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SAMUEL A. COFFEY, P.A.

SAMUEL A. COFFEY, P.A.

Company Details

Entity Name:	SAMUEL A. COFFEY, P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Inactive
Date Filed:	22 Dec 2003 (21 years ago)
Date of dissolution:	01 Oct 2004 (20 years ago)
Last Event:	ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed:	01 Oct 2004 (20 years ago)
Document Number:	P03000154653
Address:	2772 NE 30TH AVE #5D, LIGHTHOUSE POINT, FL, 33064
Mail Address:	2772 NE 30TH AVE #5D, LIGHTHOUSE POINT, FL, 33064
ZIP code:	33064
County:	Broward
Place of Formation:	FLORIDA

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

SAMUEL A. COFFEY, P.A. 401(K) PROFIT SHARING PLAN

2023

471173678

2024-05-29

SAMUEL A. COFFEY, P.A.

14

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	541110
Plan sponsor’s address	550 S ANDREWS AVE, SUITE 600, FORT LAUDERDALE, FL, 33301

Signature of

Role	Plan administrator
Date	2024-05-29
Name of individual signing	DAVID MARSTON
Valid signature	Filed with authorized/valid electronic signature

SAMUEL A. COFFEY, P.A. 401(K) PROFIT SHARING PLAN

2022

471173678

2023-10-04

SAMUEL A. COFFEY, P.A.

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	541110
Plan sponsor’s address	500 N.E. FOURTH STREET, #100, FORT LAUDERDALE, FL, 33301

Signature of

Role	Plan administrator
Date	2023-10-04
Name of individual signing	DENISE CHARLES
Valid signature	Filed with authorized/valid electronic signature

SAMUEL A. COFFEY, P.A. 401(K) PROFIT SHARING PLAN

2021

471173678

2022-10-11

SAMUEL A. COFFEY, P.A.

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	541110
Sponsor’s telephone number	9545413194
Plan sponsor’s address	500 N.E. FOURTH STREET, #100, FORT LAUDERDALE, FL, 33301

Signature of

Role	Plan administrator
Date	2022-10-11
Name of individual signing	MARCI BRONSON COFFEY
Valid signature	Filed with authorized/valid electronic signature

SAMUEL A. COFFEY, P.A. 401(K) PROFIT SHARING PLAN

2020

471173678

2021-09-19

SAMUEL A. COFFEY, P.A.

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	541110
Plan sponsor’s address	500 N.E. FOURTH STREET, #100, FORT LAUDERDALE, FL, 33301

Signature of

Role	Plan administrator
Date	2021-09-19
Name of individual signing	MARCI BRONSON COFFEY
Valid signature	Filed with authorized/valid electronic signature

SAMUEL A. COFFEY, P.A. 401(K) PROFIT SHARING PLAN

2019

471173678

2020-09-28

SAMUEL A. COFFEY, P.A.

0

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	541110
Plan sponsor’s address	500 N.E. FOURTH STREET, #100, FORT LAUDERDALE, FL, 33301

Signature of

Role	Plan administrator
Date	2020-09-28
Name of individual signing	MARCI BRONSON COFFEY
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role
CORPORATE CREATIONS NETWORK INC.	Agent

Director

Name	Role	Address
COFFEY SAMUEL A	Director	2772 NE 30TH AVE #5D, LIGHTHOUSE POINT, FL, 33064

Events

Event Type	Filed Date	Value	Description
ADMIN DISSOLUTION FOR ANNUAL REPORT	2004-10-01	No data	No data

Documents

Name	Date
Domestic Profit	2003-12-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State