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  5. CLEAN WATER REVIVAL, INC.

CLEAN WATER REVIVAL, INC.

Company Details

Entity Name: CLEAN WATER REVIVAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Nov 2009 (15 years ago)
Last Event: AMENDMENT
Event Date Filed: 02 Mar 2015 (10 years ago)
Document Number: P09000093533
FEI/EIN Number 112999622
Address: 7897 SW JACK JAMES DRIVE, SUITE C, STUART, FL, 34997, US
Mail Address: 7897 SW JACK JAMES DRIVE, SUITE C, STUART, FL, 34997, US
ZIP code: 34997
County: Martin
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLEAN WATER REVIVAL INC 401 K PROFIT SHARING PLAN TRUST 2017 112999622 2018-02-08 CLEAN WATER REVIVAL INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 7729198701
Plan sponsor’s address 7897 SW JACK JAMES DR UNIT C, STUART, FL, 34997

Signature of
Role Plan administrator
Date 2018-02-08
Name of individual signing DIANE ROMEO
Valid signature Filed with authorized/valid electronic signature
CLEAN WATER REVIVAL INC 401(K) PROFIT SHARING PLAN & TRUST 2017 112999622 2018-01-09 CLEAN WATER REVIVAL, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 7729198701
Plan sponsor’s DBA name C/O CWR
Plan sponsor’s address 7897 SW JACK JAMES DR STE C, STUART, FL, 349977200

Signature of
Role Plan administrator
Date 2018-01-09
Name of individual signing DIANE ROMEO-SPEISER
Valid signature Filed with authorized/valid electronic signature
CLEAN WATER REVIVAL INC 401 K PROFIT SHARING PLAN TRUST 2016 112999622 2018-01-30 CLEAN WATER REVIVAL INC 6
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 7729198701
Plan sponsor’s address 7897 SW JACK JAMES DR UNIT C, STUART, FL, 34997

Signature of
Role Plan administrator
Date 2018-01-30
Name of individual signing DIANE ROMEO
Valid signature Filed with authorized/valid electronic signature
CLEAN WATER REVIVAL INC 401 K PROFIT SHARING PLAN TRUST 2016 112999622 2017-05-15 CLEAN WATER REVIVAL INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 7729198701
Plan sponsor’s address 7897 SW JACK JAMES DR UNIT C, STUART, FL, 34997

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing DIANE ROMEO
Valid signature Filed with authorized/valid electronic signature
CLEAN WATER REVIVAL INC 401 K PROFIT SHARING PLAN TRUST 2016 112999622 2018-01-30 CLEAN WATER REVIVAL INC 6
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 7729198701
Plan sponsor’s address 7897 SW JACK JAMES DR UNIT C, STUART, FL, 34997

Signature of
Role Plan administrator
Date 2018-01-30
Name of individual signing DIANE ROMEO
Valid signature Filed with authorized/valid electronic signature
CLEAN WATER REVIVAL INC 401 K PROFIT SHARING PLAN TRUST 2016 112999622 2018-01-31 CLEAN WATER REVIVAL INC 6
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 7729198701
Plan sponsor’s address 7897 SW JACK JAMES DR UNIT C, STUART, FL, 34997

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing DIANE ROMEO
Valid signature Filed with authorized/valid electronic signature
CLEAN WATER REVIVAL, INC. 401 K PROFIT SHARING PLAN TRUST 2015 112999622 2016-05-19 CLEAN WATER REVIVAL, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 7729198701
Plan sponsor’s address 7897 SW JACK JAMES DRIVE, STE, STUART, FL, 34997

Signature of
Role Plan administrator
Date 2016-05-19
Name of individual signing DIANE M ROMEO
Valid signature Filed with authorized/valid electronic signature
CLEAN WATER REVIVAL INC 401 K PROFIT SHARING PLAN TRUST 2014 112999622 2015-06-03 CLEAN WATER REVIVAL INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 7729198701
Plan sponsor’s address 7897 SW JACK JAMES DR UNIT C, STUART, FL, 34997

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing DIANE ROMEO
Valid signature Filed with authorized/valid electronic signature
CLEAN WATER REVIVAL INC 401 K PROFIT SHARING PLAN TRUST 2013 112999622 2014-05-23 CLEAN WATER REVIVAL INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 5613404001
Plan sponsor’s address 7897 SW JACK JAMES DR UNIT C, STUART, FL, 34997

Signature of
Role Plan administrator
Date 2014-05-23
Name of individual signing DIANE ROMEO-SPEISER
Valid signature Filed with authorized/valid electronic signature
CLEAN WATER REVIVAL, INC. 401 K PROFIT SHARING PLAN TRUST 2012 112999622 2013-06-05 CLEAN WATER REVIVAL INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 5613404001
Plan sponsor’s address 5155 CORPORATE WAY, G, JUPITER, FL, 33458

Signature of
Role Plan administrator
Date 2013-06-05
Name of individual signing CLEAN WATER REVIVAL INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROMEO-SPEISER DIANE Dr. Agent 7897 SW JACK JAMES DRIVE, STUART, FL, 34997

President

Name Role Address
ROMEO DIANE M President 7897 SW JACK JAMES DRIVE, STUART, FL, 34997

Vice President

Name Role Address
SPEISER ROY MDr. Vice President 7897 SW JACK JAMES DRIVE, STUART, FL, 34997

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000113732 ABSOLUTE ENVIRO PROTECTION EXPIRED 2016-10-19 2021-12-31 No data CLEAN WATER REVIVAL, INC., 7897 SW JACK JAMES DRIVE, SUITE C, STUART, FL, 34997
G12000105253 CWR, ENVIRONMENTAL PRODUCTS EXPIRED 2012-10-30 2017-12-31 No data 5155 CORPORATE WAY SUITE G, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
AMENDMENT 2015-03-02 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-03-11 7897 SW JACK JAMES DRIVE, SUITE C, STUART, FL 34997 No data
CHANGE OF MAILING ADDRESS 2014-03-11 7897 SW JACK JAMES DRIVE, SUITE C, STUART, FL 34997 No data
REGISTERED AGENT ADDRESS CHANGED 2014-03-11 7897 SW JACK JAMES DRIVE, SUITE C, STUART, FL 34997 No data
REGISTERED AGENT NAME CHANGED 2013-02-19 ROMEO-SPEISER, DIANE, Dr. No data

Documents

Name Date
ANNUAL REPORT 2025-01-09
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-11
ANNUAL REPORT 2021-01-06
ANNUAL REPORT 2020-01-16
AMENDED ANNUAL REPORT 2019-07-08
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-15

Related by officers

No related officers

Related by address

7897 SW JACK JAMES DRIVE, SUITE C, STUART, FL, 34997, US

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7897 SW JACK JAMES DRIVE, SUITE C, STUART, FL, 34997, US

HIGH FREQUENCY HEALTH & WELLNESS, LLC TZ WELLNESS, LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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