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FORREST D. HAYES, P.A.

Company Details

Entity Name: FORREST D. HAYES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 27 Apr 1990 (35 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 21 May 1990 (35 years ago)
Document Number: L69346
FEI/EIN Number 65-0191576
Address: 2625 NATURES WAY, PALM BEACH GARDENS, FL 33410
Mail Address: 2625 NATURES WAY, PALM BEACH GARDENS, FL 33410
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST 2017 650191576 2018-03-15 FORREST D. HAYES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 5616275163
Plan sponsor’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 334104400
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST 2016 650191576 2017-03-27 FORREST D. HAYES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 5616275163
Plan sponsor’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 334104400
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST 2015 650191576 2016-06-20 FORREST D. HAYES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 5616275163
Plan sponsor’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 334104400
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST 2014 650191576 2015-06-29 FORREST D. HAYES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 5616275163
Plan sponsor’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST 2013 650191576 2014-06-24 FORREST D. HAYES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 5616275163
Plan sponsor’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST 2012 650191576 2013-04-25 FORREST D. HAYES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 5616275163
Plan sponsor’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410

Signature of

Role Plan administrator
Date 2013-04-25
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST 2011 650191576 2012-07-11 FORREST D. HAYES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 5616275163
Plan sponsor’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address

Administrator’s EIN 650191576
Plan administrator’s name FORREST D. HAYES, P.A.
Plan administrator’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
Administrator’s telephone number 5616275163

Signature of

Role Plan administrator
Date 2012-07-11
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST 2010 650191576 2011-06-24 FORREST D. HAYES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 5616275163
Plan sponsor’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address

Administrator’s EIN 650191576
Plan administrator’s name FORREST D. HAYES, P.A.
Plan administrator’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
Administrator’s telephone number 5616275163

Signature of

Role Plan administrator
Date 2011-06-24
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST 2010 650191576 2011-06-24 FORREST D. HAYES, P.A. 3
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 5616275163
Plan sponsor’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address

Administrator’s EIN 650191576
Plan administrator’s name FORREST D. HAYES, P.A.
Plan administrator’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
Administrator’s telephone number 5616275163

Signature of

Role Plan administrator
Date 2011-06-24
Name of individual signing BARBARA PITALUGA
Valid signature Filed with authorized/valid electronic signature
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST 2009 650191576 2010-06-17 FORREST D. HAYES, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 5616275163
Plan sponsor’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410

Plan administrator’s name and address

Administrator’s EIN 650191576
Plan administrator’s name FORREST D. HAYES, P.A.
Plan administrator’s address 2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
Administrator’s telephone number 5616275163

Signature of

Role Plan administrator
Date 2010-06-17
Name of individual signing FORREST DANIEL HAYES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HAYES, FORREST D Agent 2625 NATURES WAY, PALM BEACH GARDENS, FL 33410

Director

Name Role Address
HAYES, FORREST D Director 2625 NATURES WAY, PALM BEACH GARDENS, FL 33410

Vice President

Name Role Address
Hayes, JoAnn R Vice President 2625 NATURES WAY, PALM BEACH GARDENS, FL 33410

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2002-04-11 2625 NATURES WAY, PALM BEACH GARDENS, FL 33410 No data
CHANGE OF MAILING ADDRESS 2002-04-11 2625 NATURES WAY, PALM BEACH GARDENS, FL 33410 No data
REGISTERED AGENT ADDRESS CHANGED 2002-04-11 2625 NATURES WAY, PALM BEACH GARDENS, FL 33410 No data
REGISTERED AGENT NAME CHANGED 1998-03-30 HAYES, FORREST D No data
NAME CHANGE AMENDMENT 1990-05-21 FORREST D. HAYES, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-01
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-05
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-13

Date of last update: 03 Feb 2025

Sources: Florida Department of State