| Entity Name: | FABEN OBG, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Sep 2003 (21 years ago) |
| Document Number: | P03000099813 |
| FEI/EIN Number | 800084052 |
| Address: | 1510 Riverplace Blvd, JACKSONVILLE, FL, 32207, US |
| Mail Address: | 4425 Merrimac Ave, JACKSONVILLE, FL, 32210, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699855882 | 2006-10-16 | 2020-08-22 | 836 PRUDENTIAL DR, SUITE 1506, JACKSONVILLE, FL, 322078334, US | 836 PRUDENTIAL DR, SUITE 1506, JACKSONVILLE, FL, 322078334, US | |||||||||||||||
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| Phone | +1 904-346-0050 |
| Fax | 9043460080 |
Authorized person
| Name | PATRICIA A HAMPTON |
| Role | ADMINISTRATOR |
| Phone | 9043460050 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FABEN OBG INC 401K PLAN | 2011 | 800084052 | 2012-08-07 | FABEN OBG INC | 14 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 800084052 |
| Plan administrator’s name | FABEN OBG INC |
| Plan administrator’s address | 836 PRUDENTIAL DRIVE, SUITE 1506, JACKSONVILLE, FL, 32207 |
| Administrator’s telephone number | 9043460050 |
Signature of
| Role | Plan administrator |
| Date | 2012-08-07 |
| Name of individual signing | BRIAN THORN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-08-07 |
| Name of individual signing | BRIAN THORN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| MARKS GRAY, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| CACCAM EVALEEN Dr. | Treasurer | 1706 Belmonte Ave, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| HICKS ANA Dr. | Vice President | 1133 ORIENTAL GARDENS, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| KOHAUT BETTINA Dr. | President | 1757 BELMONTE AVENUE, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| FOX FELICIA Dr. | Secretary | 3128 River Vale Ct., JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-07-17 | Marks Gray, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-17 | 1200 Riverplace Blvd, Suite 800, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-22 | 1510 Riverplace Blvd, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-04 | 1510 Riverplace Blvd, JACKSONVILLE, FL 32207 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-27 |
| AMENDED ANNUAL REPORT | 2024-07-17 |
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-04-06 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
