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COLLYMORE, INC.

Company Details

Entity Name: COLLYMORE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Jan 2007 (18 years ago)
Document Number: P07000001342
FEI/EIN Number 753228075
Address: 14006 BRIARDALE LN, TAMPA, FL, 33618
Mail Address: 14006 BRIARDALE LN, TAMPA, FL, 33618
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLLYMORE INC 401K PLAN 2023 753228075 2024-04-23 COLLYMORE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541600
Sponsor’s telephone number 8133763752
Plan sponsor’s address 14006 BRIARDALE LANE, TAMPA, FL, 336182210

Signature of

Role Plan administrator
Date 2024-04-23
Name of individual signing DAVID KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
COLLYMORE INC 401K PLAN 2022 753228075 2023-04-19 COLLYMORE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541600
Sponsor’s telephone number 8133763752
Plan sponsor’s address 14006 BRIARDALE LANE, TAMPA, FL, 336182210

Signature of

Role Plan administrator
Date 2023-04-19
Name of individual signing DAVID KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
COLLYMORE INC 401K PLAN 2021 753228075 2022-05-25 COLLYMORE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541600
Sponsor’s telephone number 8133763752
Plan sponsor’s address 14006 BRIARDALE LANE, TAMPA, FL, 336182210

Signature of

Role Plan administrator
Date 2022-05-25
Name of individual signing DAVID KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
COLLYMORE INC 401K PLAN 2020 753228075 2021-05-25 COLLYMORE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541600
Sponsor’s telephone number 8133763752
Plan sponsor’s address 14006 BRIARDALE LANE, TAMPA, FL, 336182210

Signature of

Role Plan administrator
Date 2021-05-25
Name of individual signing DAVID M KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-25
Name of individual signing DAVID M KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
COLLYMORE INC 401K PLAN 2019 753228075 2020-06-17 COLLYMORE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541600
Sponsor’s telephone number 8133763752
Plan sponsor’s address 14006 BRIARDALE LANE, TAMPA, FL, 336182210

Signature of

Role Plan administrator
Date 2020-06-17
Name of individual signing DAVID M KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-17
Name of individual signing DAVID M KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
COLLYMORE INC 401K PLAN 2018 753228075 2019-05-08 COLLYMORE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541600
Sponsor’s telephone number 8133763752
Plan sponsor’s address 14006 BRIARDALE LANE, TAMPA, FL, 336182210

Signature of

Role Plan administrator
Date 2019-05-08
Name of individual signing DAVID M KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-08
Name of individual signing DAVID M KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
COLLYMORE INC 401K PLAN 2017 753228075 2018-05-14 COLLYMORE INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541600
Sponsor’s telephone number 8133763752
Plan sponsor’s address 14006 BRIARDALE LANE, TAMPA, FL, 336182210

Signature of

Role Plan administrator
Date 2018-05-14
Name of individual signing DAVID M KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-14
Name of individual signing DAVID M KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
COLLYMORE INC 401K PLAN 2016 753228075 2017-06-28 COLLYMORE INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 541600
Sponsor’s telephone number 8133763752
Plan sponsor’s address 14006 BRIARDALE LANE, TAMPA, FL, 336182210

Signature of

Role Plan administrator
Date 2017-06-28
Name of individual signing DAVID M KOKOCHAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-28
Name of individual signing DAVID M KOKOCHAK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KOKOCHAK DAVID M Agent 14006 BRIARDALE LN, TAMPA, FL, 33618

President

Name Role Address
KOKOCHAK DAVID M President 14006 BRIARDALE LN, TAMPA, FL, 33618

Vice President

Name Role Address
KOKOCHAK B. ELIZABETH Vice President 14006 BRIARDALE LN, TAMPA, FL, 33618

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-23
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-01-26
ANNUAL REPORT 2017-02-06
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-04-01

Date of last update: 01 Feb 2025

Sources: Florida Department of State