| Entity Name: | SOUTHEAST FORMWORK CONSTRUCTION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jul 2012 (13 years ago) |
| Document Number: | L12000090765 |
| FEI/EIN Number | 46-0559965 |
| Address: | 901 Nortpoint Parkway, Suitr 103, WEST PALM BEACH, FL, 33407, US |
| Mail Address: | 8470 Belvedere Road, WEST PALM BEACH, FL, 33411, US |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHEAST FORMWORK CONSTRUCTION LLC MEDICAL PLAN | 2016 | 460559965 | 2017-07-26 | SOUTHEAST FORMWORK CONSTRUCTION LLC | 261 | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 460559965 |
| Plan administrator’s name | SOUTHEAST FORMWORK CONSTRUCTION LLC |
| Plan administrator’s address | 901 NORTHPOINT PKWY STE 103, WEST PALM BEACH, FL, 334071941 |
| Administrator’s telephone number | 5612232756 |
Number of participants as of the end of the plan year
| Active participants | 125 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-26 |
| Name of individual signing | KELLY HECKER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WHITESIDE CLARENCE L | Agent | 901 Northpoint Pkwy, WEST PALM BEACH, FL, 33407 |
| Name | Role | Address |
|---|---|---|
| WHITESIDE CLARENCE L | Managing Member | 3281 PERIMETER DRIVE, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| WHITESIDE CLARENCE L | President | 3281 PERIMETER DRIVE, LAKE WORTH, FL, 24382 |
| Name | Role | Address |
|---|---|---|
| WHITESIDE STACY K | Vice President | 700 W. PINE STREET, WYTHEVILLE, VA, 24382 |
| Name | Role | Address |
|---|---|---|
| HECKER KELLY | Secretary | 13858 78TH PLACE NORTH, WEST PALM BEACH, FL, 33411 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000010382 | GREART SOUTHERN ENTERPRISES, LLC | EXPIRED | 2015-01-29 | 2020-12-31 | No data | 766 PIKE ROAD, WEST PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-08 | 901 Nortpoint Parkway, Suitr 103, WEST PALM BEACH, FL 33407 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-12 | 901 Northpoint Pkwy, Suite 103, WEST PALM BEACH, FL 33407 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-29 | 901 Nortpoint Parkway, Suitr 103, WEST PALM BEACH, FL 33407 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-05-02 |
| ANNUAL REPORT | 2021-05-08 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
