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  5. CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC.

CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC.

Company Details

Entity Name: CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 15 Jul 1963 (62 years ago)
Document Number: 705463
FEI/EIN Number 590737912
Address: 2912 NORTH E ST., PENSACOLA, FL, 32501
Mail Address: 2912 NORTH E ST., PENSACOLA, FL, 32501
ZIP code: 32501
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902968142 2006-12-14 2014-09-25 2912 N E ST, PENSACOLA, FL, 325011324, US 2912 N E ST, PENSACOLA, FL, 325011324, US

Contacts
Phone +1 850-432-1596
Fax 8504321930

Authorized person
Name DR. SHERRY A. WHITE
Role PRESIDENT CEO
Phone 8504321596

Taxonomy
Taxonomy Code 225100000X - Physical Therapist
Is Primary No
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 811313100
State FL
Issuer MEDICAID
Number 888221500
State FL
Issuer MEDICAID
Number 024514396
State FL
Issuer MEDICAID
Number 024514398
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 2022 590737912 2024-04-25 CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 51
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Sponsor’s telephone number 8504321596
Plan sponsor’s address 2912 N E ST, PENSACOLA, FL, 325011324

Signature of
Role Plan administrator
Date 2024-04-25
Name of individual signing LORI BOUGHNER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 2022 590737912 2024-04-25 CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 51
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 813000
Sponsor’s telephone number 8504321596
Plan sponsor’s address 2912 N E ST, PENSACOLA, FL, 325011324

Signature of
Role Plan administrator
Date 2024-04-25
Name of individual signing LORI BOUGHNER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 2021 590737912 2023-07-05 CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 60
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 813000
Sponsor’s telephone number 8504321596
Plan sponsor’s address 2912 N E ST, PENSACOLA, FL, 325011324

Signature of
Role Plan administrator
Date 2023-07-05
Name of individual signing LORI BOUGHNER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 2020 590737912 2022-04-11 CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 64
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 813000
Sponsor’s telephone number 8504321596
Plan sponsor’s address 2912 N E ST, PENSACOLA, FL, 325011324

Signature of
Role Plan administrator
Date 2022-04-11
Name of individual signing LORI BOUGHNER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC 2019 570737912 2021-04-21 CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC 53
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 813000
Sponsor’s telephone number 8504321596
Plan sponsor’s DBA name CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC.
Plan sponsor’s address 2912 N E ST, PENSACOLA, FL, 325011324

Signature of
Role Plan administrator
Date 2021-04-21
Name of individual signing LORI BOUGHNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-21
Name of individual signing LORI BOUGHNER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 2019 590737912 2022-04-12 CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC 53
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 813000
Plan sponsor’s address 2912 N E ST, PENSACOLA, FL, 325011324

Signature of
Role Plan administrator
Date 2022-04-12
Name of individual signing LORI BOUGHNER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 2018 590737912 2020-03-26 CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 37
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 813000
Sponsor’s telephone number 8504321596
Plan sponsor’s address 2912 N E ST, PENSACOLA, FL, 325011324

Signature of
Role Plan administrator
Date 2020-03-26
Name of individual signing LORI BOUGHNER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 2018 590737912 2020-03-26 CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 37
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 813000
Sponsor’s telephone number 8504321596
Plan sponsor’s address 2912 N E ST, PENSACOLA, FL, 325011324

Signature of
Role Plan administrator
Date 2020-03-26
Name of individual signing LORI BOUGHNER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 2017 590737912 2019-03-27 CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 43
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 813000
Sponsor’s telephone number 8504321596
Plan sponsor’s address 2912 N E ST, PENSACOLA, FL, 325011324

Signature of
Role Plan administrator
Date 2019-03-27
Name of individual signing LORI BOUGHNER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 2017 590737912 2019-03-19 CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. 43
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 813000
Sponsor’s telephone number 8504321596
Plan sponsor’s address 2912 N E ST, PENSACOLA, FL, 325011324

Signature of
Role Plan administrator
Date 2019-03-19
Name of individual signing LORI BOUGHNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WHITE, SHERRY A. Agent 2912 NORTH E STREET, PENSACOLA, FL, 32501

Chairman

Name Role Address
BELL BRIAN Chairman 2912 NORTH E ST., PENSACOLA, FL, 32501

President

Name Role Address
WHITE SHERRY A President 2912 NORTH E STREET, PENSACOLA, FL, 32501

Officer

Name Role Address
HUGGINS BRAD Officer 2912 NORTH E ST., PENSACOLA, FL, 32501
Howerton Lorie Officer 2912 North E Street, PENSACOLA, FL, 32501

Treasurer

Name Role Address
Smith Norman R Treasurer 2912 NORTH E ST., PENSACOLA, FL, 32501

Vice Chairman

Name Role Address
BRICKER A. R Vice Chairman 2912 NORTH E STREET, PENSACOLA, FL, 32501

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000101689 CAPSTONE MILTON CHILD CARE CENTER ACTIVE 2018-09-14 2028-12-31 No data 2912 N E STREET, PENSACOLA, FL, 32501
G14000080081 CAPSTONE ACTIVE 2014-08-04 2029-12-31 No data 2912 NORTH E STREET, CAPSTONE ADAPTIVE LEARNING & THERAPY, PENSACOLA, FL, 32501

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES/NAME CHANGE 2014-07-23 CAPSTONE ADAPTIVE LEARNING AND THERAPY CENTERS, INC. No data
MERGER 2010-03-22 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000103685
MERGER 2010-03-12 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000103485
NAME CHANGE AMENDMENT 1969-08-01 UNITED CEREBRAL PALSY OF NORTHWEST FLORIDA, INC. No data

Related by officers

BELL BRIAN

BLUE WATER DUO LLC BLUEWATERDUO CREW, LLC BARTON HOUSE INC. CAPITOL REWARDS, LLC. CAPITOL MARKETING CONCEPTS, INC. OLD ENGLEWOOD APPLIANCE, INC. REHABILITATION FOUNDATION OF NORTHWEST FLORIDA, INC. SUN AUTOMOTIVE, INC. NEW LIFE FIVE FOLD GOSPEL MINISTRY, INC.

WHITE SHERRY A

CHILDREN'S SERVICES CENTER, INC. SAGE HEALTHCARE SOLUTIONS, INC. UNITED CEREBRAL PALSY OF NORTHWEST FLORIDA FOUNDATION, INC. CAREGIVER ASSOCIATES OF NORTHWEST FLORIDA, INC. WHITELINE INTERNATIONAL, INC. MICKEY JACKEY PROPERTIES & IMPROVEMENTS, LLC

WHITE, SHERRY A.

UNITED CEREBRAL PALSY PROPERTIES OF NORTHWEST FLORIDA, INC.

Related by address

2912 NORTH E ST., PENSACOLA, FL, 32501

CHILDREN'S SERVICES CENTER, INC. NEW DEAF AND HARD OF HEARING SERVICES OF NORTHWEST FLORIDA, INC. UNITED CEREBRAL PALSY PROPERTIES OF NORTHWEST FLORIDA, INC.

2912 NORTH E ST., PENSACOLA, FL, 32501

CHILDREN'S SERVICES CENTER, INC. NEW DEAF AND HARD OF HEARING SERVICES OF NORTHWEST FLORIDA, INC. UNITED CEREBRAL PALSY PROPERTIES OF NORTHWEST FLORIDA, INC.

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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