| Entity Name: | CLAIM WRITE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 13 Sep 2018 (6 years ago) |
| Document Number: | P18000077319 |
| FEI/EIN Number | 83-1910172 |
| Address: | 53 SONATA STREET, FREEPORT, FL 32439 |
| Mail Address: | 53 SONATA STREET, FREEPORT, FL 32439 |
| ZIP code: | 32439 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | CLAIM WRITE, INC., ALABAMA | 000-842-912 | ALABAMA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLAIM WRITE INC | 2023 | 831910172 | 2024-06-20 | CLAIM WRITE INC | 20 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-20 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-02-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 7868042905 |
| Plan sponsor’s address | 755 GRAND BLVD, STE 105B-129, MIRAMAR BEACH, FL, 32550 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-21 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HERRING, SAMANTHA | Agent | 53 SONATA STREET, FREEPORT, FL 32439 |
| Name | Role | Address |
|---|---|---|
| HERRING, SAMANTHA HOPE | President | 53 SONATA STREET, FREEPORT, FL 32439 |
| Name | Role | Address |
|---|---|---|
| HERRING, SAMANTHA HOPE | Vice President | 53 SONATA STREET, FREEPORT, FL 32439 |
| Name | Role | Address |
|---|---|---|
| HERRING, SAMANTHA HOPE | Secretary | 53 SONATA STREET, FREEPORT, FL 32439 |
| Name | Role | Address |
|---|---|---|
| HERRING, SAMANTHA HOPE | Treasurer | 53 SONATA STREET, FREEPORT, FL 32439 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-28 | 53 SONATA STREET, FREEPORT, FL 32439 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-28 | 53 SONATA STREET, FREEPORT, FL 32439 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-28 | 53 SONATA STREET, FREEPORT, FL 32439 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J25000006325 | ACTIVE | COCE24015837 | 17TH JUDICIAL CIRCUIT | 2024-12-30 | 2030-01-07 | $$5,156.55 | SEAN J FORD, 2490 SW 143RD AVE, OCALA, FL 34481 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-28 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-03-16 |
| AMENDED ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-30 |
| Domestic Profit | 2018-09-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5349017700 | 2020-05-01 | 0491 | PPP | 53 SONATA ST, FREEPORT, FL, 32439-6573 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 16 Feb 2025
Sources: Florida Department of State
