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MELBA LEE INC

Company Details

Entity Name: MELBA LEE INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 20 Dec 2004 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 09 Mar 2015 (10 years ago)
Document Number: P04000170139
FEI/EIN Number 76-0775546
Address: 1101 WILLOW PINE CT, TAMPA, FL 33604
Mail Address: 1101 WILLOW PINE CT, TAMPA, FL 33604
ZIP code: 33604
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MELBALEE 401(K) PLAN 2023 760775546 2024-05-15 MELBA LEE INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541110
Sponsor’s telephone number 8137700312
Plan sponsor’s address 1101 WILLOW PINE CT, TAMPA, FL, 33604

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-15
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
MELBALEE 401(K) PLAN 2022 760775546 2023-08-11 MELBA LEE INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541110
Sponsor’s telephone number 8137700312
Plan sponsor’s address 1101 WILLOW PINE CT, TAMPA, FL, 33604

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-08-11
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
MELBALEE 401(K) PLAN 2021 760775546 2022-06-01 MELBA LEE INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541110
Sponsor’s telephone number 8137700312
Plan sponsor’s address 1101 WILLOW PINE CT, TAMPA, FL, 33604

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-06-01
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RIVERA, MELBA E Agent 1101 WILLOW PINE CT, TAMPA, FL 33604

President

Name Role Address
RIVERA, MELBA E President 1101 WILLOW PINE CT, TAMPA, FL 33604

Vice President

Name Role Address
RIVERA MARTINEZ, CHARLES G Vice President 1101 willow pine ct, Tampa, FL, 336, Tampa, FL 33604

MANAGER

Name Role Address
MARTINEZ, HECTOR J MANAGER 8325 WILLOW BEACH DR, RIVERVIEW, FL 33578

Treasurer

Name Role Address
MARTINEZ, MELVIN R Treasurer 1101 WILLOW PINE CT, TAMPA, FL 33604

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-03-15 RIVERA, MELBA E No data
REINSTATEMENT 2015-03-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
CANCEL ADM DISS/REV 2005-11-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J12001082398 TERMINATED 1000000338437 HILLSBOROU 2012-12-19 2022-12-28 $ 1,471.50 STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-03-15
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-03-02
ANNUAL REPORT 2016-03-15
REINSTATEMENT 2015-03-09

Date of last update: 04 Jan 2025

Sources: Florida Department of State