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HISI, INC.

Company Details

Entity Name: HISI, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Feb 2003 (22 years ago)
Last Event: AMENDMENT
Event Date Filed: 04 Jun 2015 (10 years ago)
Document Number: P03000022318
FEI/EIN Number 030507857
Address: 9414 Oak Street, Riverview, FL, 33578, US
Mail Address: P.O. BOX 1669, RIVERVIEW, FL, 33568-1669, US
ZIP code: 33578
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HISI, INC. 401(K) PLAN 2023 030507857 2024-06-27 HISI, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 524290
Sponsor’s telephone number 9416612333
Plan sponsor’s address PO BOX 1669, RIVERVIEW, FL, 33568

Signature of

Role Plan administrator
Date 2024-06-27
Name of individual signing SANDRA HISEY
Valid signature Filed with authorized/valid electronic signature
HISI, INC. 401(K) PLAN 2022 030507857 2023-09-29 HISI, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 524290
Sponsor’s telephone number 9416612333
Plan sponsor’s address 9414 OAK ST., RIVERVIEW, FL, 335784876

Signature of

Role Plan administrator
Date 2023-09-29
Name of individual signing SANDRA HISEY
Valid signature Filed with authorized/valid electronic signature
HISI, INC. 401(K) PLAN 2021 030507857 2022-10-07 HISI, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 524290
Sponsor’s telephone number 9416612333
Plan sponsor’s address 9414 OAK ST., RIVERVIEW, FL, 335784876

Signature of

Role Plan administrator
Date 2022-10-07
Name of individual signing SANDRA M. HISEY
Valid signature Filed with authorized/valid electronic signature
HISI, INC. 401(K) PLAN 2020 030507857 2021-09-26 HISI, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 524290
Sponsor’s telephone number 9416612333
Plan sponsor’s address 9414 OAK ST., RIVERVIEW, FL, 335784876
HISI, INC. 401(K) PLAN 2019 030507857 2020-09-16 HISI, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 524290
Sponsor’s telephone number 9416612333
Plan sponsor’s address 5920 CIRCA FISHHAWK BLVD, LITHIA, FL, 335474137

Signature of

Role Plan administrator
Date 2020-09-16
Name of individual signing SANDRA M. HISEY
Valid signature Filed with authorized/valid electronic signature
HISI, INC. 401(K) PLAN 2018 030507857 2019-10-12 HISI, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 524290
Sponsor’s telephone number 9416612333
Plan sponsor’s address 5920 CIRCA FISHHAWK BLVD, LITHIA, FL, 335474137

Signature of

Role Plan administrator
Date 2019-10-12
Name of individual signing SANDRA M. HISEY
Valid signature Filed with authorized/valid electronic signature
HISI, INC. 401(K) PLAN 2017 030507857 2018-08-14 HISI, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 524290
Sponsor’s telephone number 9416612333
Plan sponsor’s address 16125 BRIDGEPARK DRIVE, LITHIA, FL, 335474854

Signature of

Role Plan administrator
Date 2018-08-14
Name of individual signing SANDRA M. HISEY
Valid signature Filed with authorized/valid electronic signature
HISI, INC. 401(K) PLAN 2016 030507857 2017-10-12 HISI, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 524290
Sponsor’s telephone number 9416612333
Plan sponsor’s address 16125 BRIDGEPARK DRIVE, LITHIA, FL, 335474854

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing SANDRA M. HISEY
Valid signature Filed with authorized/valid electronic signature
HISI, INC. 401(K) PLAN 2015 030507857 2016-08-25 HISI, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 524290
Sponsor’s telephone number 9416612333
Plan sponsor’s address 16125 BRIDGEPARK DRIVE, LITHIA, FL, 335474854

Signature of

Role Plan administrator
Date 2016-08-25
Name of individual signing SANDRA M. HISEY
Valid signature Filed with authorized/valid electronic signature
HISI, INC. 401(K) PLAN 2014 030507857 2015-10-05 HISI, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 524290
Sponsor’s telephone number 9416612333
Plan sponsor’s address 16125 BRIDGEPARK DRIVE, LITHIA, FL, 335474854

Signature of

Role Plan administrator
Date 2015-10-05
Name of individual signing SANDRA M. HISEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HISEY JASON D Agent 9414 Oak Street, Riverview, FL, 33578

President

Name Role Address
HISEY JASON D President 9414 Oak Street, Riverview, FL, 33578

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-27 9414 Oak Street, Riverview, FL 33578 No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-27 9414 Oak Street, Riverview, FL 33578 No data
REGISTERED AGENT NAME CHANGED 2016-03-16 HISEY, JASON D No data
AMENDMENT 2015-06-04 No data No data
CHANGE OF MAILING ADDRESS 2015-06-04 9414 Oak Street, Riverview, FL 33578 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-01-14
ANNUAL REPORT 2018-02-07
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-03-16
Amendment 2015-06-04

Date of last update: 02 Feb 2025

Sources: Florida Department of State