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  5. CASEY'S BAGEL PLACE, INC

CASEY'S BAGEL PLACE, INC

Company Details

Entity Name: CASEY'S BAGEL PLACE, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Jun 2008 (17 years ago)
Document Number: P08000055614
FEI/EIN Number 262785729
Address: 2649 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020
Mail Address: 2649 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020
ZIP code: 33020
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CASEY'S BAGEL PLACE INC. 401(K) P/S PLAN 2023 262785729 2024-07-18 CASEY'S BAGEL PLACE INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 722511
Sponsor’s telephone number 9549219483
Plan sponsor’s address 2649 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Signature of
Role Plan administrator
Date 2024-07-18
Name of individual signing CASEY DIXON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-18
Name of individual signing CASEY DIXON
Valid signature Filed with authorized/valid electronic signature
CASEY'S BAGEL PLACE INC. 401(K) P/S PLAN 2022 262785729 2023-05-03 CASEY'S BAGEL PLACE INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 722511
Sponsor’s telephone number 9549219483
Plan sponsor’s address 2649 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Plan administrator’s name and address
Administrator’s EIN 262785729
Plan administrator’s name CASEY'S BAGEL PLACE INC.
Plan administrator’s address 2649 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020
Administrator’s telephone number 9549219483

Signature of
Role Plan administrator
Date 2023-05-03
Name of individual signing CASEY DIXON
Valid signature Filed with authorized/valid electronic signature
CASEY'S BAGEL PLACE INC. 401(K) P/S PLAN 2021 262785729 2022-03-29 CASEY'S BAGEL PLACE INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 722511
Sponsor’s telephone number 9549219483
Plan sponsor’s address 2649 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Plan administrator’s name and address
Administrator’s EIN 262785729
Plan administrator’s name CASEY'S BAGEL PLACE INC.
Plan administrator’s address 2649 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020
Administrator’s telephone number 9549219483

Signature of
Role Plan administrator
Date 2022-03-29
Name of individual signing CASEY DIXON
Valid signature Filed with authorized/valid electronic signature
CASEY'S BAGEL PLACE INC. 401(K) P/S PLAN 2020 262785729 2021-06-17 CASEY'S BAGEL PLACE INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 722511
Sponsor’s telephone number 9549219483
Plan sponsor’s address 2649 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Plan administrator’s name and address
Administrator’s EIN 262785729
Plan administrator’s name CASEY'S BAGEL PLACE INC.
Plan administrator’s address 2649 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020
Administrator’s telephone number 9549219483

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing CASEY DIXON
Valid signature Filed with authorized/valid electronic signature
CASEY'S BAGEL PLACE INC. 401(K) P/S PLAN 2019 262785729 2020-10-14 CASEY'S BAGEL PLACE INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 722511
Sponsor’s telephone number 9549219483
Plan sponsor’s address 2649 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Plan administrator’s name and address
Administrator’s EIN 262785729
Plan administrator’s name CASEY'S BAGEL PLACE INC.
Plan administrator’s address 2649 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020
Administrator’s telephone number 9549219483

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing CASEY DIXON
Valid signature Filed with authorized/valid electronic signature
CASEY'S BAGEL PLACE INC. 401(K) P/S PLAN 2018 262785729 2020-04-16 CASEY'S BAGEL PLACE INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 722511
Sponsor’s telephone number 9549219483
Plan sponsor’s address 2649 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020

Plan administrator’s name and address
Administrator’s EIN 262785729
Plan administrator’s name CASEY'S BAGEL PLACE INC.
Plan administrator’s address 2649 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020
Administrator’s telephone number 9549219483

Signature of
Role Plan administrator
Date 2020-04-16
Name of individual signing CASEY DIXON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
SPIEGEL & UTRERA, P.A. Agent

Vice President

Name Role Address
DIXON CASEY L Vice President 2649 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

President

Name Role Address
DIXON DWAYNE K President 2649 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000116808 DIXON'S DINER ACTIVE 2013-12-02 2029-12-31 No data 2649 HOLLYWOOD BLVD., HOLLYWOOD, FL, 33020
G08189700052 JP'S BAGEL PLACE ACTIVE 2008-07-07 2029-12-31 No data 2649 HOLLYWOOD BOULEVARD, HOLLYWOOD, FL, 33020

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-15
ANNUAL REPORT 2021-04-25
ANNUAL REPORT 2020-05-29
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-22
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-24
ANNUAL REPORT 2015-04-24

Related by officers

DIXON CASEY L

WILMOT STEPHENS INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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