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  5. AI COLLABORATIVE, INC.

AI COLLABORATIVE, INC.

Company Details

Entity Name: AI COLLABORATIVE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 07 Aug 1990 (35 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 27 Apr 2007 (18 years ago)
Document Number: L91670
FEI/EIN Number 59-3036039
Address: 1907 E 7TH AVENUE, TAMPA, FL 33605
Mail Address: 1907 E 7TH AVENUE, TAMPA, FL 33605
ZIP code: 33605
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AI COLLABORATIVE, INC. 401(K) RETIREMENT PLAN 2023 593036039 2024-09-06 AI COLLABORATIVE, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541310
Sponsor’s telephone number 8132473332
Plan sponsor’s address 1907 E. 7TH AVENUE, TAMPA, FL, 33605
AI COLLABORATIVE, INC. 401(K) RETIREMENT PLAN 2022 593036039 2023-10-13 AI COLLABORATIVE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541310
Sponsor’s telephone number 8132473332
Plan sponsor’s address 1907 E. 7TH AVENUE, TAMPA, FL, 33605
AI COLLABORATIVE, INC. 401(K) RETIREMENT PLAN 2021 593036039 2022-09-29 AI COLLABORATIVE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541310
Sponsor’s telephone number 8132473332
Plan sponsor’s address 1907 E. 7TH AVENUE, TAMPA, FL, 33605
AI COLLABORATIVE, INC. 401(K) RETIREMENT PLAN 2020 593036039 2021-08-25 AI COLLABORATIVE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541310
Sponsor’s telephone number 8132473332
Plan sponsor’s address 1907 E. 7TH AVENUE, TAMPA, FL, 33605
AI COLLABORATIVE, INC. 401(K) RETIREMENT PLAN 2019 593036039 2020-07-16 AI COLLABORATIVE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541310
Sponsor’s telephone number 8132473332
Plan sponsor’s address 1907 E. 7TH AVENUE, TAMPA, FL, 33605
AI COLLABORATIVE, INC. 401(K) RETIREMENT PLAN 2018 593036039 2019-08-30 AI COLLABORATIVE, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541310
Sponsor’s telephone number 8132473332
Plan sponsor’s address 1907 E. 7TH AVENUE, TAMPA, FL, 33605
AI COLLABORATIVE, INC. 401(K) RETIREMENT PLAN 2017 593036039 2018-07-03 AI COLLABORATIVE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541310
Sponsor’s telephone number 8132473332
Plan sponsor’s address 1907 E. 7TH AVENUE, TAMPA, FL, 33605
AI COLLABORATIVE, INC. 401(K) RETIREMENT PLAN 2016 593036039 2017-09-14 AI COLLABORATIVE, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541310
Sponsor’s telephone number 8132473332
Plan sponsor’s address 1907 E. 7TH AVENUE, TAMPA, FL, 33605

Signature of
Role Plan administrator
Date 2017-09-14
Name of individual signing MICHAEL M. PUCKETT
Valid signature Filed with authorized/valid electronic signature
AI COLLABORATIVE, INC. 401(K) RETIREMENT PLAN 2015 593036039 2016-06-30 AI COLLABORATIVE, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541310
Sponsor’s telephone number 8132473332
Plan sponsor’s address 1907 E. 7TH AVENUE, TAMPA, FL, 33605

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing LEIGH M. YOUNG
Valid signature Filed with authorized/valid electronic signature
AI COLLABORATIVE 401(K) RETIREMENT PLAN 2014 593036039 2015-08-18 AI COLLABORATIVE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541310
Sponsor’s telephone number 8132473332
Plan sponsor’s address 1907 E. 7TH AVENUE, TAMPA, FL, 33605

Signature of
Role Plan administrator
Date 2015-08-18
Name of individual signing LEIGH M. YOUNG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PUCKETT, MICHAEL M, PRESIDENT Agent 1907 E 7TH AVENUE, TAMPA, FL 33605

PRINCIPAL

Name Role Address
PUCKETT, MICHAEL M PRINCIPAL 1907 E 7TH AVENUE, TAMPA, FL 33605
MATSON, ANDREW T PRINCIPAL 1907 E 7TH AVENUE, TAMPA, FL 33605

President

Name Role Address
PUCKETT, MICHAEL M President 1907 E 7TH AVENUE, TAMPA, FL 33605

Vice President

Name Role Address
MATSON, ANDREW T Vice President 1907 E 7TH AVENUE, TAMPA, FL 33605

Secretary

Name Role Address
MATSON, ANDREW T Secretary 1907 E 7TH AVENUE, TAMPA, FL 33605

Treasurer

Name Role Address
MATSON, ANDREW T Treasurer 1907 E 7TH AVENUE, TAMPA, FL 33605

Principal

Name Role Address
Bell, Ashley Principal 1907 E 7TH AVENUE, TAMPA, FL 33605
Cuevas, Denisse Principal 1907 E 7TH AVENUE, TAMPA, FL 33605
Sainz de la Pena, Camila Principal 1907 E 7TH AVENUE, TAMPA, FL 33605

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000127116 AIC ARCHITECTURE ACTIVE 2019-12-02 2029-12-31 No data 1907 E 7TH AVENUE, 1907 E. 7TH AVENUE, TAMPA, FL, 33605

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-07 PUCKETT, MICHAEL M, PRESIDENT No data
CHANGE OF PRINCIPAL ADDRESS 2015-01-20 1907 E 7TH AVENUE, TAMPA, FL 33605 No data
CHANGE OF MAILING ADDRESS 2015-01-20 1907 E 7TH AVENUE, TAMPA, FL 33605 No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-20 1907 E 7TH AVENUE, TAMPA, FL 33605 No data
NAME CHANGE AMENDMENT 2007-04-27 AI COLLABORATIVE, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-02-23
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-31
ANNUAL REPORT 2016-02-15
ANNUAL REPORT 2015-01-20

Related by officers

PUCKETT, MICHAEL M

4851 W GANDY BLVD CANAL 5, LLC 4851 W GANDY BLVD PELICAN 5, 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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