| Entity Name: | DOCTORS HOSPITAL FOUNDATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 15 Feb 1960 (65 years ago) |
| Document Number: | 700442 |
| FEI/EIN Number | 590906961 |
| Address: | 6104 Brook Shadow Court, Greensboro, NC, 27410, US |
| Mail Address: | 6104 Brook Shadow Court, Greensboro, NC, 27410, US |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOCTORS GENERAL HOSPITAL TAX SHELTERED ANNUITY PLAN | 2010 | 590906961 | 2011-05-06 | DOCTORS HOSPITAL FOUNDATION INC | 11 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 590906961 |
| Plan administrator’s name | DOCTORS HOSPITAL FOUNDATION INC |
| Plan administrator’s address | 6700 TROPICAL WAY, PLANTATION, FL, 33317 |
| Administrator’s telephone number | 9547919999 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-06 |
| Name of individual signing | DONALD GROSS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1982-01-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 9547919999 |
| Plan sponsor’s address | 6700 TROPICAL WAY, PLANTATION, FL, 33317 |
Plan administrator’s name and address
| Administrator’s EIN | 590906961 |
| Plan administrator’s name | DOCTORS HOSPITAL FOUNDATION INC |
| Plan administrator’s address | 6700 TROPICAL WAY, PLANTATION, FL, 33317 |
| Administrator’s telephone number | 9547919999 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-08 |
| Name of individual signing | DONALD GROSS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-08 |
| Name of individual signing | DONALD GROSS |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1982-01-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 9547919999 |
| Plan sponsor’s address | 6700 TROPICAL WAY, PLANTATION, FL, 33317 |
Plan administrator’s name and address
| Administrator’s EIN | 590906961 |
| Plan administrator’s name | DOCTORS HOSPITAL FOUNDATION INC |
| Plan administrator’s address | 6700 TROPICAL WAY, PLANTATION, FL, 33317 |
| Administrator’s telephone number | 9547919999 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-08 |
| Name of individual signing | DONALD GROSS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-08 |
| Name of individual signing | DONALD GROSS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Loving Jack R | Agent | 888 S Andrews Avenue, Fort Lauderdale, FL, 33316 |
| Name | Role | Address |
|---|---|---|
| Casner Kenneth A | Director | 4924 Bent Tree Way, Yadkinville, NC, 27055 |
| Saunders Edward | Director | 65 O"Dell RDG, Newnan, GA, 30263 |
| KRAYER ANTHONY | Director | 6051 N. OCEAN DR 1706, HOLLYWOOD, FL, 33019 |
| Gross Bradley D | Director | 6104 Brook Shadow Court, Greensboro, NC, 27410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT AND NAME CHANGE | 1998-02-06 | DOCTORS HOSPITAL FOUNDATION, INC. | No data |
| EVENT CONVERTED TO NOTES | 1986-01-24 | No data | No data |
| EVENT CONVERTED TO NOTES | 1983-03-11 | No data | No data |
| EVENT CONVERTED TO NOTES | 1982-02-23 | No data | No data |
| NAME CHANGE AMENDMENT | 1969-03-07 | DOCTORS HOSPITAL, INC. OF PLANTATION | No data |
| EVENT CONVERTED TO NOTES | 1969-03-07 | No data | No data |
| EVENT CONVERTED TO NOTES | 1965-05-26 | No data | No data |
| EVENT CONVERTED TO NOTES | 1962-04-13 | No data | No data |
| EVENT CONVERTED TO NOTES | 1960-02-15 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
