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BOWSTERN, LLC

Company Details

Entity Name: BOWSTERN, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 May 2010 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 14 Nov 2022 (2 years ago)
Document Number: L10000054034
FEI/EIN Number 272633875
Address: 2001 Thomasville Rd, TALLAHASSEE, FL, 32308, US
Mail Address: 3122 Mahan Dr, STE 801-327, TALLAHASSEE, FL, 32308, US
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOWSTERN, LLC 401(K) PLAN 2023 272633875 2024-09-24 BOWSTERN, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-19
Business code 541910
Sponsor’s telephone number 8889121110
Plan sponsor’s address 3122 MAHAN DRIVE STE #801-327, TALLAHASSEE, FL, 32308

Signature of

Role Plan administrator
Date 2024-09-24
Name of individual signing KELLY ROBERTSON
Valid signature Filed with authorized/valid electronic signature
BOWSTERN, LLC 401(K) PLAN 2023 272633875 2024-05-29 BOWSTERN, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-19
Business code 541910
Sponsor’s telephone number 8889121110
Plan sponsor’s address 3122 MAHAN DRIVE STE #801-327, TALLAHASSEE, FL, 32308

Signature of

Role Plan administrator
Date 2024-05-29
Name of individual signing KELLY ROBERTSON
Valid signature Filed with authorized/valid electronic signature
BOWSTERN, LLC 401(K) PLAN 2022 272633875 2023-06-23 BOWSTERN, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-19
Business code 541800
Plan sponsor’s address 3122 MAHAN DRIVE, STE #801-327, TALLAHASSEE, FL, 32308

Signature of

Role Plan administrator
Date 2023-06-23
Name of individual signing KELLY ROBERTSON
Valid signature Filed with authorized/valid electronic signature
BOWSTERN, LLC 401(K) PLAN 2021 272633875 2022-07-15 BOWSTERN, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-19
Business code 541800
Sponsor’s telephone number 8889121110
Plan sponsor’s address 3122 MAHAN DRIVE STE #801-327, TALLAHASSEE, FL, 32308

Signature of

Role Plan administrator
Date 2022-07-15
Name of individual signing KELLY ROBERTSON
Valid signature Filed with authorized/valid electronic signature
BOWSTERN, LLC 401(K) PLAN 2020 272633875 2021-06-28 BOWSTERN, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-19
Business code 541800
Plan sponsor’s address 1650 SUMMIT LAKE DR, STE 101, TALLAHASSEE, FL, 32317

Signature of

Role Plan administrator
Date 2021-06-28
Name of individual signing KELLY ROBERTSON
Valid signature Filed with authorized/valid electronic signature
BOWSTERN, LLC 401(K) PLAN 2019 272633875 2020-07-10 BOWSTERN, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-19
Business code 541800
Plan sponsor’s address 1650 SUMMIT LAKE DR, STE 101, TALLAHASSEE, FL, 32317

Signature of

Role Plan administrator
Date 2020-07-10
Name of individual signing KELLY ROBERTSON
Valid signature Filed with authorized/valid electronic signature
BOWSTERN, LLC 401(K) PLAN 2018 272633875 2019-07-25 BOWSTERN, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-19
Business code 541800
Plan sponsor’s address 1650 SUMMIT LAKE DR, STE 101, TALLAHASSEE, FL, 32317

Signature of

Role Plan administrator
Date 2019-07-25
Name of individual signing KELLY ROBERTSON
Valid signature Filed with authorized/valid electronic signature
BOWSTERN, LLC 401(K) PLAN 2018 272633875 2019-07-23 BOWSTERN, LLC 32
Three-digit plan number (PN) 001
Effective date of plan 2016-10-19
Business code 541800
Sponsor’s telephone number 8889121110
Plan sponsor’s address 1650 SUMMIT LAKE DR STE 101, TALLAHASSEE, FL, 323177937

Signature of

Role Employer/plan sponsor
Date 2019-07-23
Name of individual signing KELLY ROBERTSON
Valid signature Filed with authorized/valid electronic signature
BOWSTERN, LLC 401(K) PLAN 2017 272633875 2018-07-20 BOWSTERN, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-19
Business code 541800
Plan sponsor’s address 1650 SUMMIT LAKE DR, STE 101, TALLAHASSEE, FL, 32317

Signature of

Role Plan administrator
Date 2018-07-20
Name of individual signing KELLY ROBERTSON
Valid signature Filed with authorized/valid electronic signature
BOWSTERN 401K PLAN 2016 272633875 2017-05-02 BOWSTERN 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541800
Sponsor’s telephone number 8505979894
Plan sponsor’s address 1650 SUMMIT LAKE DR, STE 101, TALLAHASSEE, FL, 32317

Signature of

Role Plan administrator
Date 2017-05-02
Name of individual signing KELLY ROBERTSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RIVERS E. DYLAN Agent 123 SOUTH CALHOUN STREET, TALLAHASSEE, FL, 323011517

Manager

Name Role Address
ROBERTSON KELLY D Manager 3122 MAHAN DR, TALLAHASSEE, FL, 32308
DERZYPOLSKI TOM Manager 3122 Mahan Dr, TALLAHASSEE, FL, 32308
Derzypolski Stephanie Manager 3122 Mahan Dr, TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-12-18 2001 Thomasville Rd, TALLAHASSEE, FL 32308 No data
LC AMENDMENT 2022-11-14 No data No data
CHANGE OF MAILING ADDRESS 2021-01-13 2001 Thomasville Rd, TALLAHASSEE, FL 32308 No data

Documents

Name Date
ANNUAL REPORT 2024-01-22
AMENDED ANNUAL REPORT 2023-12-18
ANNUAL REPORT 2023-01-23
LC Amendment 2022-11-14
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-01-10

Date of last update: 02 Feb 2025

Sources: Florida Department of State