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  5. BLUE HERON OF NAVARRE, INC.

BLUE HERON OF NAVARRE, INC.

Company Details

Entity Name: BLUE HERON OF NAVARRE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Jan 2004 (21 years ago)
Document Number: P04000007690
FEI/EIN Number 331080271
Address: 8697 NAVARRE PRKWY, NAVARRE, FL, 32566
Mail Address: 8697 NAVARRE PKWY, NAVARRE, FL, 32566
ZIP code: 32566
County: Santa Rosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUE HERON 401(K) PLAN 2023 331080271 2024-09-18 BLUE HERON OF NAVARRE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 721110
Sponsor’s telephone number 8509399400
Plan sponsor’s address 8697 NAVARRE PARKWAY, NAVARRE, FL, 32566

Signature of
Role Plan administrator
Date 2024-09-18
Name of individual signing CALVIN B CLARK
Valid signature Filed with authorized/valid electronic signature
BLUE HERON 401(K) PLAN 2022 331080271 2023-09-12 BLUE HERON OF NAVARRE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 721110
Sponsor’s telephone number 8509399400
Plan sponsor’s address 8697 NAVARRE PARKWAY, NAVARRE, FL, 32566

Signature of
Role Plan administrator
Date 2023-09-12
Name of individual signing CALVIN CLARK
Valid signature Filed with authorized/valid electronic signature
BLUE HERON 401(K) PLAN 2021 331080271 2022-08-19 BLUE HERON OF NAVARRE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 721110
Sponsor’s telephone number 8509399400
Plan sponsor’s address 8697 NAVARRE PARKWAY, NAVARRE, FL, 32566

Signature of
Role Plan administrator
Date 2022-08-19
Name of individual signing CALVIN CLARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-19
Name of individual signing CALVIN CLARK
Valid signature Filed with authorized/valid electronic signature
BLUE HERON 401(K) PLAN 2020 331080271 2021-07-13 BLUE HERON OF NAVARRE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 721110
Sponsor’s telephone number 8509399400
Plan sponsor’s address 8697 NAVARRE PARKWAY, NAVARRE, FL, 32566

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing BAKER CLARK
Valid signature Filed with authorized/valid electronic signature
BLUE HERON 401(K) PLAN 2019 331080271 2020-05-01 BLUE HERON OF NAVARRE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 721110
Sponsor’s telephone number 8509399400
Plan sponsor’s address 8697 NAVARRE PARKWAY, NAVARRE, FL, 32566

Signature of
Role Plan administrator
Date 2020-05-01
Name of individual signing CALVIN CLARK
Valid signature Filed with authorized/valid electronic signature
BLUE HERON 401(K) PLAN 2018 331080271 2019-07-08 BLUE HERON OF NAVARRE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 721110
Sponsor’s telephone number 8509399400
Plan sponsor’s address 8697 NAVARRE PARKWAY, NAVARRE, FL, 32566

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing BAKER CLARK
Valid signature Filed with authorized/valid electronic signature
BLUE HERON 401(K) PLAN 2017 331080271 2018-08-20 BLUE HERON OF NAVARRE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 721110
Sponsor’s telephone number 8509399400
Plan sponsor’s address 8697 NAVARRE PARKWAY, NAVARRE, FL, 32566

Signature of
Role Plan administrator
Date 2018-08-20
Name of individual signing C. BAKER CLARK
Valid signature Filed with authorized/valid electronic signature
BLUE HERON 401(K) PLAN 2016 331080271 2017-11-29 BLUE HERON OF NAVARRE, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 721110
Sponsor’s telephone number 8509399400
Plan sponsor’s address 8697 NAVARRE PARKWAY, NAVARRE, FL, 32566

Signature of
Role Plan administrator
Date 2017-11-29
Name of individual signing CALVIN CLARK
Valid signature Filed with authorized/valid electronic signature
BLUE HERON 401(K) PLAN 2015 331080271 2016-07-14 BLUE HERON OF NAVARRE, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 721110
Sponsor’s telephone number 8509399400
Plan sponsor’s address 8697 NAVARRE PARKWAY, NAVARRE, FL, 32566

Signature of
Role Plan administrator
Date 2016-07-14
Name of individual signing CALVIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CLARK C. BAKER Agent 8697 NAVARRE PRKWY, NAVARRE, FL, 32566

Director

Name Role Address
CLARK C BAKER Director 974 GRAND CANAL, GULF BREEZE, FL, 32563
Clark Deborah P Director 974 Grand Canal St, Gulf Breeze, FL, 32563

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000116376 BEST WESTERN NAVARRE WATERFRONT ACTIVE 2010-12-21 2025-12-31 No data 8697 NAVARRE PARKWAY, NAVARRE, FL, 32566

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2008-01-04 8697 NAVARRE PRKWY, NAVARRE, FL 32566 No data
REGISTERED AGENT ADDRESS CHANGED 2008-01-04 8697 NAVARRE PRKWY, NAVARRE, FL 32566 No data
CHANGE OF MAILING ADDRESS 2005-03-18 8697 NAVARRE PRKWY, NAVARRE, FL 32566 No data

Documents

Name Date
ANNUAL REPORT 2024-04-07
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-03-28
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-04-14
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-04-12
ANNUAL REPORT 2015-04-07

Related by officers

CLARK C. BAKER

BAKER CLARK HOMES, INC. PURPLE HERON, L.L.C.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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