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  5. GUY E. BURNETTE, JR., P.A.

GUY E. BURNETTE, JR., P.A.

Company Details

Entity Name: GUY E. BURNETTE, JR., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 Oct 2002 (22 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: P02000116792
FEI/EIN Number 161632563
Address: 1725 Evening Breeze Lane, TALLAHASSEE, FL, 32312, US
Mail Address: 1725 EVENING BREEZE LANE, TALLAHASSEE, FL, 32312, US
ZIP code: 32312
County: Leon
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GUY E. BURNETTE, JR. , P. A. 401(K) PLAN 2014 161632563 2015-09-30 GUY E. BURNETTE, JR. , P. A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541110
Sponsor’s telephone number 8506687900
Plan sponsor’s address 3020 N. SHANNON LAKES DRIVE, TALLAHASSEE, FL, 323092337

Signature of
Role Plan administrator
Date 2015-09-30
Name of individual signing GUY E. BURNETTE
Valid signature Filed with authorized/valid electronic signature
GUY E. BURNETTE, JR., P.A. 401(K) PLAN 2013 161632563 2014-07-28 GUY E. BURNETTE, JR., P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541110
Sponsor’s telephone number 8506687900
Plan sponsor’s address 3020 N. SHANNON LAKES DRIVE, TALLAHASSEE, FL, 323092337

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing GUY E. BURNETTE
Valid signature Filed with authorized/valid electronic signature
GUY E. BURNETTE, JR., P.A. 401(K) PLAN 2012 161632563 2013-09-13 GUY E. BURNETTE, JR., P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541110
Sponsor’s telephone number 8506687900
Plan sponsor’s address 3020 N. SHANNON LAKES DRIVE, TALLAHASSEE, FL, 323092337

Signature of
Role Plan administrator
Date 2013-09-13
Name of individual signing GUY E. BURNETTE
Valid signature Filed with authorized/valid electronic signature
GUY E. BURNETTE, JR., P.A. 401(K) PLAN 2011 161632563 2012-10-11 GUY E. BURNETTE, JR., P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541110
Sponsor’s telephone number 8506687900
Plan sponsor’s address 3020 N. SHANNON LAKES DRIVE, TALLAHASSEE, FL, 323092337

Plan administrator’s name and address
Administrator’s EIN 161632563
Plan administrator’s name GUY E. BURNETTE, JR., P.A.
Plan administrator’s address 3020 N. SHANNON LAKES DRIVE, TALLAHASSEE, FL, 323092337
Administrator’s telephone number 8506687900

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing GUY E. BURNETTE
Valid signature Filed with authorized/valid electronic signature
GUY E. BURNETTE, JR., P.A. 401(K) PLAN 2010 161632563 2011-10-10 GUY E. BURNETTE, JR., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541110
Sponsor’s telephone number 8506687900
Plan sponsor’s address 3020 N. SHANNON LAKES DRIVE, TALLAHASSEE, FL, 323092337

Plan administrator’s name and address
Administrator’s EIN 161632563
Plan administrator’s name GUY E. BURNETTE, JR., P.A.
Plan administrator’s address 3020 N. SHANNON LAKES DRIVE, TALLAHASSEE, FL, 323092337
Administrator’s telephone number 8506687900

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing GUY E. BURNETTE
Valid signature Filed with authorized/valid electronic signature
GUY E. BURNETTE, JR., P.A. 401(K) PLAN 2009 161632563 2010-10-11 GUY E. BURNETTE, JR., P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 541110
Sponsor’s telephone number 8506687900
Plan sponsor’s address 3020 N. SHANNON LAKES DRIVE, TALLAHASSEE, FL, 323092337

Plan administrator’s name and address
Administrator’s EIN 161632563
Plan administrator’s name GUY E. BURNETTE, JR., P.A.
Plan administrator’s address 3020 N. SHANNON LAKES DRIVE, TALLAHASSEE, FL, 323092337
Administrator’s telephone number 8506687900

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing GUY E. BURNETTE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BURNETTE GUY EJr. Agent 1725 Evening Breeze Lane, TALLAHASSEE, FL, 32309

Director

Name Role Address
BURNETTE GUY EJR. Director 3020 N SHANNON LAKES DRIVE, TALLAHASSEE, FL, 32309

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-08-28 1725 Evening Breeze Lane, TALLAHASSEE, FL 32312 No data
REGISTERED AGENT ADDRESS CHANGED 2017-08-28 1725 Evening Breeze Lane, TALLAHASSEE, FL 32309 No data
CHANGE OF MAILING ADDRESS 2016-04-14 1725 Evening Breeze Lane, TALLAHASSEE, FL 32312 No data
REGISTERED AGENT NAME CHANGED 2013-02-06 BURNETTE, GUY E, Jr. No data

Documents

Name Date
ANNUAL REPORT 2017-08-28
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-01-11
ANNUAL REPORT 2014-01-12
ANNUAL REPORT 2013-02-06
ANNUAL REPORT 2012-03-29
ANNUAL REPORT 2011-01-09
ANNUAL REPORT 2010-01-05
ANNUAL REPORT 2009-01-18
ANNUAL REPORT 2008-01-05

Related by officers

No related officers

Related by address

1725 EVENING BREEZE LANE, TALLAHASSEE, FL, 32312, US

SERENDIPITY HOLDINGS, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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