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  5. KAY GREEN DESIGN, INC.

KAY GREEN DESIGN, INC.

Company Details

Entity Name: KAY GREEN DESIGN, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 10 Oct 1996 (28 years ago)
Date of dissolution: 16 Oct 1998 (26 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 16 Oct 1998 (26 years ago)
Document Number: P96000083583
FEI/EIN Number 59-3410708
Address: 976 ORANGE AVENUE, SUITE B, WINTER PARK, FL 32789
Mail Address: 976 ORANGE AVENUE, SUITE B, WINTER PARK, FL 32789
ZIP code: 32789
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KAY GREEN DESIGN, INC. 401(K) PLAN 2020 592868084 2021-10-26 KAY GREEN DESIGN, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 812990
Sponsor’s telephone number 4072467155
Plan sponsor’s address 3122 SHADER ROAD, SUITE D, ORLANDO, FL, 32808
KAY GREEN DESIGN, INC. 401(K) PLAN 2020 592868084 2021-10-14 KAY GREEN DESIGN, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 812990
Sponsor’s telephone number 4072467155
Plan sponsor’s address 3122 SHADER ROAD, SUITE D, ORLANDO, FL, 32808
KAY GREEN DESIGN, INC. 401(K) PLAN 2019 592868084 2020-07-27 KAY GREEN DESIGN, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 812990
Sponsor’s telephone number 4072467155
Plan sponsor’s address 668 CHERRY STREET, SUITE A, WINTER PARK, FL, 32789
KAY GREEN DESIGN, INC. 401(K) PLAN 2018 592868084 2019-04-04 KAY GREEN DESIGN, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 812990
Sponsor’s telephone number 4072467155
Plan sponsor’s address 668 CHERRY STREET, SUITE A, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2019-03-27
Name of individual signing STACEY CINTRON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-27
Name of individual signing STACEY CINTRON
Valid signature Filed with authorized/valid electronic signature
KAY GREEN DESIGN, INC. 401(K) PLAN 2017 592868084 2018-02-07 KAY GREEN DESIGN, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 812990
Sponsor’s telephone number 4072467155
Plan sponsor’s address 668 CHERRY STREET, SUITE A, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2018-02-07
Name of individual signing DONNA TOLLIVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-07
Name of individual signing DONNA TOLLIVER
Valid signature Filed with authorized/valid electronic signature
KAY GREEN DESIGN, INC. 401(K) PLAN 2016 592868084 2017-05-01 KAY GREEN DESIGN, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 812990
Sponsor’s telephone number 4072467155
Plan sponsor’s address 668 CHERRY STREET, SUITE A, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2017-04-26
Name of individual signing DONNA TOLLIVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-26
Name of individual signing DONNA TOLLIVER
Valid signature Filed with authorized/valid electronic signature
KAY GREEN DESIGN, INC. 401(K) PLAN 2015 592868084 2016-05-31 KAY GREEN DESIGN, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 812990
Sponsor’s telephone number 4072467155
Plan sponsor’s address 668 CHERRY STREET, SUITE A, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing DONNA TOLLIVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-26
Name of individual signing DONNA TOLLIVER
Valid signature Filed with authorized/valid electronic signature
KAY GREEN DESIGN, INC. 401(K) PLAN 2014 592868084 2015-03-19 KAY GREEN DESIGN, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 812990
Sponsor’s telephone number 4072467155
Plan sponsor’s address 668 CHERRY STREET, SUITE A, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2015-03-19
Name of individual signing DONNA TOLLIVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-19
Name of individual signing DONNA TOLLIVER
Valid signature Filed with authorized/valid electronic signature
KAY GREEN DESIGN, INC. 401(K) PLAN 2013 592868084 2014-04-07 KAY GREEN DESIGN, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 812990
Sponsor’s telephone number 4072467155
Plan sponsor’s address 668 CHERRY STREET, SUITE A, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2014-04-07
Name of individual signing DONNA TOLLIVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-07
Name of individual signing DONNA TOLLIVER
Valid signature Filed with authorized/valid electronic signature
KAY GREEN DESIGN, INC. 401(K) PLAN 2012 592868084 2013-02-28 KAY GREEN DESIGN, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 812990
Sponsor’s telephone number 4072467155
Plan sponsor’s address 668 CHERRY STREET, SUITE A, WINTER PARK, FL, 32789

Signature of
Role Plan administrator
Date 2013-02-28
Name of individual signing DONA C TOLLIVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-28
Name of individual signing DONA C TOLLIVER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SCOTT, ROBERT HJR. Agent 152 WEST GRANADA BLVD., ORMOND BEACH, FL 32174

Director

Name Role Address
SCOTT, ROBERT HJR. Director 237 ERNESTINE STREET, ORLANDO, FL 32801

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 No data No data
CHANGE OF PRINCIPAL ADDRESS 1996-11-18 976 ORANGE AVENUE, SUITE B, WINTER PARK, FL 32789 No data
CHANGE OF MAILING ADDRESS 1996-11-18 976 ORANGE AVENUE, SUITE B, WINTER PARK, FL 32789 No data

Documents

Name Date
ANNUAL REPORT 1997-05-08
DOCUMENTS PRIOR TO 1997 1996-10-10

Related by officers

SCOTT, ROBERT HJR.

AMERICAN OVERSEAS DEVELOPMENT, INC. THE PARTNERSHIP GROUP, INC. JIMMY'S PUB, INC. TELADVANTAGE AMERICA, INC. L & R LAWN MAINTENANCE, INC. KJ VENTURES, INC. MEDIFLOAT, INC. FAMILY MEDICAL ASSOCIATES OF VOLUSIA COUNTY, INC. LEE MEDICAL SERVICES OF VOLUSIA COUNTY, INC. FAMILY MEDICAL ASSOCIATES, 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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