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CALVARY EMERALD COAST, INCORPORATED

Company Details

Entity Name: CALVARY EMERALD COAST, INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 14 Nov 1997 (27 years ago)
Date of dissolution: 07 Oct 2016 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 07 Oct 2016 (8 years ago)
Document Number: N97000006425
FEI/EIN Number 593480244
Address: 101 First Street SE, FORT WALTON BEACH, FL, 32548, US
Mail Address: 101 First Street SE, FORT WALTON BEACH, FL, 32548, US
ZIP code: 32548
County: Okaloosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CALVARY EMERALD COAST 403(B) PLAN 2013 593480244 2014-06-24 CALVARY EMERALD COAST 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 8508631588
Plan sponsor’s address 407 RACETRACK ROAD NE, FT. WALTON BEACH, FL, 32547

Signature of

Role Plan administrator
Date 2014-06-24
Name of individual signing JAMES KRUG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-24
Name of individual signing JAMES KRUG
Valid signature Filed with authorized/valid electronic signature
CALVARY EMERALD COAST 403(B) PLAN 2012 593480244 2013-07-10 CALVARY EMERALD COAST 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 8508631588
Plan sponsor’s address 407 RACETRACK ROAD NE, FT. WALTON BEACH, FL, 32547

Signature of

Role Plan administrator
Date 2013-07-09
Name of individual signing DEBORA S. HENLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-09
Name of individual signing DEBORA S. HENLEY
Valid signature Filed with authorized/valid electronic signature
CALVARY EMERALD COAST 403(B) PLAN 2011 593480244 2012-02-27 CALVARY EMERALD COAST 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 8508631588
Plan sponsor’s address 407 RACETRACK ROAD NE, FT. WALTON BEACH, FL, 32547

Plan administrator’s name and address

Administrator’s EIN 593480244
Plan administrator’s name CALVARY EMERALD COAST
Plan administrator’s address 407 RACETRACK ROAD NE, FT. WALTON BEACH, FL, 32547
Administrator’s telephone number 8508631588

Signature of

Role Plan administrator
Date 2012-02-27
Name of individual signing DEBORA S. HENLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-27
Name of individual signing DEBORA S. HENLEY
Valid signature Filed with authorized/valid electronic signature
CALVARY EMERALD COAST 403(B) PLAN 2010 593480244 2011-05-10 CALVARY EMERALD COAST 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 8508631588
Plan sponsor’s address 407 RACETRACK ROAD NE, FT. WALTON BEACH, FL, 32547

Plan administrator’s name and address

Administrator’s EIN 593480244
Plan administrator’s name CALVARY EMERALD COAST
Plan administrator’s address 407 RACETRACK ROAD NE, FT. WALTON BEACH, FL, 32547
Administrator’s telephone number 8508631588

Signature of

Role Plan administrator
Date 2011-05-10
Name of individual signing DEBORA S. HENLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-10
Name of individual signing DEBORA S. HENLEY
Valid signature Filed with authorized/valid electronic signature
CALVARY EMERALD COAST 403(B) PLAN 2009 593480244 2010-06-08 CALVARY EMERALD COAST 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 813000
Sponsor’s telephone number 8508631588
Plan sponsor’s address 407 RACETRACK ROAD NE, FT. WALTON BEACH, FL, 32547

Plan administrator’s name and address

Administrator’s EIN 593480244
Plan administrator’s name CALVARY EMERALD COAST
Plan administrator’s address 407 RACETRACK ROAD NE, FT. WALTON BEACH, FL, 32547
Administrator’s telephone number 8508631588

Signature of

Role Plan administrator
Date 2010-06-08
Name of individual signing DEBORA S. HENLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-08
Name of individual signing DEBORA S. HENLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KRUG JAMES EII Agent 9 CARLYLE CT NE, FT WALTON BEACH, FL, 32547

President

Name Role Address
ANDERSON JASON President 301 SEAGULL LANE, DESTIN, FL, 32541

Director

Name Role Address
ANDERSON JASON Director 301 SEAGULL LANE, DESTIN, FL, 32541
KRUG JAMES E Director 9 CARLYLE CT, FORT WALTON BEACH, FL, 32547

Vice President

Name Role Address
KRUG JAMES E Vice President 9 CARLYLE CT, FORT WALTON BEACH, FL, 32547

Treasurer

Name Role Address
Reese Walt Treasurer 1000 Creel Street, Fort Walton Beach, FL, 32547

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000111389 THE ANCHOR EXPIRED 2015-11-02 2020-12-31 No data 407 RACETRACK ROAD NE, FORT WALTON BEACH, FL, 32547

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-10-07 No data No data
CHANGE OF PRINCIPAL ADDRESS 2016-01-25 101 First Street SE, FORT WALTON BEACH, FL 32548 No data
CHANGE OF MAILING ADDRESS 2016-01-25 101 First Street SE, FORT WALTON BEACH, FL 32548 No data
REGISTERED AGENT NAME CHANGED 2015-01-21 KRUG, JAMES E, II No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-21 9 CARLYLE CT NE, FT WALTON BEACH, FL 32547 No data
AMENDMENT 1999-08-17 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2016-10-07
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-21
ANNUAL REPORT 2014-01-15
AMENDED ANNUAL REPORT 2013-05-29
ANNUAL REPORT 2013-05-01
ANNUAL REPORT 2012-09-27
ANNUAL REPORT 2012-01-31
ANNUAL REPORT 2011-04-19
ANNUAL REPORT 2010-01-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State