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  5. PALM BEACH PROVISIONS, INC.

PALM BEACH PROVISIONS, INC.

Company Details

Entity Name: PALM BEACH PROVISIONS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Sep 1999 (25 years ago)
Document Number: P99000078065
FEI/EIN Number 650951374
Address: 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458
Mail Address: 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458
ZIP code: 33458
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PALM BEACH PROVISIONS, INC. 401(K) PLAN 2023 650951374 2024-10-15 PALM BEACH PROVISIONS, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424400
Sponsor’s telephone number 5617444980
Plan sponsor’s address 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458
PALM BEACH PROVISIONS, INC. 401(K) PLAN 2022 650951374 2023-10-10 PALM BEACH PROVISIONS, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424400
Sponsor’s telephone number 5617444980
Plan sponsor’s address 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458
PALM BEACH PROVISIONS, INC. 401(K) PLAN 2021 650951374 2022-10-16 PALM BEACH PROVISIONS, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424400
Sponsor’s telephone number 5617444980
Plan sponsor’s address 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458
PALM BEACH PROVISIONS, INC. 401(K) PLAN 2020 650951374 2021-10-09 PALM BEACH PROVISIONS, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424400
Sponsor’s telephone number 5617444980
Plan sponsor’s address 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458
PALM BEACH PROVISIONS, INC. 401(K) PLAN 2019 650951374 2020-10-10 PALM BEACH PROVISIONS, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424400
Sponsor’s telephone number 5617444980
Plan sponsor’s address 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458
PALM BEACH PROVISIONS, INC. 401(K) PLAN 2018 650951374 2019-07-19 PALM BEACH PROVISIONS, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424400
Sponsor’s telephone number 5617444980
Plan sponsor’s address 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458
PALM BEACH PROVISIONS, INC. 401(K) PLAN 2017 650951374 2018-08-24 PALM BEACH PROVISIONS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424400
Sponsor’s telephone number 5617444980
Plan sponsor’s address 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458
PALM BEACH PROVISIONS, INC. 401(K) PLAN 2016 650951374 2017-10-11 PALM BEACH PROVISIONS, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424400
Sponsor’s telephone number 5617444980
Plan sponsor’s address 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458
PALM BEACH PROVISIONS, INC. 401(K) PLAN 2015 650951374 2016-10-11 PALM BEACH PROVISIONS, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424400
Sponsor’s telephone number 5617444980
Plan sponsor’s address 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458
PALM BEACH PROVISIONS, INC. 401(K) PLAN 2014 650951374 2015-09-26 PALM BEACH PROVISIONS, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424400
Sponsor’s telephone number 5617444980
Plan sponsor’s address 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458

Agent

Name Role Address
MOFSEN HOWARD Agent 5541 N University Dr, Ste 103, CORAL SPRINGS, FL, 33067

President

Name Role Address
FLORA JOSEPH R President 1002 JUPITER PARK LN STE 2, JUPITER, FL, 33458

Secretary

Name Role Address
Flora Stephanie S Secretary 1002 JUPITER PARK LANE, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2015-01-11 5541 N University Dr, Ste 103, CORAL SPRINGS, FL 33067 No data
CHANGE OF PRINCIPAL ADDRESS 2008-04-16 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL 33458 No data
CHANGE OF MAILING ADDRESS 2008-04-16 1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL 33458 No data
REGISTERED AGENT NAME CHANGED 2000-05-22 MOFSEN, HOWARD No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-23
AMENDED ANNUAL REPORT 2022-07-28
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-26
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-01-24

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1002 JUPITER PARK LANE, SUITE 2, JUPITER, FL, 33458

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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