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NORTHWEST FLORIDA AREA AGENCY ON AGING, INC.

Company Details

Entity Name: NORTHWEST FLORIDA AREA AGENCY ON AGING, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Inactive
Date Filed: 26 Jan 2021 (4 years ago)
Date of dissolution: 24 Feb 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 24 Feb 2023 (2 years ago)
Document Number: N21000001172
FEI/EIN Number 59-1912803
Address: 5090 COMMERCE PARK CIRCLE, PENSACOLA, FL 32505 UN
Mail Address: 5090 COMMERCE PARK CIRCLE, PENSACOLA, FL 32505 UN
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF NORTHWEST FLORIDA AREA AGENCY ON AGING, INC. 2021 591912803 2022-07-25 NORTHWEST FLORIDA AREA AGENCY ON AGING, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-01
Business code 813000
Sponsor’s telephone number 8504947101
Plan sponsor’s address 5090 COMMERCE PARK CIR, PENSACOLA, FL, 325051618

Signature of
Role Plan administrator
Date 2022-07-25
Name of individual signing JEANNE GRIFFIN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NORTHWEST FLORIDA AREA AGENCY ON AGING, INC. 2020 591912803 2021-07-01 NORTHWEST FLORIDA AREA AGENCY ON AGING, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-01
Business code 813000
Sponsor’s telephone number 8504947101
Plan sponsor’s address 5090 COMMERCE PARK CIR, PENSACOLA, FL, 325051618

Signature of
Role Plan administrator
Date 2021-07-01
Name of individual signing JEANNE GRIFFIN
Valid signature Filed with authorized/valid electronic signature
403 (B) THRIFT PLAN OF NORTHWEST FLORIDA AREA AGENCY ON AGING INC00 2018 591912803 2019-07-31 NORTHWEST FLORIDA AREA AGENCY ON AGING INC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-01
Business code 624100
Sponsor’s telephone number 8544947101
Plan sponsor’s address 5009 COMMERCE PARK CIRCLE, 5090 COMMERCE PARK CIR, PENSACOLA, FL, 325051618

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-30
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA AREA AGENCY ON AGING, INC 2016 591912803 2017-10-12 NORTHWEST FLORIDA AREA AGENCY ON AGING INC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-10
Business code 624100
Sponsor’s telephone number 8504947101
Plan sponsor’s address 5090 COMMERCE PARK CIR, PENSACOLA, FL, 325051618

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-12
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA AREA AGENCY ON AGING INC 2015 591912803 2017-04-03 NORTHWEST FLORIDA AREA AGENCY ON AGING, INC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-10
Business code 624100
Sponsor’s telephone number 8504947101
Plan sponsor’s address 5090 COMMERCE PARK CIR, PENSACOLA, FL, 325051618

Signature of
Role Plan administrator
Date 2017-04-03
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-03
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA AREA AGENCY ON AGING INC 2015 591912803 2016-09-15 NORTHWEST FLORIDA AREA AGENCY ON AGING 55
Three-digit plan number (PN) 001
Effective date of plan 1980-12-10
Business code 624100
Sponsor’s telephone number 8504947101
Plan sponsor’s address 5090 COMMERCE PARK CIR, PENSACOLA, FL, 325051618

Signature of
Role Plan administrator
Date 2016-09-13
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA AREA AGENCY ON AGING INC 2014 591912803 2015-09-29 NORTHWEST FLORIDA AREA AGENCY ON AGING INC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-10
Business code 624100
Sponsor’s telephone number 8504947101
Plan sponsor’s address 5090 COMMERCE PARK CIRCLE, PENSACOLA, FL, 32505

Signature of
Role Plan administrator
Date 2015-09-29
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-29
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA AREA AGENCY ON AGING INC 2014 591912803 2015-05-07 NORTHWEST FLORIDA AREA AGENCY ON AGING INC 51
Three-digit plan number (PN) 001
Effective date of plan 1980-12-10
Business code 624100
Sponsor’s telephone number 8504947101
Plan sponsor’s address 5090 COMMERCE PARK CIRCLE, PENSACOLA, FL, 32505

Signature of
Role Plan administrator
Date 2015-05-07
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA AREA AGENCY ON AGING INC 2013 591912803 2014-04-14 NORTHWEST FLORIDA AREA AGENCY ON AGING 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-10
Business code 624100
Sponsor’s telephone number 8504947101
Plan sponsor’s address 5090 COMMERCE PARK CIRCLE, PENSACOLA, FL, 32505

Signature of
Role Plan administrator
Date 2014-04-14
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA AREA AGENCY ON AGING, INC 2012 591912803 2013-10-15 NORTHWEST FLORIDA AREA AGENCY ON AGING, INC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-12-01
Business code 624100
Sponsor’s telephone number 8504947101
Plan sponsor’s DBA name SAME
Plan sponsor’s address 5090 COMMERCE PARK CIRCLE, PENSACOLA, FL, 32505

Plan administrator’s name and address
Administrator’s EIN 591912803
Plan administrator’s name NORTHWEST FLORIDA AREA AGENCY ON AGING, INC
Administrator’s telephone number 8504947101

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing AMBER MCCOOL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GRIFFIN, JEANNE Agent 5090 COMMERCE PARK CIRCLE, PENSACOLA, FL 32505

President

Name Role Address
WALKER, HUNTER President 3491 ASHMORE LANDE, PACE, FL 32571 UN

Vice President

Name Role Address
RAMBOW, ELIZABETH Vice President 52 DERBY DOWNS CIRCLE, NICEVILLE, FL 32578 UN

Director

Name Role Address
HAWKINS, DAVID Director 3481 MARCUS POINT BLVD, PENSACOLA, FL 32505
MIMS, RYAN Director 1145 HIGHWAY 179A, WESTVILLE, FL 32464
PIVER, JENNIFER Director 3740 BENGAL ROAD, GULF BREEZE, FL 32563
CORBIN, LANNIE Director 208 NORTH PARTIN DRIVE, NICEVILLE, FL 32578

Treasurer

Name Role Address
BROWN, GOVER Treasurer 2746 CARRINGTON LAKES BLVD, CANTONMENT, FL 32533

Chief Executive Officer

Name Role Address
Dyess, Anna Chief Executive Officer 5090 COMMERCE PARK CIRCLE, PENSACOLA 32505 UN

Chief Financial Officer

Name Role Address
Griffin, Jeanne Chief Financial Officer 5090 COMMERCE PARK CIRCLE, PENSACOLA 32505 UN

DIRECTOR

Name Role Address
CLARK, JOHN DIRECTOR 375 N. P STREET, PENSACOLA, FL 32505

Secretary

Name Role Address
HODGES, KENNETH Secretary 9950 SCENIC HIGHWAY, PENSACOLA, FL 32514

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-02-24 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-02-24
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-01-14
Domestic Non-Profit 2021-01-26

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Date of last update: 15 Jan 2025

Sources: Florida Department of State

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