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  5. FERNANDINA BEACH ANIMAL CLINIC, INC.

FERNANDINA BEACH ANIMAL CLINIC, INC.

Company Details

Entity Name: FERNANDINA BEACH ANIMAL CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Sep 1988 (36 years ago)
Document Number: M99787
FEI/EIN Number 592908285
Address: 1868 S. 14TH ST., FERNANDINA BEACH, FL, 32034, US
Mail Address: 1844 Highland Drive, FERNANDINA BEACH, FL, 32034, US
ZIP code: 32034
County: Nassau
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FERNANDINA BEACH ANIMAL CLINIC, INC. 401(K) PS 2018 592908285 2019-11-21 FERNANDINA BEACH ANIMAL CLINIC, INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541940
Sponsor’s telephone number 9042774408
Plan sponsor’s address 1868 SOUTH 14TH ST., FERNANDINA BEACH, FL, 32034
FERNANDINA BEACH ANIMAL CLINIC, INC. 401(K) PS PLAN 2018 592908285 2019-08-29 FERNANDINA BEACH ANIMAL CLINIC, INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541940
Sponsor’s telephone number 9042774408
Plan sponsor’s address 1868 SOUTH 14TH ST., FERNANDINA BEACH, FL, 32034
FERNANDINA BEACH ANIMAL CLINIC, INC. 401(K) PS PLAN 2017 592908285 2018-10-09 FERNANDINA BEACH ANIMAL CLINIC, INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541940
Sponsor’s telephone number 9042774408
Plan sponsor’s address 1868 SOUTH 14TH ST., FERNANDINA BEACH, FL, 32034

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing TINA K. O'BRIEN
Valid signature Filed with authorized/valid electronic signature
FERNANDINA BEACH ANIMAL CLINIC, INC. 401(K) PS PLAN 2016 592908285 2017-05-31 FERNANDINA BEACH ANIMAL CLINIC, INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541940
Sponsor’s telephone number 9042774408
Plan sponsor’s address 1868 SOUTH 14TH ST., FERNANDINA BEACH, FL, 32034

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing TINA K. O'BRIEN
Valid signature Filed with authorized/valid electronic signature
FERNANDINA BEACH ANIMAL CLINIC, INC. 401(K) PS PLAN 2015 592908285 2016-07-28 FERNANDINA BEACH ANIMAL CLINIC, INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541940
Sponsor’s telephone number 9042774408
Plan sponsor’s address 1868 SOUTH 14TH ST., FERNANDINA BEACH, FL, 32034

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing TOMMY HORST
Valid signature Filed with authorized/valid electronic signature
FERNANDINA BEACH ANIMAL CLINIC, INC. 401(K) PS PLAN 2014 592908285 2015-10-13 FERNANDINA BEACH ANIMAL CLINIC, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541940
Sponsor’s telephone number 9042774408
Plan sponsor’s address 1868 SOUTH 14TH ST., FERNANDINA BEACH, FL, 32034

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing TOMMY HORST
Valid signature Filed with authorized/valid electronic signature
FERNANDINA BEACH ANIMAL CLINIC, INC. 401(K) PS PLAN 2013 592908285 2014-10-13 FERNANDINA BEACH ANIMAL CLINIC, INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541940
Sponsor’s telephone number 9042774408
Plan sponsor’s address 1868 SOUTH 14TH ST., FERNANDINA BEACH, FL, 32034

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing JAMES M. O'BRIEN
Valid signature Filed with authorized/valid electronic signature
FERNANDINA BEACH ANIMAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2012 592908285 2013-07-17 FERNANDINA BEACH ANIMAL CLINIC, INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541940
Sponsor’s telephone number 9042774408
Plan sponsor’s address 1868 SOUTH 14TH STREET, FERNANDINA BEACH, FL, 32034

Signature of
Role Plan administrator
Date 2013-07-17
Name of individual signing JAMES M. O'BRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-17
Name of individual signing JAMES M. O'BRIEN
Valid signature Filed with authorized/valid electronic signature
FERNANDINA BEACH ANIMAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2011 592908285 2012-07-24 FERNANDINA BEACH ANIMAL CLINIC, INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541940
Sponsor’s telephone number 9042774408
Plan sponsor’s address 1868 SOUTH 14TH STREET, FERNANDINA BEACH, FL, 32034

Plan administrator’s name and address
Administrator’s EIN 592908285
Plan administrator’s name FERNANDINA BEACH ANIMAL CLINIC, INC
Plan administrator’s address 1868 SOUTH 14TH STREET, FERNANDINA BEACH, FL, 32034
Administrator’s telephone number 9042774408

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing JAMES M. O'BRIEN
Valid signature Filed with authorized/valid electronic signature
FERNANDINA BEACH ANIMAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2010 592908285 2011-05-24 FERNANDINA BEACH ANIMAL CLINIC, INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 541940
Sponsor’s telephone number 9042774408
Plan sponsor’s address 1868 SOUTH 14TH STREET, FERNANDINA BEACH, FL, 32034

Plan administrator’s name and address
Administrator’s EIN 592908285
Plan administrator’s name FERNANDINA BEACH ANIMAL CLINIC, INC
Plan administrator’s address 1868 SOUTH 14TH STREET, FERNANDINA BEACH, FL, 32034
Administrator’s telephone number 9042774408

Signature of
Role Plan administrator
Date 2011-05-24
Name of individual signing JAMES M. O'BRIEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
O'Brien James MDr Agent 1868 S. 14TH STREET, FERNANDINA BEACH, FL, 32034

President

Name Role Address
O'BRIEN, JAMES M. President 1844 HIGHLAND DR., FERNANDINA BCH, FL, 32034

Secretary

Name Role Address
O'BRIEN, JAMES M. Secretary 1844 HIGHLAND DR., FERNANDINA BCH, FL, 32034

Treasurer

Name Role Address
O'BRIEN, JAMES M. Treasurer 1844 HIGHLAND DR., FERNANDINA BCH, FL, 32034

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REINSTATEMENT 2016-02-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Related by officers

O'BRIEN, JAMES M.

MALABAR DEVELOPMENT, INC. M. W. HOTDOGS, INC. DRAFT HOUSE I, INC. THE GIFIC CORPORATION GOURMET KITCHEN OF VOLUSIA COUNTY, INC. J.P.C. MANAGEMENT GROUP, INC.

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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