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  5. THE FLORIDA PSYCHOLOGICAL ASSOCIATION, INC.

THE FLORIDA PSYCHOLOGICAL ASSOCIATION, INC.

Company Details

Entity Name: THE FLORIDA PSYCHOLOGICAL ASSOCIATION, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 12 Feb 1985 (40 years ago)
Document Number: N07591
FEI/EIN Number 237017357
Address: 661 E. Jefferson St, TALLAHASSEE, FL, 32301, US
Mail Address: PO Box 7416, Tallahassee, FL, 32314-7416, US
ZIP code: 32301
County: Leon
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA PSYCHOLOGICAL ASSOCIATION 401(K) PLAN 2016 237017357 2017-10-09 FLORIDA PSYCHOLOGICAL ASSOCIATION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 8506562222
Plan sponsor’s address 408 OFFICE PLAZA DRIVE, TALLAHASSEE, FL, 32301

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
FLORIDA PSYCHOLOGICAL ASSOCIATION 401(K) PLAN 2015 237017357 2016-09-01 FLORIDA PSYCHOLOGICAL ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 8506562222
Plan sponsor’s address 408 OFFICE PLAZA DRIVE, TALLAHASSEE, FL, 32301
FLORIDA PSYCHOLOGICAL ASSOCIATION 401(K) PLAN 2014 237017357 2015-10-07 FLORIDA PSYCHOLOGICAL ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 8506562222
Plan sponsor’s address 408 OFFICE PLAZA DRIVE, TALLAHASSEE, FL, 32301
FLORIDA PSYCHOLOGICAL ASSOCIATION 401(K) PLAN 2013 237017357 2014-09-24 FLORIDA PSYCHOLOGICAL ASSOCIATION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 8506562222
Plan sponsor’s address 408 OFFICE PLAZA DRIVE, TALLAHASSEE, FL, 32301

Signature of
Role Plan administrator
Date 2014-09-24
Name of individual signing CHEVAL BREGGINS
Valid signature Filed with authorized/valid electronic signature
FLORIDA PSYCHOLOGICAL ASSOCIATION 401(K) PLAN 2012 237017357 2013-10-07 FLORIDA PSYCHOLOGICAL ASSOCIATION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 8506562222
Plan sponsor’s address 408 OFFICE PLAZA DRIVE, TALLAHASSEE, FL, 32301

Signature of
Role Plan administrator
Date 2013-10-07
Name of individual signing CONNIE GALIETTI
Valid signature Filed with authorized/valid electronic signature
FLORIDA PSYCHOLOGICAL ASSOCIATION 401(K) PLAN 2011 237017357 2012-06-18 FLORIDA PSYCHOLOGICAL ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 8506562222
Plan sponsor’s address 408 OFFICE PLAZA DRIVE, TALLAHASSEE, FL, 32301

Plan administrator’s name and address
Administrator’s EIN 237017357
Plan administrator’s name FLORIDA PSYCHOLOGICAL ASSOCIATION
Plan administrator’s address 408 OFFICE PLAZA DRIVE, TALLAHASSEE, FL, 32301
Administrator’s telephone number 8506562222

Signature of
Role Plan administrator
Date 2012-06-18
Name of individual signing CONNIE GALIETTI
Valid signature Filed with authorized/valid electronic signature
FLORIDA PSYCHOLOGICAL ASSOCIATION 401(K) PLAN 2010 237017357 2011-10-08 FLORIDA PSYCHOLOGICAL ASSOCIATION 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 8506562222
Plan sponsor’s address 408 OFFICE PLAZA DRIVE, TALLAHASSEE, FL, 32301

Plan administrator’s name and address
Administrator’s EIN 237017357
Plan administrator’s name FLORIDA PSYCHOLOGICAL ASSOCIATION
Plan administrator’s address 408 OFFICE PLAZA DRIVE, TALLAHASSEE, FL, 32301
Administrator’s telephone number 8506562222

Signature of
Role Plan administrator
Date 2011-10-08
Name of individual signing CONNIE GALIETTI
Valid signature Filed with authorized/valid electronic signature
FLORIDA PSYCHOLOGICAL ASSOCIATION 401(K) PLAN 2009 237017357 2010-09-29 FLORIDA PSYCHOLOGICAL ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 8506562222
Plan sponsor’s address 408 OFFICE PLAZA DRIVE, TALLAHASSEE, FL, 32301

Plan administrator’s name and address
Administrator’s EIN 237017357
Plan administrator’s name FLORIDA PSYCHOLOGICAL ASSOCIATION
Plan administrator’s address 408 OFFICE PLAZA DRIVE, TALLAHASSEE, FL, 32301
Administrator’s telephone number 8506562222

Signature of
Role Plan administrator
Date 2010-09-28
Name of individual signing CONNIE GALIETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-28
Name of individual signing CONNIE GALIETTI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
THE FLORIDA PSYCHOLOGICAL ASSOCIATION, INC. Agent

Pastor

Name Role Address
FABRIKANT CRAIG Pastor PO Box 7416, Tallahassee, FL, 323147416

Treasurer

Name Role Address
KATZ HOLLY Treasurer PO Box 7416, Tallahassee, FL, 323147416

President

Name Role Address
HOWELL GARY President PO Box 7416, Tallahassee, FL, 323147416

Chairman

Name Role Address
CAMPBELL LIZ Chairman PO Box 7416, Tallahassee, FL, 323147416

Executive

Name Role Address
FOOTE DEBORAH L Executive PO Box 7416, Tallahassee, FL, 323147416

Secretary

Name Role Address
Hyde Kevin Secretary PO Box 7416, Tallahassee, FL, 323147416

Events

Event Type Filed Date Value Description
REINSTATEMENT 2017-01-31 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REINSTATEMENT 2015-10-13 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
AMENDMENT 1985-03-19 No data No data

Related by officers

KATZ HOLLY

PICTURE THIS PLAQUE, INC.

HOWELL GARY

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FOOTE DEBORAH L

PSYCHEALTH FLORIDA, INC.

Hyde Kevin

JACKSONVILLE PUBLIC EDUCATION FUND, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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