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MELBY & ASSOCIATES, P.A.

Company Details

Entity Name: MELBY & ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Nov 2012 (12 years ago)
Document Number: P12000097916
FEI/EIN Number 46-1110900
Address: 6420 Central Avenue, ST PETERSBURG, FL, 33707, US
Mail Address: 6420 Central Avenue, ST PETERSBURG, FL, 33707, US
ZIP code: 33707
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MELBY & ASSOCIATES, P.A. 401K PLAN 2023 461110900 2024-06-25 MELBY & ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 541211
Sponsor’s telephone number 7273277771
Plan sponsor’s address 6420 CENTRAL AVENUE, ST PETERSBURG, FL, 33707

Signature of

Role Plan administrator
Date 2024-06-25
Name of individual signing ROBERT MELBY
Valid signature Filed with authorized/valid electronic signature
MELBY & ASSOCIATES, P.A. 401K PLAN 2022 461110900 2023-07-13 MELBY & ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 541211
Sponsor’s telephone number 7273277771
Plan sponsor’s address 6420 CENTRAL AVENUE, ST PETERSBURG, FL, 33707

Signature of

Role Plan administrator
Date 2023-07-13
Name of individual signing ROBERT MELBY
Valid signature Filed with authorized/valid electronic signature
MELBY & ASSOCIATES, P.A. 401K PLAN 2021 461110900 2022-05-24 MELBY & ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 541211
Sponsor’s telephone number 7273277771
Plan sponsor’s address 6420 CENTRAL AVENUE, ST PETERSBURG, FL, 33707

Signature of

Role Plan administrator
Date 2022-05-24
Name of individual signing ROBERT MELBY
Valid signature Filed with authorized/valid electronic signature
MELBY & ASSOCIATES, P.A. 401K PLAN 2020 461110900 2021-06-28 MELBY & ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 541211
Sponsor’s telephone number 7273277771
Plan sponsor’s address 6420 CENTRAL AVENUE, ST PETERSBURG, FL, 33707

Signature of

Role Plan administrator
Date 2021-06-28
Name of individual signing ROBERT MELBY
Valid signature Filed with authorized/valid electronic signature
MELBY & ASSOCIATES, P.A. 401K PLAN 2019 461110900 2021-06-15 MELBY & ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 541211
Sponsor’s telephone number 7273277771
Plan sponsor’s address 6420 CENTRAL AVENUE, ST PETERSBURG, FL, 33707

Signature of

Role Plan administrator
Date 2021-06-15
Name of individual signing ROBERT MELBY
Valid signature Filed with authorized/valid electronic signature
MELBY & ASSOCIATES, P.A. 401K PLAN 2018 461110900 2019-09-03 MELBY & ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 541211
Sponsor’s telephone number 7273277771
Plan sponsor’s address 6420 CENTRAL AVENUE, ST PETERSBURG, FL, 33707

Signature of

Role Plan administrator
Date 2019-09-03
Name of individual signing ROBERT MELBY
Valid signature Filed with authorized/valid electronic signature
MELBY & ASSOCIATES, P.A. 401K PLAN 2017 461110900 2018-06-19 MELBY & ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 541211
Sponsor’s telephone number 7273277771
Plan sponsor’s address 6420 CENTRAL AVENUE, ST PETERSBURG, FL, 33707

Signature of

Role Plan administrator
Date 2018-06-19
Name of individual signing ROBERT MELBY
Valid signature Filed with authorized/valid electronic signature
MELBY & ASSOCIATES, P.A. 401K PLAN 2016 461110900 2017-10-12 MELBY & ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 541211
Sponsor’s telephone number 7273277771
Plan sponsor’s address 6420 CENTRAL AVENUE, ST PETERSBURG, FL, 33707

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing ROBERT MELBY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BURGUIERES ROBERT E Agent 6420 Central Avenue, ST PETERSBURG, FL, 33707

President

Name Role Address
MELBY ROBERT M President 6420 Central Avenue, ST PETERSBURG, FL, 33707

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000115582 MELBY, HANSON AND HETTERICH, P.A. EXPIRED 2012-12-03 2017-12-31 No data 108 5TH ST E, TIERRA VERDE, FL, 33715

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-04-21 6420 Central Avenue, ST PETERSBURG, FL 33707 No data
CHANGE OF MAILING ADDRESS 2015-04-21 6420 Central Avenue, ST PETERSBURG, FL 33707 No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-21 6420 Central Avenue, ST PETERSBURG, FL 33707 No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-05-02
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-02-10
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-04-21

Date of last update: 02 Feb 2025

Sources: Florida Department of State