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DELTENNIUM CLIPS, INC

Company Details

Entity Name: DELTENNIUM CLIPS, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 11 Aug 2003 (21 years ago)
Date of dissolution: 05 Jun 2018 (7 years ago)
Last Event: CONVERSION
Event Date Filed: 05 Jun 2018 (7 years ago)
Document Number: P03000089735
FEI/EIN Number 521992278
Address: 301 YAMATO ROAD, 1240, BOCA RATON, FL, 33431
Mail Address: 301 YAMATO ROAD, 1240, BOCA RATON, FL, 33431
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DELTENNIUM CLIPS, INC. 401K PLAN 2023 521992278 2024-06-25 DELTENNIUM CLIPS, INC. 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812111
Sponsor’s telephone number 5612933726
Plan sponsor’s address 621 NW 53RD ST. SUITE 125, BOCA RATON, FL, 33487

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2024-06-25
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
DELTENNIUM CLIPS, INC. 401K PLAN 2022 521992278 2023-06-23 DELTENNIUM CLIPS, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812111
Sponsor’s telephone number 5612933726
Plan sponsor’s address 621 NW 53RD ST. SUITE 125, BOCA RATON, FL, 33487

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2023-06-23
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
DELTENNIUM CLIPS, INC. 401K PLAN 2021 521992278 2022-07-26 DELTENNIUM CLIPS, INC. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812111
Sponsor’s telephone number 5612933726
Plan sponsor’s address 621 NW 53RD ST. SUITE 125, BOCA RATON, FL, 33487

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2022-07-26
Name of individual signing TARA EVANS
Valid signature Filed with authorized/valid electronic signature
DELTENNIUM CLIPS, INC. 401K PLAN 2020 521992278 2021-07-01 DELTENNIUM CLIPS, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812111
Sponsor’s telephone number 5032706227
Plan sponsor’s address 301 YAMATO RD STE 1240, BOCA RATON, FL, 33431

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2021-07-01
Name of individual signing PENNY MCCOY
Valid signature Filed with authorized/valid electronic signature
DELTENNIUM CLIPS, INC. 401K PLAN 2019 521992278 2020-07-27 DELTENNIUM CLIPS, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812111
Sponsor’s telephone number 2533024275
Plan sponsor’s address 301 YAMATO RD STE 1240, BOCA RATON, FL, 33431

Plan administrator’s name and address

Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of

Role Plan administrator
Date 2020-07-27
Name of individual signing PENNY MCCOY
Valid signature Filed with authorized/valid electronic signature
DELTENNIUM CLIPS, INC. 401K PLAN 2018 521992278 2019-10-21 DELTENNIUM CLIPS, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812111
Sponsor’s telephone number 2537209588
Plan sponsor’s address 301 YAMATO RD STE 1240, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2019-10-21
Name of individual signing PENNY MCCOY
Valid signature Filed with authorized/valid electronic signature
DELTENNIUM CLIPS, INC. 401K PLAN 2018 521992278 2019-10-20 DELTENNIUM CLIPS, INC. 29
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812111
Sponsor’s telephone number 2537209588
Plan sponsor’s address 301 YAMATO RD STE 1240, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2019-10-20
Name of individual signing PENNY MCCOY
Valid signature Filed with authorized/valid electronic signature
DELTENNIUM CLIPS, INC. 401K PLAN 2017 521992278 2018-06-28 DELTENNIUM CLIPS, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812111
Sponsor’s telephone number 2537209588
Plan sponsor’s address 301 YAMATO RD STE 1240, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2018-06-28
Name of individual signing PENNY MCCOY
Valid signature Filed with authorized/valid electronic signature
DELTENNIUM CLIPS, INC. 401K PLAN 2016 521992278 2017-07-19 DELTENNIUM CLIPS, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812111
Sponsor’s telephone number 2537209588
Plan sponsor’s address 301 YAMATO RD STE 1240, BOCA RATON, FL, 33431

Signature of

Role Plan administrator
Date 2017-07-19
Name of individual signing ROBYN LIGHTHAMMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CZARNECKI GERALD M Agent 301 YAMATO ROAD, BOCA RATON, FL, 33431

Chairman

Name Role Address
CZARNECKI GERALD M Chairman 636 NE FRANCESCA LANE, BOCA RATON, FL, 33487

Director

Name Role Address
LIGHTHAMMER ROBYN Director 7722 Falstaff Road, MCLEAN, VA, 22192
CZARNECKI LOIS R Director 636 NE FRANCESCA LANE, BOCA RATON, FL, 33487

President

Name Role Address
MCCOY PENNY President 1243 34th Place, FOREST GROVE, OR, 97116

Events

Event Type Filed Date Value Description
CONVERSION 2018-06-05 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L18000142455. CONVERSION NUMBER 900000182699
REINSTATEMENT 2012-01-03 No data No data
PENDING REINSTATEMENT 2012-01-03 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-01-03 301 YAMATO ROAD, 1240, BOCA RATON, FL 33431 No data
CHANGE OF MAILING ADDRESS 2012-01-03 301 YAMATO ROAD, 1240, BOCA RATON, FL 33431 No data
REGISTERED AGENT ADDRESS CHANGED 2012-01-03 301 YAMATO ROAD, 1240, BOCA RATON, FL 33431 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data

Documents

Name Date
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-11
ANNUAL REPORT 2014-01-12
ANNUAL REPORT 2013-01-25
ANNUAL REPORT 2012-01-15
REINSTATEMENT 2012-01-03
ANNUAL REPORT 2005-07-25
ANNUAL REPORT 2004-04-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State