/valid electronic signature
FSA, INC. 401(K) PLAN 2015 203531553 2016-05-10 FSA, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541310
Sponsor’s telephone number 8137498610
Plan sponsor’s address 6912 W. LINEBAUGH AVENUE, SUITE 102, TAMPA, FL, 33625

Signature of

Role Plan administrator
Date 2016-05-10
Name of individual signing NELSON NEWTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-10
Name of individual signing NELSON NEWTON
Valid signature Filed with authorized/valid electronic signature
FSA, INC. 401(K) PLAN 2014 203531553 2015-05-14 FSA, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541310
Sponsor’s telephone number 8137498610
Plan sponsor’s address 6912 W. LINEBAUGH AVENUE, SUITE 102, TAMPA, FL, 33625

Signature of

Role Plan administrator
Date 2015-05-14
Name of individual signing NELSON NEWTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-14
Name of individual signing NELSON NEWTON
Valid signature Filed with authorized/valid electronic signature
FSA, INC. 401(K) PLAN 2013 203531553 2014-05-29 FSA, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541310
Sponsor’s telephone number 8137498610
Plan sponsor’s address 6912 W. LINEBAUGH AVENUE, SUITE 102, TAMPA, FL, 33625

Signature of

Role Plan administrator
Date 2014-05-28
Name of individual signing NELSON NEWTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-28
Name of individual signing NELSON NEWTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NICHOLAS, GEORGE Agent 160 EAST LEMON ST., TARPON SPRINGS, FL

Vice President

Name Role Address
ENGEL, ROBERT W Vice President 1920 FOUNTAINVIEW, HOUSTON, TX

Treasurer

Name Role Address
ENGEL, ROBERT W Treasurer 1920 FOUNTAINVIEW, HOUSTON, TX

President

Name Role Address
RIZK, SYLVIA R. President 1920 FOUNTAINVIEW, HOUSTON, TX

Secretary

Name Role Address
THOMPSON, LOIS Secretary 1920 FOUNTAINVIEW, HOUSTON, TX

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 1995-04-20 1920 FOUNTAINVIEW, HOUSTON, TX 77057 No data
CHANGE OF MAILING ADDRESS 1995-04-20 1920 FOUNTAINVIEW, HOUSTON, TX 77057 No data

Documents

Name Date
ANNUAL REPORT 1999-03-14
ANNUAL REPORT 1998-03-25
ANNUAL REPORT 1997-05-02
ANNUAL REPORT 1996-04-26
ANNUAL REPORT 1995-04-20

Date of last update: 03 Feb 2025

Sources: Florida Department of State