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  5. NORTHWEST FLORIDA ENT, P.A.

NORTHWEST FLORIDA ENT, P.A.

Company Details

Entity Name: NORTHWEST FLORIDA ENT, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Aug 2015 (9 years ago)
Document Number: P15000069026
FEI/EIN Number 47-4838557
Address: 310 Racetrack Rd NW, Fort Walton Beach, FL, 32547, US
Mail Address: 310 Racetrack Rd NW, Fort Walton Beach, FL, 32547, US
ZIP code: 32547
County: Okaloosa
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWEST FLORIDA ENT, P.A. 401(K) PROFIT SHARING PLAN 2023 474838557 2024-09-11 NORTHWEST FLORIDA ENT, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8508638275
Plan sponsor’s address 310 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547
NORTHWEST FLORIDA ENT, P.A. 401(K) PROFIT SHARING PLAN 2022 474838557 2023-06-07 NORTHWEST FLORIDA ENT, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8508638275
Plan sponsor’s address 310 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2023-06-07
Name of individual signing JASON BOOLE
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA ENT, P.A. 401(K) PROFIT SHARING PLAN 2021 474838557 2022-02-28 NORTHWEST FLORIDA ENT, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8508638275
Plan sponsor’s address 310 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2022-02-28
Name of individual signing JASON BOOLE
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA ENT, P.A. 401(K) PROFIT SHARING PLAN 2020 474838557 2021-07-12 NORTHWEST FLORIDA ENT, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8508638275
Plan sponsor’s address 310 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2021-07-12
Name of individual signing JASON BOOLE
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA ENT, P.A. 401(K) PROFIT SHARING PLAN 2019 474838557 2020-10-06 NORTHWEST FLORIDA ENT, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8508638275
Plan sponsor’s address 310 RACETRACK ROAD NW, FORT WALTON BEACH, FL, 32547

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing JASON BOOLE
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA ENT, P.A. 401(K) PROFIT SHARING PLAN 2018 474838557 2019-07-10 NORTHWEST FLORIDA ENT, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8508638275
Plan sponsor’s address 3754 HIGHWAY 90, SUITE 390A, PACE, FL, 32571

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing JASON BOOLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-10
Name of individual signing JASON BOOLE
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA ENT, P.A. 401(K) PROFIT SHARING PLAN 2017 474838557 2018-10-17 NORTHWEST FLORIDA ENT, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8508638275
Plan sponsor’s address 3754 HIGHWAY 90, SUITE 390A, PACE, FL, 32571

Signature of
Role Plan administrator
Date 2018-10-16
Name of individual signing JASON BOOLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-16
Name of individual signing JASON BOOLE
Valid signature Filed with authorized/valid electronic signature
NORTHWEST FLORIDA ENT, P.A. 401(K) PROFIT SHARING PLAN 2016 474838557 2017-10-17 NORTHWEST FLORIDA ENT, P.A. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 8508638275
Plan sponsor’s address 3754 HIGHWAY 90, SUITE 390A, PACE, FL, 32571

Signature of
Role Plan administrator
Date 2017-10-17
Name of individual signing JASON BOOLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-17
Name of individual signing JASON BOOLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BOOLE JASON DR Agent 214 LAFITTE CRESCENT, FORT WALTON BEACH, FL, 32547

President

Name Role Address
BOOLE JASON DR President 214 LAFITTE CRESCENT, FORT WALTON BEACH, FL, 32547

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000020520 NORTHWEST FLORIDA ENT ACTIVE 2018-02-06 2028-12-31 No data 310 RACETRACK RD NW, FORT WALTON BEACH, FL, 32547

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-01-09 310 Racetrack Rd NW, Suite 100, Fort Walton Beach, FL 32547 No data
CHANGE OF MAILING ADDRESS 2018-01-09 310 Racetrack Rd NW, Suite 100, Fort Walton Beach, FL 32547 No data

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-03-28
Domestic Profit 2015-08-17

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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