| Entity Name: | BLACK DOG TIRE SERVICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Dec 2018 (6 years ago) |
| Document Number: | L18000282044 |
| FEI/EIN Number | 83-2910620 |
| Address: | 15127 US Highway 19, Hudson, FL, 34667, US |
| Mail Address: | P.O. Box 7180, Hudson, FL, 34674, US |
| ZIP code: | 34667 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLACK DOG TIRE SERVICE LLC 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 832910620 | 2024-05-06 | BLACK DOG TIRE SERVICE LLC | 8 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-06 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 8138504322 |
| Plan sponsor’s address | 8308 NEW YORK AVE, HUDSON, FL, 34667 |
Plan administrator’s name and address
| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-07 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 8138504322 |
| Plan sponsor’s address | 8308 NEW YORK AVE, HUDSON, FL, 34667 |
Plan administrator’s name and address
| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s address | 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-14 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KROVICH TARA A | Agent | 15127 US Highway 19, Hudson, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| KROVICH ERIC M | Manager | 15127 US Highway 19, Hudson, FL, 34667 |
| KROVICH TARA A | Manager | 15127 US Highway 19, Hudson, FL, 34667 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-13 | 15127 US Highway 19, Hudson, FL 34667 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-13 | KROVICH, TARA A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-13 | 15127 US Highway 19, Hudson, FL 34667 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-22 | 15127 US Highway 19, Hudson, FL 34667 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-22 |
| ANNUAL REPORT | 2019-02-07 |
| Florida Limited Liability | 2018-12-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
