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  5. 12001 BELCHER RD LLC

12001 BELCHER RD LLC

Company Details

Entity Name: 12001 BELCHER RD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Sep 2015 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Oct 2016 (8 years ago)
Document Number: L15000163119
FEI/EIN Number 47-5167954
Address: 12001 BELCHER ROAD SOUTH, LARGO, FL, 33771, US
Mail Address: P.O. BOX 546, HIGHLAND PARK, IL, 60035, US
ZIP code: 33771
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
12001 BELCHER RD 401(K) PLAN 2023 475167954 2024-07-03 12001 BELCHER RD LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 531110
Sponsor’s telephone number 7275305471
Plan sponsor’s address 12001 BELCHER RD S, LARGO, FL, 33773

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-07-02
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
12001 BELCHER RD 401(K) PLAN 2022 475167954 2023-05-27 12001 BELCHER RD LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 531110
Sponsor’s telephone number 7275305471
Plan sponsor’s address 12001 BELCHER RD S, LARGO, FL, 33773

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
12001 BELCHER RD 401(K) PLAN 2021 475167954 2022-05-19 12001 BELCHER RD LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 531110
Sponsor’s telephone number 7275305471
Plan sponsor’s address 12001 BELCHER RD S, LARGO, FL, 33773

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
12001 BELCHER RD 401(K) PLAN 2020 475167954 2021-07-16 12001 BELCHER RD LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 531110
Sponsor’s telephone number 7275305471
Plan sponsor’s address 12001 BELCHER RD S, LARGO, FL, 33773

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
12001 BELCHER RD 401(K) PLAN 2019 475167954 2020-05-12 12001 BELCHER RD LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 531110
Sponsor’s telephone number 7275305471
Plan sponsor’s address 12001 BELCHER RD S, LARGO, FL, 33773

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-05-12
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Harbuck Cassi Agent 12001 Belcher Rd S, Largo, FL, 33773

Manager

Name Role Address
HIRSH DOUGLAS Manager 12001 BELCHER ROAD SOUTH, LARGO, FL, 33771
HIRSH JILL Manager 12001 BELCHER ROAD SOUTH, LARGO, FL, 33771

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000051671 HARBOUR CAY ACTIVE 2016-05-24 2026-12-31 No data PO BOX 546, HIGHLAND PARK, IL, 60035

Events

Event Type Filed Date Value Description
REINSTATEMENT 2016-10-17 No data No data
REGISTERED AGENT NAME CHANGED 2016-10-17 Harbuck, Cassi No data
REGISTERED AGENT ADDRESS CHANGED 2016-10-17 12001 Belcher Rd S, Largo, FL 33773 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
REINSTATEMENT 2016-10-17
Florida Limited Liability 2015-09-24

Related by officers

HIRSH DOUGLAS

555 BELCHER RD LLC 2000 GANDY BLVD LLC 1763 MAIN STREET LLC PALOMAR PROPERTIES LLC 2065 N. HIGHLAND AVENUE LLC 11300 66TH STREET NORTH LLC 701 E BAY DR LLC 6701 BRYAN DAIRY ROAD LLC 9790 HAMLIN BLVD LLC

Harbuck Cassi

555 BELCHER RD LLC 2000 GANDY BLVD LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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