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  5. CAPTIVA SPINE, INC.

CAPTIVA SPINE, INC.

Company Details

Entity Name: CAPTIVA SPINE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 04 Jan 2007 (18 years ago)
Last Event: AMENDMENT
Event Date Filed: 27 Nov 2017 (7 years ago)
Document Number: P07000001779
FEI/EIN Number 20-8154020
Address: 967 N ALTERNATE A1A, Ste 1, JUPITER, FL 33477
Mail Address: 967 N ALTERNATE A1A, Ste 1, JUPITER, FL 33477
ZIP code: 33477
County: Palm Beach
Place of Formation: FLORIDA

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300DO6L2WORT30P06 P07000001779 US-FL GENERAL ACTIVE No data

Addresses
Legal C/O MITCHELL, DALE, 967 N ALTERNATE A1A, Ste 1, JUPITER, US-FL, US, 33477
Headquarters 967 North Alternate A1A, Suite 1, Jupiter, US-FL, US, 33477

Registration details
Registration Date 2014-12-20
Last Update 2023-08-04
Status LAPSED
Next Renewal 2021-09-10
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As P07000001779

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAPTIVA SPINE INC 401(K) PROFIT SHARING PLAN & TRUST 2023 208154020 2024-07-10 CAPTIVA SPINE INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing DONALD MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401(K) PROFIT SHARING PLAN & TRUST 2022 208154020 2023-10-06 CAPTIVA SPINE INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing DONALD MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401(K) PROFIT SHARING PLAN & TRUST 2021 208154020 2022-06-20 CAPTIVA SPINE INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2022-06-20
Name of individual signing DALE MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 208154020 2021-06-16 CAPTIVA SPINE INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing DALE MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 208154020 2020-06-03 CAPTIVA SPINE INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2020-06-03
Name of individual signing DALE MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401 K PROFIT SHARING PLAN TRUST 2018 208154020 2019-07-08 CAPTIVA SPINE INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing DONALD MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401 K PROFIT SHARING PLAN TRUST 2017 208154020 2018-06-19 CAPTIVA SPINE INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing DONALD MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401 K PROFIT SHARING PLAN TRUST 2016 208154020 2017-07-05 CAPTIVA SPINE INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing DONALD MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401 K PROFIT SHARING PLAN TRUST 2015 208154020 2016-06-29 CAPTIVA SPINE INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing DONALD DALE MITCHELL
Valid signature Filed with authorized/valid electronic signature
CAPTIVA SPINE INC 401 K PROFIT SHARING PLAN TRUST 2014 208154020 2015-07-27 CAPTIVA SPINE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 339900
Sponsor’s telephone number 8777725571
Plan sponsor’s address 967 N ALTERNATE A1A STE 1, JUPITER, FL, 334773206

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing DALE MITCHELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MITCHELL, DALE Agent 967 N ALTERNATE A1A, Ste 1, JUPITER, FL 33477

President

Name Role Address
MITCHELL, DALE President 967 ALTERNATE A1A, # 1, JUPITER, FL 33477

Events

Event Type Filed Date Value Description
AMENDMENT 2017-11-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-04-23 967 N ALTERNATE A1A, Ste 1, JUPITER, FL 33477 No data
CHANGE OF MAILING ADDRESS 2014-04-23 967 N ALTERNATE A1A, Ste 1, JUPITER, FL 33477 No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-23 967 N ALTERNATE A1A, Ste 1, JUPITER, FL 33477 No data
AMENDMENT 2009-06-08 No data No data
NAME CHANGE AMENDMENT 2009-04-20 CAPTIVA SPINE, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-05-03
Amendment 2017-11-27
ANNUAL REPORT 2017-04-21
ANNUAL REPORT 2016-04-29

Related by officers

MITCHELL, DALE

TROPICAL PLANT CONSULTING, INC. JUPITER ANIMAL HOSPITAL WEST, INC. JUPITER WEST ANIMAL HOSPITAL, INC. STARTERS OF DELRAY BEACH, INC. DALE MITCHELL, D.V.M., INC. WEST JUPITER ANIMAL HOSPITAL, INC.

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Florida Department of State

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