| Entity Name: | LAW OFFICES OF PETERSON, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Jan 2004 (21 years ago) |
| Document Number: | P04000009553 |
| FEI/EIN Number | 200522614 |
| Address: | 101 NW 5TH ST., MULBERRY, FL, 33860 |
| Mail Address: | 101 NW 5TH ST., MULBERRY, FL, 33860, US |
| ZIP code: | 33860 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAW OFFICES OF PETERSON, P.A. 401(K) PLAN | 2010 | 200522614 | 2011-07-29 | LAW OFFICES OF PETERSON, P.A. | 2 | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 200522614 |
| Plan administrator’s name | LAW OFFICES OF PETERSON, P.A. |
| Plan administrator’s address | 101 N.W. 5TH STREET, MULBERRY, FL, 33860 |
| Administrator’s telephone number | 8636697270 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-29 |
| Name of individual signing | KEITH PETERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-02-01 |
| Business code | 541110 |
| Sponsor’s telephone number | 8636697270 |
| Plan sponsor’s mailing address | 101 N.W. 5TH STREET, MULBERRY, FL, 33860 |
| Plan sponsor’s address | 101 N.W. 5TH STREET, MULBERRY, FL, 33860 |
Plan administrator’s name and address
| Administrator’s EIN | 200522614 |
| Plan administrator’s name | LAW OFFICES OF PETERSON, P.A. |
| Plan administrator’s address | 101 N.W. 5TH STREET, MULBERRY, FL, 33860 |
| Administrator’s telephone number | 8636697270 |
Number of participants as of the end of the plan year
| Active participants | 2 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 2 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-22 |
| Name of individual signing | KEITH PETERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-02-01 |
| Business code | 541110 |
| Sponsor’s telephone number | 8636697270 |
| Plan sponsor’s mailing address | 101 N.W. 5TH STREET, MULBERRY, FL, 33860 |
| Plan sponsor’s address | 101 N.W. 5TH STREET, MULBERRY, FL, 33860 |
Plan administrator’s name and address
| Administrator’s EIN | 200522614 |
| Plan administrator’s name | LAW OFFICES OF PETERSON, P.A. |
| Plan administrator’s address | 101 N.W. 5TH STREET, MULBERRY, FL, 33860 |
| Administrator’s telephone number | 8636697270 |
Number of participants as of the end of the plan year
| Active participants | 2 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 2 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Employer/plan sponsor |
| Date | 2010-06-21 |
| Name of individual signing | KEITH PETERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PETERSON KEITH A | Agent | 6365 CEDAR LANE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| PETERSON KEITH A | President | 6365 CEDAR LANE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| PETERSON KEITH A | Secretary | 6365 CEDAR LANE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| PETERSON KEITH A | Director | 6365 CEDAR LANE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| PETERSON AMANDA C | Manager | 6365 CEDAR LANE, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2015-04-30 | 101 NW 5TH ST., MULBERRY, FL 33860 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-31 | 101 NW 5TH ST., MULBERRY, FL 33860 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-24 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-02-17 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
