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  5. CLOVER CLUB WORLDWIDE LLC

CLOVER CLUB WORLDWIDE LLC

Company Details

Entity Name: CLOVER CLUB WORLDWIDE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Jan 2019 (6 years ago)
Document Number: L19000018025
FEI/EIN Number 32-0588752
Address: 708 NE 2nd Avenue, Fort Lauderdale, FL, 33304, US
Mail Address: 708 NE 2nd Avenue, Fort Lauderdale, FL, 33304, US
ZIP code: 33304
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLOVER CLUB WORLDWIDE LLC 401K PLAN 2023 320588752 2024-07-23 CLOVER CLUB WORLDWIDE LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 713900
Sponsor’s telephone number 9548568301
Plan sponsor’s address 708 E. 2ND AVENUE, FORT LAUDERDALE, FL, 33304

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2024-07-23
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
CLOVER CLUB WORLDWIDE LLC 401K PLAN 2022 320588752 2023-07-20 CLOVER CLUB WORLDWIDE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 713900
Sponsor’s telephone number 9548568301
Plan sponsor’s address 708 E. 2ND AVENUE, FORT LAUDERDALE, FL, 33304

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
CLOVER CLUB WORLDWIDE LLC 401K PLAN 2021 320588752 2022-07-15 CLOVER CLUB WORLDWIDE LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 713900
Sponsor’s telephone number 9548568301
Plan sponsor’s address 708 E. 2ND AVENUE, FORT LAUDERDALE, FL, 33304

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
CLOVER CLUB WORLDWIDE LLC 401K PLAN 2020 320588752 2021-10-11 CLOVER CLUB WORLDWIDE LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 713900
Sponsor’s telephone number 9548568301
Plan sponsor’s address 708 E. 2ND AVENUE, FORT LAUDERDALE, FL, 33304

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing PHIL TISUE
Valid signature Filed with authorized/valid electronic signature
CLOVER CLUB WORLDWIDE LLC 401K PLAN 2020 320588752 2021-10-07 CLOVER CLUB WORLDWIDE LLC 1
Three-digit plan number (PN) 001
Effective date of plan 2020-08-01
Business code 713900
Sponsor’s telephone number 9548568301
Plan sponsor’s address 708 E. 2ND AVENUE, FORT LAUDERDALE, FL, 33304

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing TRACY AMBOS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Barnhart Valerie Esq. Agent Barnhart Law Firm, Davie, FL, 33330

Authorized Member

Name Role Address
PURE POISON LLC Authorized Member 251 LITTLE FALLS DRIVE, WILMINGTON, DE, 19808
PURE GOOD KARMA LLC Authorized Member 251 LITTLE FALLS DRIVE, WILMINGTON, DE, 19808
HAVERCAMP INDUSTRIES LLC Authorized Member 251 LITTLE FALLS DRIVE, WILMINGTON, DE, 19808

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000123398 LOOP 19 EXPIRED 2019-11-18 2024-12-31 No data 708 NE 2ND AVENUE, FORT LAUDERDALE, FL, 33304

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-03-26 Barnhart Law Firm, 12555 Orange Drive, Second Floor, Davie, FL 33330 No data
CHANGE OF PRINCIPAL ADDRESS 2020-03-19 708 NE 2nd Avenue, Fort Lauderdale, FL 33304 No data
CHANGE OF MAILING ADDRESS 2020-03-19 708 NE 2nd Avenue, Fort Lauderdale, FL 33304 No data
REGISTERED AGENT NAME CHANGED 2020-02-23 Barnhart, Valerie, Esq. No data

Documents

Name Date
ANNUAL REPORT 2024-04-13
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-03-26
ANNUAL REPORT 2021-01-18
AMENDED ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2020-02-23
Florida Limited Liability 2019-01-16

Related by officers

Barnhart Valerie Esq.

DIYENO CONSULTING GROUP LLC GREEN HARMONY COUNSELING, PLLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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