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  5. CEMENT TILE SHOP LLC

CEMENT TILE SHOP LLC

Company Details

Entity Name: CEMENT TILE SHOP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Aug 2012 (12 years ago)
Document Number: L12000102893
FEI/EIN Number 46-0767922
Address: 6506 N. Florida Ave., Suite 102, Tampa, FL, 33604, US
Mail Address: 6506 N. Florida Ave., Suite 102, Tampa, FL, 33604, US
ZIP code: 33604
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CEMENT TILE SHOP, LLC CASH BALANCE PLAN & TRUST 2023 460767922 2024-06-03 CEMENT TILE SHOP LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 453990
Sponsor’s telephone number 8007042701
Plan sponsor’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604

Plan administrator’s name and address
Administrator’s EIN 460767922
Plan administrator’s name CEMENT TILE SHOP, LLC
Plan administrator’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604
Administrator’s telephone number 8007042701
CEMENT TILE SHOP, LLC CASH BALANCE PLAN & TRUST 2023 460767922 2024-09-11 CEMENT TILE SHOP LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 453990
Sponsor’s telephone number 8007042701
Plan sponsor’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604

Plan administrator’s name and address
Administrator’s EIN 460767922
Plan administrator’s name CEMENT TILE SHOP, LLC
Plan administrator’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604
Administrator’s telephone number 8007042701
CEMENT TILE SHOP, LLC 401(K) PLAN 2023 460767922 2024-08-29 CEMENT TILE SHOP LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 453990
Sponsor’s telephone number 8007042701
Plan sponsor’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604

Plan administrator’s name and address
Administrator’s EIN 460767922
Plan administrator’s name CEMENT TILE SHOP LLC
Plan administrator’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604
Administrator’s telephone number 8007042701

Signature of
Role Plan administrator
Date 2024-08-29
Name of individual signing HOPE GERVAIS
Valid signature Filed with authorized/valid electronic signature
CEMENT TILE SHOP, LLC CASH BALANCE PLAN & TRUST 2022 460767922 2023-09-19 CEMENT TILE SHOP LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 453990
Sponsor’s telephone number 8007042701
Plan sponsor’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604

Plan administrator’s name and address
Administrator’s EIN 460767922
Plan administrator’s name CEMENT TILE SHOP, LLC
Plan administrator’s address 6506 N. FLORIDA AVE., SUITE 1026506, TAMPA, FL, 33604
Administrator’s telephone number 8007042701
CEMENT TILE SHOP, LLC CASH BALANCE PLAN & TRUST 2022 460767922 2023-09-08 CEMENT TILE SHOP LLC 6
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 453990
Sponsor’s telephone number 8007042701
Plan sponsor’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604

Plan administrator’s name and address
Administrator’s EIN 460767922
Plan administrator’s name CEMENT TILE SHOP, LLC
Plan administrator’s address 6506 N. FLORIDA AVE., SUITE 1026506, TAMPA, FL, 33604
Administrator’s telephone number 8007042701
CEMENT TILE SHOP, LLC 401(K) PLAN 2022 460767922 2023-09-19 CEMENT TILE SHOP LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 453990
Sponsor’s telephone number 8007042701
Plan sponsor’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604

Plan administrator’s name and address
Administrator’s EIN 460767922
Plan administrator’s name CEMENT TILE SHOP LLC
Plan administrator’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604
Administrator’s telephone number 8007042701
CEMENT TILE SHOP, LLC 401(K) PLAN 2021 460767922 2022-10-14 CEMENT TILE SHOP LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 453990
Sponsor’s telephone number 8007042701
Plan sponsor’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604

Plan administrator’s name and address
Administrator’s EIN 460767922
Plan administrator’s name CEMENT TILE SHOP LLC
Plan administrator’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604
Administrator’s telephone number 8007042701
CEMENT TILE SHOP, LLC CASH BALANCE PLAN & TRUST 2021 460767922 2022-10-14 CEMENT TILE SHOP LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 453990
Sponsor’s telephone number 8007042701
Plan sponsor’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604

Plan administrator’s name and address
Administrator’s EIN 460767922
Plan administrator’s name CEMENT TILE SHOP, LLC
Plan administrator’s address 6506 N. FLORIDA AVE., SUITE 1026506, TAMPA, FL, 33604
Administrator’s telephone number 8007042701
CEMENT TILE SHOP, LLC CASH BALANCE PLAN & TRUST 2020 460767922 2021-10-01 CEMENT TILE SHOP LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 453990
Sponsor’s telephone number 8007042701
Plan sponsor’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604

Plan administrator’s name and address
Administrator’s EIN 460767922
Plan administrator’s name CEMENT TILE SHOP, LLC
Plan administrator’s address 6506 N. FLORIDA AVE., SUITE 1026506, TAMPA, FL, 33604
Administrator’s telephone number 8007042701
CEMENT TILE SHOP, LLC 401(K) PLAN 2020 460767922 2021-10-05 CEMENT TILE SHOP LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 453990
Sponsor’s telephone number 8007042701
Plan sponsor’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604

Plan administrator’s name and address
Administrator’s EIN 460767922
Plan administrator’s name CEMENT TILE SHOP LLC
Plan administrator’s address 6506 N. FLORIDA AVE., SUITE 102, TAMPA, FL, 33604
Administrator’s telephone number 8007042701

Agent

Name Role Address
CLAMP JENNIFER M Agent 6506 N. Florida Ave., Tampa, FL, 33604

Managing Member

Name Role Address
CLAMP JENNIFER M Managing Member 6506 N. Florida Ave., Tampa, FL, 33604
CLAMP CHRISTOPHER G Managing Member 6506 N. Florida Ave., Tampa, FL, 33604

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-01-03 6506 N. Florida Ave., Suite 102, Tampa, FL 33604 No data
CHANGE OF MAILING ADDRESS 2017-01-03 6506 N. Florida Ave., Suite 102, Tampa, FL 33604 No data
REGISTERED AGENT ADDRESS CHANGED 2017-01-03 6506 N. Florida Ave., Suite 102, Tampa, FL 33604 No data

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-01-03
ANNUAL REPORT 2016-02-02

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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