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A CERTIFIED SCREEN SERVICE, INC.

Company Details

Entity Name: A CERTIFIED SCREEN SERVICE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 30 Mar 1992 (33 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 26 Oct 1995 (29 years ago)
Document Number: V25496
FEI/EIN Number 59-3115215
Address: 560 S. YONGE STREET, ORMOND BEACH, FL 32174
Mail Address: 560 S YONGE STREET, ORMOND BEACH, FL 32174
ZIP code: 32174
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST 2016 593115215 2017-06-23 A CERTIFIED SCREEN SERVICE INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 3866730054
Plan sponsor’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540

Signature of

Role Plan administrator
Date 2017-06-23
Name of individual signing TODD ORIE
Valid signature Filed with authorized/valid electronic signature
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST 2016 593115215 2017-08-01 A CERTIFIED SCREEN SERVICE INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 3866730054
Plan sponsor’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540

Signature of

Role Plan administrator
Date 2017-08-01
Name of individual signing TODD M. ORIE
Valid signature Filed with authorized/valid electronic signature
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST 2015 593115215 2016-05-13 A CERTIFIED SCREEN SERVICE INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 3866730054
Plan sponsor’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540

Signature of

Role Plan administrator
Date 2016-05-13
Name of individual signing TODD ORIE
Valid signature Filed with authorized/valid electronic signature
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST 2014 593115215 2015-05-21 A CERTIFIED SCREEN SERVICE INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 3866730054
Plan sponsor’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540

Signature of

Role Plan administrator
Date 2015-05-21
Name of individual signing TODD M. ORIE
Valid signature Filed with authorized/valid electronic signature
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST 2013 593115215 2014-05-12 A CERTIFIED SCREEN SERVICE INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 3866730054
Plan sponsor’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540

Signature of

Role Plan administrator
Date 2014-05-12
Name of individual signing JOELLEN ORIE
Valid signature Filed with authorized/valid electronic signature
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST 2012 593115215 2013-05-28 A CERTIFIED SCREEN SERVICE INC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 3866730054
Plan sponsor’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540

Signature of

Role Plan administrator
Date 2013-05-28
Name of individual signing A CERTIFIED SCREEN SERVICE INC
Valid signature Filed with authorized/valid electronic signature
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST 2011 593115215 2012-05-16 A CERTIFIED SCREEN SERVICE INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 3866730054
Plan sponsor’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540

Plan administrator’s name and address

Administrator’s EIN 593115215
Plan administrator’s name A CERTIFIED SCREEN SERVICE INC
Plan administrator’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540
Administrator’s telephone number 3866730054

Signature of

Role Plan administrator
Date 2012-05-16
Name of individual signing A CERTIFIED SCREEN SERVICE INC
Valid signature Filed with authorized/valid electronic signature
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST 2010 593115215 2011-06-01 A CERTIFIED SCREEN SERVICE INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 3866730054
Plan sponsor’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540

Plan administrator’s name and address

Administrator’s EIN 593115215
Plan administrator’s name A CERTIFIED SCREEN SERVICE INC
Plan administrator’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540
Administrator’s telephone number 3866730054

Signature of

Role Plan administrator
Date 2011-06-01
Name of individual signing A CERTIFIED SCREEN SERVICE INC
Valid signature Filed with authorized/valid electronic signature
A CERTIFIED SCREEN SERVICE INC 2009 593115215 2010-05-27 A CERTIFIED SCREEN SERVICE INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541990
Sponsor’s telephone number 3866730054
Plan sponsor’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540

Plan administrator’s name and address

Administrator’s EIN 593115215
Plan administrator’s name A CERTIFIED SCREEN SERVICE INC
Plan administrator’s address 560 S YONGE ST, ORMOND BEACH, FL, 321747540
Administrator’s telephone number 3866730054

Signature of

Role Plan administrator
Date 2010-05-27
Name of individual signing A CERTIFIED SCREEN SERVICE INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
McKinnon, Abraham C, Esq. Agent 595 W Granada Blvd, Suite A, ORMOND BEACH, FL 32174

President

Name Role Address
ORIE, TODD M President 560 S. YONGE STREET, ORMOND BEACH, FL 32174

Secretary

Name Role Address
ORIE, JOELLEN M Secretary 560 S. YONGE STREET, ORMOND BEACH, FL 32174

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-10 McKinnon, Abraham C, Esq. No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-10 595 W Granada Blvd, Suite A, ORMOND BEACH, FL 32174 No data
CHANGE OF PRINCIPAL ADDRESS 2003-09-26 560 S. YONGE STREET, ORMOND BEACH, FL 32174 No data
CHANGE OF MAILING ADDRESS 2003-08-14 560 S. YONGE STREET, ORMOND BEACH, FL 32174 No data
REINSTATEMENT 1995-10-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1994-08-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-14
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-03-28
AMENDED ANNUAL REPORT 2021-05-12
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-02-07
ANNUAL REPORT 2016-03-02

Date of last update: 03 Feb 2025

Sources: Florida Department of State