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Home My WebLink AboutMISCPage 1 of) Detail by Entity Name L -- 1 Florida Department of State SCANNED BY St. Lucie County r{ 3t„.nr.l ?.. rf uvl-'w Department of State / Division of COMOM lOnS / Search Rewrds / Detail By Document Number / Detail by Entity Name Florida Not For Profit Corporation BEREAN CHURCH OF GOD INTERNATIONAL - PORT ST LUCIE INC. Filing Information Document Number N96000006217 FEI/EIN Number 65-0713971 _ Date Filed 12/05/1996 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 11/18/2010 Event Effective Date NONE Principal Address 2262 SE MASLAN AVE PORT SAINT LUCIE, FL 34952 Changed: 04/17/2003 Mailing Address 2262 SE MASLAN AVE PORT SAINT LUCIE, FL 34952 Changed: 04/17/2003 Reaistered Aqent Name & Address JACKSON, EPHRAIM A 2262 SE MASLAN AVE PORT SAINT LUCIE, FL 34952 Address Changed: 04/17/2003 Officer/Director. Detail Name & Address Title P JACKSON, EPHRAIM A 2262 SE MASLAN AVE PORT SAINT LUCIE, FL 34952 Title S DIVISION OF CORPORATIONS RECEIVED JUN 13 2018 ST. Lucie County, Permitting http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 3/28/2018 Detail by Entity Name / Page 2 of 3 -CLARKE, MARLINE 557 SW VIOLET AVENUE PORT SAINT LUCIE, FL 34983 Title D ROWE, DONNA MRS. 544 SE SUNNYBROOK TERRACE PORT SAINT LUCIE, FL 34983 Title D JACKSON, HENRIETTA 2925 SW BOXWOOD CIRCLE PORT ST LUCIE, FL 34953 Title D MARTIN, ROBERT 3344 FOREMOST AVENUE PORT ST LUCIE, FL 34953 Title D FRANCIS, FELIX 243 SW GLENWOOD DRIVE PORT ST LUCIE, FL 34984 Title D BARNETT, YVONNE 1990 SW HAMPSHIRE LANE PORT ST LUCIE, FL 34953 Annual Reports Report Year Filed Date 2016 02/07/2016 2017 02/12/2017 2018 02/11/2018 Document Images 02/11/2018—ANNUAL REPORT 02/122017—ANNUAL REPORT 02/072016 —ANNUAL REPORT 02/112015 — ANNUAL REPORT 02/1012014 — ANNUAL REPORT 02/05/2013 — ANNUAL REPORT 02/02/2012 — ANNUAL REPORT 02/042011 —ANNUAL REPORT 111182010 — Amendment view image in PDF format View image in PDF formal View image in PDF format View image in PDF format View image in PDF format View image in PDF format Uew image in PDF format View image in PDF format View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 3/28/2018 Detail by Entity Nance Page 3 of 3 01/262010 — ANNUAL REPORT 02/022009 — ANNUAL REPORT ON28/2008 —ANNUAL REPORT 04/04/2007—ANNUAL REPORT 02/272006 — ANNUAL REPORT 02/202006 — Name Change 021182005—ANNUAL REPORT 081042004—ANNUAL REPORT 04117/2003—ANNUAL REPORT 02t2l W02 — ANNUAL REPORT 04/072001 —ANNUAL REPORT 02/11/2000 — ANNUAL REPORT 0428/1999 — ANNUAL. REPORT W15/1998 — ANNUAL REPORT 05/27/1997 — ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format view image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF formal View image in PDF format View image in PDF format View image in PDF format View image in PDF format Flc�ICa Department a S.,[ , DIVISbn of Cc:Ooraticns http://search.sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 3/28/2018 RECEIVEL+. S� LJN 13 2C18 County, Permitting Home Depot Contractor License Numbers: FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831, CCC1331113, CCC1331130 Salesperson Name and Registration Number: JAMES M SMEDLEY : Home Improvement Agreement Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/or service the equipment listed below at the price, terms and conditions as outlined on this form. Customer Information: Laverne Wlliams Miami 10704135 First Name Last Name Branch Name Lead # 5799 South Us-1 - - — ` — FORT PIERCE FL - 34982 Customer Address City State Zp (772) 607-2628 11 (772) 398-6096 Home Phone# - Work Phone# Cell Phone# NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 6500 NW 12TH AVE SUITE 110 FT.LAUDERDALE FL 33309 State Zip or Email CustomerCancellationSouth@homedepot.com BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR PROFESSIONAL, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO NCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL ANDWR13TgNI NOTICE OF YOUR RIGHTjTO CANCEL. t 0: Contract Price and Payment Schedule: Payment of the Contract Price is due upon completion unless a different payment schedule is specified in the State Supplement. 8392.00 Includes all applicable discounts, rebates, and , taxes. Contract Price $ Excludes finance charges.' Minimum 2098.00 %deposit $ Due Immediately Remaining balance $ 6294.00 Due upon completion Finance Charges 'Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which The Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payment(s) made payable to The Home Depot. Insurance proceeds will will not be used to pay some or all of the total amount of sale. Description of Work to be Performed: Installation of Storm Protection A more detailed description of the work to be performed is included in the section entitled Scope of Work which appears on page 3 of this Agreement. Anticipated Delivery Date / Installation Schedule Approximate Start Date: 05/21/2018 Approximate Finish Date: 06/18/2018 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. Electronic Records Authorization: You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written communications related to this agreement. By contacting your Service Provider, you may update your email address, withdraw your consent, or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open emails and PDF documents. By initialing this paragraph, I consent to receive only electronic records related to this transaction. Initial Acceptance and Authorization: By signing below, you authorize Home Depot to (a) arrange for Service Provider to perform Installation and/or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider'slpermitting information may need to be provided to You later.) By signing, you acknowledge that you have read, understand, and accept this Agreement in its entirety, including Pe General Terms and Conditions and State Supplement, if any. You further acknowledge rece�yinc/a cOmplete copy of this AgreeMP4. Keep it to protect your legal rights. /` I I03/26/2018 Date Date 03/26/2018 Date License number(s) held by or on behalf of the Home Depot: FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831, CCC1331113, CCC1331130 License numbers are subject to change in accordance with local or state government processes. ru, nIc IIIUJL current listing of license numbers held by or on behalf of the Home Depot, please visit www.homedepot.com/ licensenumbers. Scope of Work s�P' ChPPt1a1 0. Protect Amount Job#: Omemaja mn«)- 10704135 Roofing Siding Windows Gutters / Covers Entry Doors Insulation Storm 10704135 $g392.00 Roofing Siding Gutters / Covers Windows Entry Doors Insulation $ Roofing Siding Windows Insulation $ Gutters / Covers Entry Doors - Roofing Siding Gutters / Covers Windows Entry Doors Insulation $ SubTotal $8392.00 Sales Tax $0.00 Total Contract $8392.00 Amount Warranty: The warranty on the work identified above is listed in the General Terms and Conditions, or if applicable, specified in the following documents: Name(s): 3