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NORTHWEST FLORIDA CLINICAL RESEARCH GROUP, LLC

Company Details

Entity Name: NORTHWEST FLORIDA CLINICAL RESEARCH GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Jul 2007 (18 years ago)
Document Number: L07000076647
FEI/EIN Number 260618333
Address: 400 GULF BREEZE PKWY.,, GULF BREEZE, FL, 32561, US
Mail Address: 400 GULF BREEZE PKWY.,, GULF BREEZE, FL, 32561, US
ZIP code: 32561
County: Santa Rosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NWFL CRG 401(K) PLAN 2022 260618333 2023-10-04 NORTHWEST FLORIDA CLINICAL RESEARCH GROUP, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541700
Sponsor’s telephone number 8509341299
Plan sponsor’s address 400 GULF BREEZE PKWY, SUITE 203, GULF BREEZE, FL, 32561

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing J. BEN RENFROE
Valid signature Filed with authorized/valid electronic signature
NWFL CRG 401(K) PLAN 2021 260618333 2022-07-18 NORTHWEST FLORIDA CLINICAL RESEARCH GROUP, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541700
Sponsor’s telephone number 8509341299
Plan sponsor’s address 400 GULF BREEZE PKWY, SUITE 203, GULF BREEZE, FL, 32561

Signature of

Role Plan administrator
Date 2022-07-18
Name of individual signing J. BEN RENFROE
Valid signature Filed with authorized/valid electronic signature
NWFL CRG 401(K) PLAN 2020 260618333 2021-06-22 NORTHWEST FLORIDA CLINICAL RESEARCH GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541700
Sponsor’s telephone number 8509341299
Plan sponsor’s address 400 GULF BREEZE PKWY, SUITE 203, GULF BREEZE, FL, 32561

Signature of

Role Plan administrator
Date 2021-06-22
Name of individual signing J. BEN RENFROE
Valid signature Filed with authorized/valid electronic signature
NWFL CRG 401(K) PLAN 2019 260618333 2020-09-08 NORTHWEST FLORIDA CLINICAL RESEARCH GROUP, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541700
Sponsor’s telephone number 8509341299
Plan sponsor’s address 400 GULF BREEZE PKWY, SUITE 203, GULF BREEZE, FL, 32561

Signature of

Role Plan administrator
Date 2020-09-08
Name of individual signing J. BEN RENFROE
Valid signature Filed with authorized/valid electronic signature
NWFL CRG 401(K) PLAN 2018 260618333 2019-07-31 NORTHWEST FLORIDA CLINICAL RESEARCH GROUP, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541700
Sponsor’s telephone number 8509341299
Plan sponsor’s address 400 GULF BREEZE PKWY, SUITE 203, GULF BREEZE, FL, 32561

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing J. BEN RENFROE
Valid signature Filed with authorized/valid electronic signature
NWFL CRG 401(K) PLAN 2017 260618333 2019-07-31 NORTHWEST FLORIDA CLINICAL RESEARCH GROUP, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541700
Sponsor’s telephone number 8509341299
Plan sponsor’s address 400 GULF BREEZE PKWY, SUITE 203, GULF BREEZE, FL, 32561

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing J. BEN RENFROE
Valid signature Filed with authorized/valid electronic signature
NWFL CRG 401(K) PLAN 2017 260618333 2018-09-28 NORTHWEST FLORIDA CLINICAL RESEARCH GROUP, LLC 9
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541700
Sponsor’s telephone number 8509341299
Plan sponsor’s address 400 GULF BREEZE PKWY, SUITE 203, GULF BREEZE, FL, 32561

Signature of

Role Plan administrator
Date 2018-09-28
Name of individual signing J. BEN RENFROE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RENFROE JAMES B Agent 224 Northcliff, Gulf Breeze, FL, 32561

Manager

Name Role Address
RENFROE JAMES B Manager 224 Northcliff, GULF BREEZE, FL, 32561
BOUGHER GENEI Manager 400 GULF BREEZE PKWY.,, GULF BREEZE, FL, 32561
Mauney Weldon AIII Manager 1260 Tall Pine Trail, Gulf Breeze, FL, 32561

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-04-21 400 GULF BREEZE PKWY.,, SUITE 203, GULF BREEZE, FL 32561 No data
CHANGE OF MAILING ADDRESS 2016-04-21 400 GULF BREEZE PKWY.,, SUITE 203, GULF BREEZE, FL 32561 No data
REGISTERED AGENT ADDRESS CHANGED 2013-01-15 224 Northcliff, Gulf Breeze, FL 32561 No data

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-31
AMENDED ANNUAL REPORT 2019-05-30
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-02-01
ANNUAL REPORT 2016-03-31

Date of last update: 02 Feb 2025

Sources: Florida Department of State