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  5. PALMETTO PRIME OF TAMPA, INC.

PALMETTO PRIME OF TAMPA, INC.

Company Details

Entity Name: PALMETTO PRIME OF TAMPA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Apr 2001 (24 years ago)
Last Event: AMENDMENT
Event Date Filed: 17 Sep 2004 (20 years ago)
Document Number: P01000039638
FEI/EIN Number 593713047
Address: 5423 N 59TH STREET, TAMPA, FL, 33610
Mail Address: 5423 N 59TH STREET, TAMPA, FL, 33610
ZIP code: 33610
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALMETTO PRIME RETIREMENT PLAN 2022 593713047 2023-10-16 PALMETTO PRIME OF TAMPA, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 237310
Sponsor’s telephone number 8136264287
Plan sponsor’s address 5423 N. 59TH STREET, TAMPA, FL, 33610

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
PALMETTO PRIME RETIREMENT PLAN 2021 593713047 2022-09-03 PALMETTO PRIME OF TAMPA, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 237310
Sponsor’s telephone number 8136264287
Plan sponsor’s address 5423 N. 59TH STREET, TAMPA, FL, 33610

Signature of
Role Plan administrator
Date 2022-09-02
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-02
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
PALMETTO PRIME RETIREMENT PLAN 2020 593713047 2021-07-29 PALMETTO PRIME OF TAMPA, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 237310
Sponsor’s telephone number 8136264287
Plan sponsor’s address 5423 N. 59TH STREET, TAMPA, FL, 33610

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-29
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
PALMETTO PRIME RETIREMENT PLAN 2019 593713047 2020-10-05 PALMETTO PRIME OF TAMPA, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 237310
Sponsor’s telephone number 8136264287
Plan sponsor’s address 5423 N. 59TH STREET, TAMPA, FL, 33610

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
PALMETTO PRIME RETIREMENT PLAN 2018 593713047 2019-08-07 PALMETTO PRIME OF TAMPA, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 237310
Sponsor’s telephone number 8136264287
Plan sponsor’s address 5423 N. 59TH STREET, TAMPA, FL, 33610

Signature of
Role Plan administrator
Date 2019-08-06
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-06
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
PALMETTO PRIME RETIREMENT PLAN 2017 593713047 2018-04-03 PALMETTO PRIME OF TAMPA, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 237310
Sponsor’s telephone number 8136264287
Plan sponsor’s address 5423 N. 59TH STREET, TAMPA, FL, 33610

Signature of
Role Plan administrator
Date 2018-04-03
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
PALMETTO PRIME RETIREMENT PLAN 2016 593713047 2017-07-25 PALMETTO PRIME OF TAMPA, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 237310
Sponsor’s telephone number 8136264287
Plan sponsor’s address 5423 N. 59TH STREET, TAMPA, FL, 33610

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-24
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
PALMETTO PRIME RETIREMENT PLAN 2015 593713047 2016-04-07 PALMETTO PRIME OF TAMPA, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 237310
Sponsor’s telephone number 8136264287
Plan sponsor’s address 5423 N. 59TH STREET, TAMPA, FL, 33610

Signature of
Role Plan administrator
Date 2016-04-07
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
PALMETTO PRIME RETIREMENT PLAN 2014 593713047 2016-04-07 PALMETTO PRIME OF TAMPA, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 237310
Sponsor’s telephone number 8136264287
Plan sponsor’s address 5423 N. 59TH STREET, TAMPA, FL, 33610

Signature of
Role Plan administrator
Date 2016-04-07
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
PALMETTO PRIME RETIREMENT PLAN 2014 593713047 2015-10-07 PALMETTO PRIME OF TAMPA, INC. 14
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 237310
Sponsor’s telephone number 8136264287
Plan sponsor’s address 5423 N. 59TH STREET, TAMPA, FL, 33610

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-07
Name of individual signing KRYSTAL SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHNSON SEAN M Agent 1009 W Cleveland St, TAMPA, FL, 33606

President

Name Role Address
BEASLEY HUBERT L President 5423 N 59TH STREET, TAMPA, FL, 33610

Director

Name Role Address
BEASLEY HUBERT L Director 5423 N 59TH STREET, TAMPA, FL, 33610

Vice President

Name Role Address
WILLIS JEFF D Vice President 5423 N 59TH STREET, TAMPA, FL, 33610

Secretary

Name Role Address
Willis Krystal K Secretary 5423 N 59TH STREET, TAMPA, FL, 33610

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-01-25 1009 W Cleveland St, TAMPA, FL 33606 No data
REGISTERED AGENT NAME CHANGED 2008-01-17 JOHNSON, SEAN M No data
CHANGE OF PRINCIPAL ADDRESS 2007-01-05 5423 N 59TH STREET, TAMPA, FL 33610 No data
CHANGE OF MAILING ADDRESS 2007-01-05 5423 N 59TH STREET, TAMPA, FL 33610 No data
AMENDMENT 2004-09-17 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-01-23
AMENDED ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-20

Related by officers

BEASLEY HUBERT L

PALMETTO EROSION CONTROL INC. WILL-BEA LEASING, INC. WILL-BEA INVESTMENTS, LLC PAVEMENT RESTORATION, INC. THE LEE CORP. OF TAMPA BAY

WILLIS JEFF D

PAVEMENT RESTORATION, INC.

Willis Krystal K

WILL-BEA LEASING, INC. PAVEMENT RESTORATION, INC.

JOHNSON SEAN M

JOHNSON MARKETING GROUP, LLC CHARLES W. MOORE DMD, INC. W. CLEVELAND STREET, LLC 2918 W. BUSCH BLVD., LLC RAISING CAINE IN ORLANDO, LLC DISCOUNT LAWN CARE OF ORLANDO, LLC SEAN JOHNSON & FAMILY LLC PERILOUS CAPITAL LLC SJ GARAGE DOOR SERVICE, INC. MOHR MONEY, INC.

Related by address

5423 N 59TH STREET, TAMPA, FL, 33610

WILL-BEA INVESTMENTS, LLC PAVEMENT RESTORATION, INC.

5423 N 59TH STREET, TAMPA, FL, 33610

WILL-BEA INVESTMENTS, LLC PAVEMENT RESTORATION, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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