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  5. COASTAL ADJUSTERS, INC.

COASTAL ADJUSTERS, INC.

Company Details

Entity Name: COASTAL ADJUSTERS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Jul 2005 (20 years ago)
Document Number: P05000093718
FEI/EIN Number 203086618
Address: 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498, US
Mail Address: 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498, US
ZIP code: 33498
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COASTAL ADJUSTERS INC 401(K) PROFIT SHARING PLAN & TRUST 2023 203086618 2024-04-09 COASTAL ADJUSTERS INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 5614414450
Plan sponsor’s address 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498

Signature of
Role Plan administrator
Date 2024-04-09
Name of individual signing TODD SHORE
Valid signature Filed with authorized/valid electronic signature
COASTAL ADJUSTERS INC 401(K) PROFIT SHARING PLAN & TRUST 2022 203086618 2023-06-08 COASTAL ADJUSTERS INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 5614414450
Plan sponsor’s address 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498

Signature of
Role Plan administrator
Date 2023-06-08
Name of individual signing TODD SHORE
Valid signature Filed with authorized/valid electronic signature
COASTAL ADJUSTERS INC 401(K) PROFIT SHARING PLAN & TRUST 2021 203086618 2022-06-29 COASTAL ADJUSTERS INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 5614414450
Plan sponsor’s address 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498

Signature of
Role Plan administrator
Date 2022-06-29
Name of individual signing TODD SHORE
Valid signature Filed with authorized/valid electronic signature
COASTAL ADJUSTERS INC 401(K) PROFIT SHARING PLAN & TRUST 2020 203086618 2022-01-17 COASTAL ADJUSTERS INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 5614414450
Plan sponsor’s address 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498

Signature of
Role Plan administrator
Date 2022-01-17
Name of individual signing TODD SHORE
Valid signature Filed with authorized/valid electronic signature
COASTAL ADJUSTERS INC 401(K) PROFIT SHARING PLAN & TRUST 2019 203086618 2020-07-29 COASTAL ADJUSTERS INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 5614414450
Plan sponsor’s address 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498

Signature of
Role Plan administrator
Date 2020-07-29
Name of individual signing TODD SHORE
Valid signature Filed with authorized/valid electronic signature
COASTAL ADJUSTERS INC 401 K PROFIT SHARING PLAN TRUST 2018 203086618 2019-07-31 COASTAL ADJUSTERS INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 5614414450
Plan sponsor’s address 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing TODD SHORE
Valid signature Filed with authorized/valid electronic signature
COASTAL ADJUSTERS INC 401 K PROFIT SHARING PLAN TRUST 2017 203086618 2018-10-04 COASTAL ADJUSTERS INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 812990
Sponsor’s telephone number 5614414450
Plan sponsor’s address 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing TODD SHORE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Shore Todd Agent 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498

President

Name Role Address
Shore Todd President 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000134334 COASTAL SERVICE ACTIVE 2009-07-13 2029-12-31 No data 11777 ISLAND LAKES LANE, BOCA RATON, FL, 33498

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-07 Shore, Todd No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-06 11777 ISLAND LAKES LANE, BOCA RATON, FL 33498 No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-04-28
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-15
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-09

Related by officers

Shore Todd

J.T. INVESTMENTS, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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