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  5. CONCRETE IMPRESSIONS OF FLORIDA, INC.

CONCRETE IMPRESSIONS OF FLORIDA, INC.

Company Details

Entity Name: CONCRETE IMPRESSIONS OF FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 05 Nov 1998 (26 years ago)
Document Number: P98000094291
FEI/EIN Number 59-3542215
Address: 11317 N 52ND ST, TAMPA, FL 33617
Mail Address: POST OFFICE BOX 292782, TAMPA, FL 33687-2782
ZIP code: 33617
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONCRETE IMPRESSIONS OF FLORIDA, INC. 401(K) AND PROFIT SHARING PLAN 2023 593542215 2024-04-04 CONCRETE IMPRESSIONS OF FLORIDA, INC. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 339900
Sponsor’s telephone number 8138994284
Plan sponsor’s address 11317 N 52ND ST, TAMPA, FL, 336172133

Signature of
Role Plan administrator
Date 2024-04-04
Name of individual signing BRANDY WILLHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-04
Name of individual signing BRANDY WILLHITE
Valid signature Filed with authorized/valid electronic signature
CONCRETE IMPRESSIONS OF FLORIDA, INC. 401(K) AND PROFIT SHARING PLAN 2022 593542215 2023-09-18 CONCRETE IMPRESSIONS OF FLORIDA, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 339900
Sponsor’s telephone number 8138994284
Plan sponsor’s address 11317 N 52ND ST, TAMPA, FL, 336172133

Signature of
Role Plan administrator
Date 2023-09-18
Name of individual signing BRANDY WILLHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-18
Name of individual signing BRANDY WILLHITE
Valid signature Filed with authorized/valid electronic signature
CONCRETE IMPRESSIONS OF FLORIDA, INC. 401(K) AND PROFIT SHARING PLAN 2021 593542215 2022-02-09 CONCRETE IMPRESSIONS OF FLORIDA, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 339900
Sponsor’s telephone number 8138994284
Plan sponsor’s address 11317 N 52ND ST, TAMPA, FL, 336172133

Signature of
Role Plan administrator
Date 2022-02-09
Name of individual signing CAROLYN BOGAERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-09
Name of individual signing CAROLYN BOGAERT
Valid signature Filed with authorized/valid electronic signature
CONCRETE IMPRESSIONS OF FLORIDA, INC. 401(K) AND PROFIT SHARING PLAN 2020 593542215 2021-03-18 CONCRETE IMPRESSIONS OF FLORIDA, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 339900
Sponsor’s telephone number 8138994284
Plan sponsor’s address 11317 N 52ND ST, TAMPA, FL, 336172133

Signature of
Role Plan administrator
Date 2021-03-18
Name of individual signing CAROLYN BOGAERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-18
Name of individual signing CAROLYN BOGAERT
Valid signature Filed with authorized/valid electronic signature
CONCRETE IMPRESSIONS OF FLORIDA, INC. 401(K) AND PROFIT SHARING PLAN 2019 593542215 2020-04-08 CONCRETE IMPRESSIONS OF FLORIDA, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 339900
Sponsor’s telephone number 8138994284
Plan sponsor’s address 11317 N 52ND ST, TAMPA, FL, 336172133

Signature of
Role Plan administrator
Date 2020-04-08
Name of individual signing CAROLYN BOGAERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-08
Name of individual signing CAROLYN BOGAERT
Valid signature Filed with authorized/valid electronic signature
CONCRETE IMPRESSIONS OF FLORIDA, INC. 401(K) AND PROFIT SHARING PLAN 2018 593542215 2019-04-11 CONCRETE IMPRESSIONS OF FLORIDA, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 339900
Sponsor’s telephone number 8138994284
Plan sponsor’s address 11317 N 52ND ST, TAMPA, FL, 336172133

Signature of
Role Plan administrator
Date 2019-04-11
Name of individual signing CAROLYN BOGAERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-11
Name of individual signing CAROLYN BOGAERT
Valid signature Filed with authorized/valid electronic signature
CONCRETE IMPRESSIONS OF FLORIDA, INC. 401(K) AND PROFIT SHARING PLAN 2017 593542215 2018-04-09 CONCRETE IMPRESSIONS OF FLORIDA, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 339900
Sponsor’s telephone number 8138994284
Plan sponsor’s address 11317 N 52ND ST, TAMPA, FL, 336172133

Signature of
Role Plan administrator
Date 2018-04-09
Name of individual signing CAROLYN BOGAERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-09
Name of individual signing CAROLYN BOGAERT
Valid signature Filed with authorized/valid electronic signature
CONCRETE IMPRESSIONS OF FLORIDA, INC. 401(K) AND PROFIT SHARING PLAN 2016 593542215 2017-04-17 CONCRETE IMPRESSIONS OF FLORIDA, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 339900
Sponsor’s telephone number 8138994284
Plan sponsor’s address 11317 N 52ND ST, TAMPA, FL, 336172133

Signature of
Role Plan administrator
Date 2017-04-17
Name of individual signing GAIL THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-17
Name of individual signing GAIL THOMAS
Valid signature Filed with authorized/valid electronic signature
CONCRETE IMPRESSIONS OF FLORIDA, INC. 401(K) AND PROFIT SHARING PLAN 2015 593542215 2016-04-11 CONCRETE IMPRESSIONS OF FLORIDA, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 339900
Sponsor’s telephone number 8138994284
Plan sponsor’s address 11317 N 52ND ST, TAMPA, FL, 336172133

Signature of
Role Plan administrator
Date 2016-04-11
Name of individual signing GAIL THOMAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-11
Name of individual signing GAIL THOMAS
Valid signature Filed with authorized/valid electronic signature
CONCRETE IMPRESSIONS OF FLORIDA, INC. 401(K) AND PROFIT SHARING PLAN 2014 593542215 2015-04-20 CONCRETE IMPRESSIONS OF FLORIDA, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 339900
Sponsor’s telephone number 8138994284
Plan sponsor’s address 11317 N 52ND ST, TAMPA, FL, 336172133

Signature of
Role Plan administrator
Date 2015-04-20
Name of individual signing PATRICIA MADARIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-20
Name of individual signing PATRICIA MADARIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SOUTHWORTH, GEORGE L Agent 11317 N 52ND ST, TAMPA, FL 33617

President

Name Role Address
SOUTHWORTH, GEORGE L President 11317 N 52ND ST, TAMPA, FL 33617

Director

Name Role Address
SOUTHWORTH, GEORGE L Director 11317 N 52ND ST, TAMPA, FL 33617

Secretary

Name Role Address
Keller, Patricia S Secretary 3008 Clemons Rd, Plant City, FL 33566

Treasurer

Name Role Address
Keller, Patricia S Treasurer 3008 Clemons Rd, Plant City, FL 33566

Vice President

Name Role Address
ZACHARA, JOSEPH J Vice President 5955 NW Brenda Circle, Port St. Lucie, FL 34986

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000066082 INTREPID PRECAST TECHNOLOGIES EXPIRED 2018-06-07 2023-12-31 No data P.O. BOX, TAMPA, FL, 33687
G18000060312 INTREPID PRECAST EXPIRED 2018-05-18 2023-12-31 No data CONCRETE IMPRESSIONS OF FLORIDA, INC, P.O. BOX 292782, TAMPA, FL, 33687

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2010-01-29 11317 N 52ND ST, TAMPA, FL 33617 No data
REGISTERED AGENT ADDRESS CHANGED 2010-01-29 11317 N 52ND ST, TAMPA, FL 33617 No data
CHANGE OF MAILING ADDRESS 1999-05-08 11317 N 52ND ST, TAMPA, FL 33617 No data

Documents

Name Date
ANNUAL REPORT 2025-01-23
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-17
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-01-31
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-08
ANNUAL REPORT 2017-02-28
ANNUAL REPORT 2016-02-05

Related by officers

SOUTHWORTH, GEORGE L

PILOT BANK

ZACHARA, JOSEPH J

INTERCOASTAL CONCRETE, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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