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MOD-SOURCE LLC

Company Details

Entity Name: MOD-SOURCE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Mar 2017 (8 years ago)
Document Number: L17000072740
FEI/EIN Number 82-1151642
Address: 7578 PRESIDENTS DRIVE, SUITE B, ORLANDO, FL, 32809
Mail Address: 7578 PRESIDENTS DRIVE, SUITE B, ORLANDO, FL, 32809
ZIP code: 32809
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOD-SOURCE 401(K) PROFIT SHARING PLAN 2023 821151642 2024-10-03 MOD-SOURCE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 332110
Sponsor’s telephone number 4073199421
Plan sponsor’s address 7578 PRESIDENTS DR., ORLANDO, FL, 32809

Signature of

Role Plan administrator
Date 2024-10-03
Name of individual signing STACEY HADDON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-03
Name of individual signing STACEY HADDON
Valid signature Filed with authorized/valid electronic signature
MOD-SOURCE 401(K) PROFIT SHARING PLAN 2022 821151642 2023-05-22 MOD-SOURCE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 332110
Sponsor’s telephone number 4073199421
Plan sponsor’s address 7578 PRESIDENTS DR., ORLANDO, FL, 32809

Signature of

Role Plan administrator
Date 2023-05-22
Name of individual signing STACEY HADDON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-22
Name of individual signing STACEY HADDON
Valid signature Filed with authorized/valid electronic signature
MOD-SOURCE 401(K) PROFIT SHARING PLAN 2021 821151642 2022-10-06 MOD-SOURCE, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 332110
Sponsor’s telephone number 4073199421
Plan sponsor’s address 7578 PRESIDENTS DR., ORLANDO, FL, 32809

Signature of

Role Plan administrator
Date 2022-10-06
Name of individual signing STACEY HADDON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-06
Name of individual signing STACEY HADDON
Valid signature Filed with authorized/valid electronic signature
MOD-SOURCE 401(K) PROFIT SHARING PLAN 2020 821151642 2021-09-20 MOD-SOURCE, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 332110
Sponsor’s telephone number 4073199421
Plan sponsor’s address 7578 PRESIDENTS DR., ORLANDO, FL, 32809

Signature of

Role Plan administrator
Date 2021-09-20
Name of individual signing STACEY HADDON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-20
Name of individual signing STACEY HADDON
Valid signature Filed with authorized/valid electronic signature
MOD-SOURCE 401(K) PROFIT SHARING PLAN 2019 821151642 2020-09-24 MOD-SOURCE, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 332110
Sponsor’s telephone number 4073199421
Plan sponsor’s address 7578 PRESIDENTS DR., ORLANDO, FL, 32809

Signature of

Role Plan administrator
Date 2020-09-24
Name of individual signing STACEY B HADDON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-24
Name of individual signing STACEY B HADDON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BLACKBURN GERALD L Agent 1422 BRISTOL PARK PLACE, HEATHROW, FL, 32746

Manager

Name Role Address
BLACKBURN GERALD L Manager 1422 BRISTOL PARK PLACE, HEATHROW, FL, 32746

Documents

Name Date
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-01-09
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-15
Florida Limited Liability 2017-03-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State