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  5. CAPTAINS FOR CLEAN WATER, INC.

CAPTAINS FOR CLEAN WATER, INC.

Company Details

Entity Name: CAPTAINS FOR CLEAN WATER, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 29 Feb 2016 (9 years ago)
Last Event: AMENDMENT
Event Date Filed: 02 Oct 2017 (7 years ago)
Document Number: N16000002497
FEI/EIN Number 81-1789969
Address: 2031 Jackson Street, #150, FORT MYERS, FL 33901
Mail Address: Po Box 1653, FORT MYERS, FL 33902
ZIP code: 33901
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAPTAINS FOR CLEAN WATER 401(K) PLAN 2023 811789969 2024-08-16 CAPTAINS FOR CLEAN WATER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541990
Sponsor’s telephone number 8666702329
Plan sponsor’s address PO BOX 1653, FORT MYERS, FL, 33902

Signature of
Role Plan administrator
Date 2024-08-16
Name of individual signing EMILY BOUCHARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-16
Name of individual signing EMILY BOUCHARD
Valid signature Filed with authorized/valid electronic signature
CAPTAINS FOR CLEAN WATER 401(K) PLAN 2022 811789969 2023-08-15 CAPTAINS FOR CLEAN WATER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541990
Sponsor’s telephone number 8666702329
Plan sponsor’s address PO BOX 1653, FORT MYERS, FL, 33902

Signature of
Role Plan administrator
Date 2023-08-15
Name of individual signing DANIEL ANDREWS
Valid signature Filed with authorized/valid electronic signature
CAPTAINS FOR CLEAN WATER 401(K) PLAN 2021 811789969 2023-07-27 CAPTAINS FOR CLEAN WATER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541990
Sponsor’s telephone number 8666702329
Plan sponsor’s address PO BOX 1653, FORT MYERS, FL, 33902

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing EMILY BOUCHARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-27
Name of individual signing EMILY BOUCHARD
Valid signature Filed with authorized/valid electronic signature
CAPTAINS FOR CLEAN WATER 401(K) PLAN 2020 811789969 2021-10-13 CAPTAINS FOR CLEAN WATER 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541990
Sponsor’s telephone number 8666702329
Plan sponsor’s address PO BOX 1653, FORT MYERS, FL, 33902

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing EMILY BOUCHARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing EMILY BOUCHARD
Valid signature Filed with authorized/valid electronic signature
CAPTAINS FOR CLEAN WATER 401(K) PLAN 2019 811789969 2020-09-30 CAPTAINS FOR CLEAN WATER 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541990
Sponsor’s telephone number 8666702329
Plan sponsor’s address PO BOX 1653, FORT MYERS, FL, 33902

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing EMILY BOUCHARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-30
Name of individual signing EMILY BOUCHARD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ANDREWS, DANIEL Agent 2031 Jackson Street, #150, FORT MYERS, FL 33901

Director

Name Role Address
BEVILLE, BOB Director 3719 CENTRAL AVENUE, FORT MYERS, FL 33901
MCKINSTRY, REID Director 8436 BUENA VISTA ROAD, FORT MYERS, FL 33967
GARVIN, LELAND Director 4280 S.CLEVELAND AVE., FORT MYERS, FL 33901
Peterson, Wendi Director 1520 Chaffee Drive, Titusville, FL 32780
Richardson, C.A. Director 5774 N Flagstaff Ave, Beverly Hills, FL 34465

Treasurer

Name Role Address
GOSS, CHAUNCEY Treasurer POST OFFICE BOX 1139, SANIBEL, FL 33957

Vice Chairman

Name Role Address
Collins, Michael, Dr. Vice Chairman 6900 International Center Blvd., Fort Myers, FL 33912
Nesbeda, Gene Vice Chairman 199 Topanga Dr, Bonita Springs, FL 34134

Executive Director

Name Role Address
Andrews, Daniel Executive Director 12360 Flintlock Lane, Fort Myers, FL 33912

Secretary

Name Role Address
Kelly, Christopher Secretary 6012 White Heron Lane, Sanibel, FL 33957

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-03-07 2031 Jackson Street, #150, FORT MYERS, FL 33901 No data
CHANGE OF PRINCIPAL ADDRESS 2020-02-05 2031 Jackson Street, #150, FORT MYERS, FL 33901 No data
REGISTERED AGENT ADDRESS CHANGED 2020-02-05 2031 Jackson Street, #150, FORT MYERS, FL 33901 No data
AMENDMENT 2017-10-02 No data No data
AMENDMENT 2016-08-29 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-01-15
Amendment 2017-10-02
ANNUAL REPORT 2017-04-03
Amendment 2016-08-29

Related by officers

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MCKINSTRY, REID

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GARVIN, LELAND

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GOSS, CHAUNCEY

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Andrews, Daniel

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Kelly, Christopher

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Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Florida Department of State

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