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  5. TENTH CIRCUIT PUBLIC GUARDIAN, INC.

TENTH CIRCUIT PUBLIC GUARDIAN, INC.

Company Details

Entity Name: TENTH CIRCUIT PUBLIC GUARDIAN, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 09 Dec 2008 (16 years ago)
Last Event: AMENDMENT
Event Date Filed: 07 Oct 2022 (2 years ago)
Document Number: N08000011081
FEI/EIN Number 900413256
Address: 131 Fifth Street NW, WINTER HAVEN, FL, 33881, US
Mail Address: POST OFFICE BOX 1150, WINTER HAVEN, FL, 33882, US
ZIP code: 33881
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TENTH CIRCUIT PUBLIC GUARDIAN 401(K) PROFIT SHARING PLAN 2023 900413256 2024-08-19 TENTH CIRCUIT PUBLIC GUARDIAN, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541190
Sponsor’s telephone number 8638755401
Plan sponsor’s address P.O. BOX 1150, WINTER HAVEN, FL, 33882

Signature of
Role Plan administrator
Date 2024-08-19
Name of individual signing PEGGY DEVIVO
Valid signature Filed with authorized/valid electronic signature
TENTH CIRCUIT PUBLIC GUARDIAN 401(K) PROFIT SHARING PLAN 2022 900413256 2023-10-16 TENTH CIRCUIT PUBLIC GUARDIAN, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541190
Sponsor’s telephone number 8638755401
Plan sponsor’s address P.O. BOX 1150, WINTER HAVEN, FL, 33882

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing PEGGY DEVIVO
Valid signature Filed with authorized/valid electronic signature
TENTH CIRCUIT PUBLIC GUARDIAN 401(K) PROFIT SHARING PLAN 2021 900413256 2023-08-29 TENTH CIRCUIT PUBLIC GUARDIAN, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541190
Sponsor’s telephone number 8638755401
Plan sponsor’s address P.O. BOX 1150, WINTER HAVEN, FL, 33882

Signature of
Role Plan administrator
Date 2023-08-29
Name of individual signing PEGGY DEVIVO
Valid signature Filed with authorized/valid electronic signature
TENTH CIRCUIT PUBLIC GUARDIAN 401(K) PROFIT SHARING PLAN 2020 900413256 2021-10-13 TENTH CIRCUIT PUBLIC GUARDIAN, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541190
Sponsor’s telephone number 8638755401
Plan sponsor’s address P.O. BOX 1150, WINTER HAVEN, FL, 33882

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing PEGGY DEVIVO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DEVIVO PEGGY L Agent 131 Fifth Street NW, WINTER HAVEN, FL, 33881

Vice President

Name Role Address
BUTCHER SHANNAH Vice President 131 Fifth Street NW, Winter Haven, FL, 33881

Director

Name Role Address
Dantzler Brad Director 141 Fifth Street NW, Winter Haven, FL, 33881
Campbell Kevin Director 1014 South Florida Avenue, Lakeland, FL, 33803
ALBAUM KEVIN Director 500 South Florida Avenue, Suite 800, Lakeland, FL, 33801
Herrington Barbara Director 127 Avenue C SE, Winter Haven, FL, 33880

President

Name Role Address
DEVIVO PEGGY President 131 FIFTH STREET NW, WINTER HAVEN, FL, 33881

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000007633 OSCEOLA COUNTY PUBLIC GUARDIANSHIP OFFICE ACTIVE 2024-01-12 2029-12-31 No data P O BOX 1150, WINTER HAVEN, FL, 33882
G13000106011 TENTH CIRCUIT PUBLIC GUARDIAN EXPIRED 2013-10-28 2018-12-31 No data POST OFFICE BOX 1096, WINTER HAVEN, FL, 33882
G12000036921 THE GUARDIANSHIP OFFICE EXPIRED 2012-04-18 2017-12-31 No data POST OFFICE BOX 1000, WINTER HAVEN, FL, 33882

Events

Event Type Filed Date Value Description
AMENDMENT 2022-10-07 No data No data
CHANGE OF MAILING ADDRESS 2022-04-25 131 Fifth Street NW, WINTER HAVEN, FL 33881 No data
NAME CHANGE AMENDMENT 2021-05-05 TENTH CIRCUIT PUBLIC GUARDIAN, INC. No data
CHANGE OF PRINCIPAL ADDRESS 2021-04-27 131 Fifth Street NW, WINTER HAVEN, FL 33881 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-27 131 Fifth Street NW, WINTER HAVEN, FL 33881 No data
NAME CHANGE AMENDMENT 2009-11-20 GUARDIANSHIP OFFICE OF THE TENTH CIRCUIT, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-04-18
Amendment 2022-10-07
ANNUAL REPORT 2022-04-25
Name Change 2021-05-05
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-03-14
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-03-22

Related by officers

BUTCHER SHANNAH

ADULT ADVOCATE ALLIANCE, INC. FLORIDA PUBLIC GUARDIAN COALITION, INC.

Dantzler Brad

ADULT ADVOCATE ALLIANCE, INC.

Campbell Kevin

CDTFX LLC PARADISE MINT, INC. ATALA CO.

Herrington Barbara

ALL ABOUT AGING, LLC FLORIDA GERIATRIC CARE MANAGERS ASSOCIATION, INC.

DEVIVO PEGGY

MD NY PROPERTY I, LLC MD NY PROPERTY II, LLC MD NY PROPERTY III, LLC MD NY PROPERTY V, LLC MD NY PROPERTY IV, LLC PROFESSIONAL GUARDIANS, LLC

DEVIVO PEGGY L

POLK COUNTY GUARDIANS, INC. ADULT ADVOCATE ALLIANCE, 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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