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  5. TIM AHLBUM PA

TIM AHLBUM PA

Company Details

Entity Name: TIM AHLBUM PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 May 2008 (17 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 16 Feb 2011 (14 years ago)
Document Number: P08000050840
FEI/EIN Number 371567352
Address: 9915 Bay Leaf Ct, Parkland, FL, 33076, US
Mail Address: 9915 Bay Leaf Ct, Parkland, FL, 33076, US
ZIP code: 33076
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TIM AHLBUM PA 401(K) PROFIT SHARING PLAN & TRUST 2023 371567352 2024-04-15 TIM AHLBUM PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541110
Sponsor’s telephone number 9546632594
Plan sponsor’s address 9915 BAY LEAF COURT, PARKLAND, FL, 33076

Signature of
Role Plan administrator
Date 2024-04-15
Name of individual signing TIMOTHY JON AHLBUM
Valid signature Filed with authorized/valid electronic signature
TIM AHLBUM PA 401(K) PROFIT SHARING PLAN & TRUST 2022 371567352 2023-05-03 TIM AHLBUM PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541110
Sponsor’s telephone number 9546632594
Plan sponsor’s address 9915 BAY LEAF COURT, PARKLAND, FL, 33076

Signature of
Role Plan administrator
Date 2023-05-03
Name of individual signing TIMOTHY AHLBUM
Valid signature Filed with authorized/valid electronic signature
TIM AHLBUM PA 401(K) PROFIT SHARING PLAN & TRUST 2021 371567352 2022-05-17 TIM AHLBUM PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541110
Sponsor’s telephone number 9546632594
Plan sponsor’s address 9915 BAY LEAF COURT, PARKLAND, FL, 33076

Signature of
Role Plan administrator
Date 2022-05-17
Name of individual signing TIMOTHY J AHLBUM
Valid signature Filed with authorized/valid electronic signature
TIM AHLBUM PA 401(K) PROFIT SHARING PLAN & TRUST 2020 371567352 2021-04-13 TIM AHLBUM PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541110
Sponsor’s telephone number 9546632594
Plan sponsor’s address 9915 BAY LEAF COURT, PARKLAND, FL, 33076

Signature of
Role Plan administrator
Date 2021-04-13
Name of individual signing TIMOTHY J AHLBUM
Valid signature Filed with authorized/valid electronic signature
TIM AHLBUM PA 401(K) PROFIT SHARING PLAN & TRUST 2019 371567352 2020-04-14 TIM AHLBUM PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541110
Sponsor’s telephone number 9546632594
Plan sponsor’s address 9915 BAY LEAF COURT, PARKLAND, FL, 33076

Signature of
Role Plan administrator
Date 2020-04-14
Name of individual signing TIMOTHY AHLBUM
Valid signature Filed with authorized/valid electronic signature
TIM AHLBUM PA 401 K PROFIT SHARING PLAN TRUST 2018 371567352 2019-03-12 TIM AHLBUM PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541110
Sponsor’s telephone number 9546632594
Plan sponsor’s address 9915 BAY LEAF COURT, PARKLAND, FL, 33076

Signature of
Role Plan administrator
Date 2019-03-12
Name of individual signing TIMOTHY AHLBUM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
AHLBUM TIMOTHY J Agent 9915 Bay Leaf Ct, Parkland, FL, 33076

President

Name Role Address
AHLBUM TIMOTHY J President 9915 Bay Leaf Ct, Parkland, FL, 33076

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000050766 HEALTH COVERAGE SOLUTIONS ACTIVE 2024-04-16 2029-12-31 No data 1310 N STATE ROAD 7, COCONUT CREEK, FL, 33073

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-15 9915 Bay Leaf Ct, Parkland, FL 33076 No data
CHANGE OF MAILING ADDRESS 2024-01-15 9915 Bay Leaf Ct, Parkland, FL 33076 No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-15 9915 Bay Leaf Ct, Parkland, FL 33076 No data
REINSTATEMENT 2011-02-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-17
AMENDED ANNUAL REPORT 2021-11-19
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-21
ANNUAL REPORT 2018-01-11
AMENDED ANNUAL REPORT 2017-06-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7183557707 2020-05-01 0455 PPP 9915 BAY LEAF CT, PARKLAND, FL, 33076-4441
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 32422
Loan Approval Amount (current) 32422
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address PARKLAND, BROWARD, FL, 33076-4441
Project Congressional District FL-23
Number of Employees 3
NAICS code 813920
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 32616.53
Forgiveness Paid Date 2020-12-10

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Date of last update: 01 Feb 2025

Sources: Florida Department of State

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