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FIVE STAR FORT LAUDERDALE, LLC

Company Details

Entity Name: FIVE STAR FORT LAUDERDALE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Mar 2006 (19 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 11 Mar 2015 (10 years ago)
Document Number: L06000030293
FEI/EIN Number 861164343
Address: 1640 W Oakland Park Blvd, 202, Oakland Park, FL, 33311, US
Mail Address: 1640 W Oakland Park Blvd, 202, Oakland Park, FL, 33311, US
ZIP code: 33311
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIVE STAR FORT LAUDERDALE, LLC 401(K) PROFIT SHARING PLAN AND T 2023 861164343 2024-07-03 FIVE STAR FORT LAUDERDALE, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 3217011362
Plan sponsor’s address 744 NORTH DR STE A, MELBOURNE, FL, 32934

Signature of

Role Plan administrator
Date 2024-07-03
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
FIVE STAR FORT LAUDERDALE, LLC 401(K) PROFIT SHARING PLAN AND T 2022 861164343 2023-08-28 FIVE STAR FORT LAUDERDALE, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 3217011362
Plan sponsor’s address 1640 W OAKLAND PARK BLVD #202, FORT LAUDERDALE, FL, 33311

Signature of

Role Plan administrator
Date 2023-08-28
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
FIVE STAR FORT LAUDERDALE LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 861164343 2021-06-03 FIVE STAR FORT LAUDERDALE LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541330
Sponsor’s telephone number 9542630660
Plan sponsor’s address 1640 W. OAKLAND PARK BLVD #202, FORT LAUDERDALE, FL, 33311

Signature of

Role Plan administrator
Date 2021-06-03
Name of individual signing ANDREA WENTWORTH
Valid signature Filed with authorized/valid electronic signature
FIVE STAR FORT LAUDERDALE LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 861164343 2020-07-08 FIVE STAR FORT LAUDERDALE LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541330
Sponsor’s telephone number 9542630660
Plan sponsor’s address 1640 W. OAKLAND PARK BLVD #202, FORT LAUDERDALE, FL, 33311

Signature of

Role Plan administrator
Date 2020-07-08
Name of individual signing ANDREA WENTWORTH
Valid signature Filed with authorized/valid electronic signature
FIVE STAR FORT LAUDERDALE LLC 401 K PROFIT SHARING PLAN TRUST 2018 861164343 2019-06-03 FIVE STAR FORT LAUDERDALE LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541330
Sponsor’s telephone number 9542630660
Plan sponsor’s address 1640 W. OAKLAND PARK BLVD #202, FORT LAUDERDALE, FL, 33311

Signature of

Role Plan administrator
Date 2019-06-03
Name of individual signing ANDREA WENTWORTH
Valid signature Filed with authorized/valid electronic signature
FIVE STAR FORT LAUDERDALE LLC 401 K PROFIT SHARING PLAN TRUST 2017 861164343 2018-06-12 FIVE STAR FORT LAUDERDALE LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541330
Sponsor’s telephone number 9542630660
Plan sponsor’s address 1640 W. OAKLAND PARK BLVD #202, FORT LAUDERDALE, FL, 33311

Signature of

Role Plan administrator
Date 2018-06-12
Name of individual signing ANDREA WENTWORTH
Valid signature Filed with authorized/valid electronic signature
FIVE STAR FORT LAUDERDALE LLC 401 K PROFIT SHARING PLAN TRUST 2016 861164343 2017-07-11 FIVE STAR FORT LAUDERDALE LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541330
Sponsor’s telephone number 9542630660
Plan sponsor’s address 1640 W. OAKLAND PARK BLVD #202, FORT LAUDERDALE, FL, 33311

Signature of

Role Plan administrator
Date 2017-07-11
Name of individual signing ANDREA WENTWORTH
Valid signature Filed with authorized/valid electronic signature
FIVE STAR FORT LAUDERDALE LLC 401 K PROFIT SHARING PLAN TRUST 2015 861164343 2016-07-20 FIVE STAR FORT LAUDERDALE LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541330
Sponsor’s telephone number 9542630660
Plan sponsor’s address 1640 W. OAKLAND PARK BLVD #202, FORT LAUDERDALE, FL, 33311

Signature of

Role Plan administrator
Date 2016-07-20
Name of individual signing ANDREA WENTWORTH
Valid signature Filed with authorized/valid electronic signature
FIVE STAR FORT LAUDERDALE LLC 401 K PROFIT SHARING PLAN TRUST 2014 861164343 2015-06-17 FIVE STAR FORT LAUDERDALE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541330
Sponsor’s telephone number 9542630660
Plan sponsor’s address 1640 W. OAKLAND PARK BLVD #202, FORT LAUDERDALE, FL, 33311

Signature of

Role Plan administrator
Date 2015-06-17
Name of individual signing ANDREA WENTWORTH
Valid signature Filed with authorized/valid electronic signature
FIVE STAR FORT LAUDERDALE LLC 401 K PROFIT SHARING PLAN TRUST 2013 861164343 2014-06-12 FIVE STAR FORT LAUDERDALE, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541330
Sponsor’s telephone number 9542630660
Plan sponsor’s address 1640 W. OAKLAND PARK BLVD #202, FORT LAUDERDALE, FL, 33311

Signature of

Role Plan administrator
Date 2014-06-12
Name of individual signing ANDREA WENTWORTH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Kossow Kenneth DEsq. Agent 1325 Diplomat Parkway, Hollywood, FL, 33019

Managing Member

Name Role Address
Macomber Brian A Managing Member 20 N Waterview Drive, Palm Coast, FL, 32137
Bogaert Nigel A Managing Member 14808 Deaton Alley, Orlando, FL, 32827

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000013160 FIVE STAR CLAIMS ADJUSTING ACTIVE 2021-01-27 2026-12-31 No data 1640 W OAKLAND PARK BLVD, SUITE#202, OAKLAND PARK, FL, 33311
G15000025180 FIVE STAR CLAIMS ADJUSTING EXPIRED 2015-03-10 2020-12-31 No data 1640 W OAKLAND PARK BLVD #202, OAKLAND PARK, FL, 33311
G09000165447 FIVE STAR CLAIMS ADJUSTING EXPIRED 2009-10-15 2014-12-31 No data 1640 W. OAKLAND PARK BOULEVARD, SUITE 201, OAKLAND PARK, FL, 33311

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-09-14 1640 W Oakland Park Blvd, 202, Oakland Park, FL 33311 No data
CHANGE OF MAILING ADDRESS 2023-09-14 1640 W Oakland Park Blvd, 202, Oakland Park, FL 33311 No data
REGISTERED AGENT ADDRESS CHANGED 2023-09-13 1325 Diplomat Parkway, Hollywood, FL 33019 No data
REGISTERED AGENT NAME CHANGED 2023-09-13 Kossow, Kenneth D, Esq. No data
LC STMNT OF RA/RO CHG 2015-03-11 No data No data
LC NAME CHANGE 2009-09-17 FIVE STAR FORT LAUDERDALE, LLC No data
LC AMENDMENT 2009-01-05 No data No data
LC AMENDMENT 2008-06-27 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-19
ANNUAL REPORT 2024-02-12
AMENDED ANNUAL REPORT 2023-09-14
AMENDED ANNUAL REPORT 2023-09-13
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-04-14
ANNUAL REPORT 2019-02-05
ANNUAL REPORT 2018-03-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State