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  5. FLORIDA PRESBYTERIAN HOMES, INC.

FLORIDA PRESBYTERIAN HOMES, INC.

Company Details

Entity Name: FLORIDA PRESBYTERIAN HOMES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 12 May 1966 (59 years ago)
Document Number: 710881
FEI/EIN Number 590760207
Address: 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801
Mail Address: 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801
ZIP code: 32801
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962812545 2014-05-05 2014-05-05 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803, US 901 LAKESIDE AVENUE, LAKELAND, FL, 33803, US

Contacts
Phone +1 863-688-5521
Fax 8636874088

Authorized person
Name MR. JOHN M. HEHN JR.
Role EXECUTIVE DIRECTOR
Phone 8635776033

Taxonomy
Taxonomy Code 313M00000X - Nursing Facility/Intermediate Care Facility
License Number AL4790
State FL
Is Primary Yes

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
5493002785JIGNVFIO21 710881 US-FL GENERAL ACTIVE No data

Addresses
Legal C/O Fekete, Patricia M, 16 Lake Hunter Drive, Lakeland, US-FL, US, 33803
Headquarters 16 Lake Hunter Drive, Lakeland, US-FL, US, 33803

Registration details
Registration Date 2015-12-10
Last Update 2023-08-04
Status LAPSED
Next Renewal 2016-12-08
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 710881

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA PRESBYTERIAN HOMES, INC. TAX SHELTERED ANNUITY PLAN 2017 590760207 2018-10-15 FLORIDA PRESBYTERIAN HOMES, INC. 145
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 623000
Sponsor’s telephone number 8635776040
Plan sponsor’s mailing address 16 LAKE HUNTER DR, LAKELAND, FL, 338031297
Plan sponsor’s address 16 LAKE HUNTER DR, LAKELAND, FL, 338031297

Number of participants as of the end of the plan year
Active participants 67
Other retired or separated participants entitled to future benefits 78
Number of participants with account balances as of the end of the plan year 145

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
FLORIDA PRESBYTERIAN HOMES, INC. TAX SHELTERED ANNUITY PLAN 2016 590760207 2018-01-31 FLORIDA PRESBYTERIAN HOMES, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 623000
Sponsor’s telephone number 8635776040
Plan sponsor’s mailing address 16 LAKE HUNTER DR, LAKELAND, FL, 338031297
Plan sponsor’s address 16 LAKE HUNTER DR, LAKELAND, FL, 338031297

Number of participants as of the end of the plan year
Active participants 84
Other retired or separated participants entitled to future benefits 61
Number of participants with account balances as of the end of the plan year 145

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-31
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
FLORIDA PRESBYTERIAN HOMES, INC. TAX SHELTERED ANNUITY PLAN 2015 590760207 2016-10-14 FLORIDA PRESBYTERIAN HOMES, INC. 125
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 623000
Sponsor’s telephone number 8635776040
Plan sponsor’s mailing address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Plan sponsor’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803

Number of participants as of the end of the plan year
Active participants 73
Other retired or separated participants entitled to future benefits 73
Number of participants with account balances as of the end of the plan year 146

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
FLORIDA PRESBYTERIAN HOMES, INC TAX SHELTERED ANNUITY PLAN 2014 590760207 2016-04-24 FLORIDA PRESBYTERIAN HOMES, INC. 122
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 623000
Sponsor’s telephone number 8635776040
Plan sponsor’s mailing address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Plan sponsor’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803

Number of participants as of the end of the plan year
Active participants 62
Other retired or separated participants entitled to future benefits 63
Number of participants with account balances as of the end of the plan year 125

Signature of
Role Plan administrator
Date 2016-04-24
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-24
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
FLORIDA PRESBYTERIAN HOMES, INC. 2013 590760207 2014-10-15 FLORIDA PRESBYTERIAN HOMES, INC. 121
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 623000
Sponsor’s telephone number 8635776040
Plan sponsor’s mailing address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Plan sponsor’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803

Plan administrator’s name and address
Administrator’s EIN 590760207
Plan administrator’s name FLORIDA PRESBYTERIAN HOMES, INC.
Plan administrator’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Administrator’s telephone number 8635776040

Number of participants as of the end of the plan year
Active participants 64
Other retired or separated participants entitled to future benefits 58
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 122

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
FLORIDA PRESBYTERIAN HOMES, INC. 2012 590760207 2013-10-15 FLORIDA PRESBYTERIAN HOMES, INC. 118
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 623000
Sponsor’s telephone number 8635776040
Plan sponsor’s mailing address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Plan sponsor’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803

Number of participants as of the end of the plan year
Active participants 69
Other retired or separated participants entitled to future benefits 55
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 121

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
FLORIDA PRESBYTERIAN HOMES, INC. 2011 590760207 2012-10-12 FLORIDA PRESBYTERIAN HOMES, INC. 105
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 623000
Sponsor’s telephone number 8635776040
Plan sponsor’s mailing address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Plan sponsor’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803

Plan administrator’s name and address
Administrator’s EIN 590760207
Plan administrator’s name FLORIDA PRESBYTERIAN HOMES, INC.
Plan administrator’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Administrator’s telephone number 8635776040

Number of participants as of the end of the plan year
Active participants 71
Other retired or separated participants entitled to future benefits 50
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 118

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
FLORIDA PRESBYTERIAN HOMES, INC. 2010 590760207 2011-10-14 FLORIDA PRESBYTERIAN HOMES, INC. 137
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 623000
Sponsor’s telephone number 8635776040
Plan sponsor’s mailing address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Plan sponsor’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803

Plan administrator’s name and address
Administrator’s EIN 590760207
Plan administrator’s name FLORIDA PRESBYTERIAN HOMES, INC.
Plan administrator’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Administrator’s telephone number 8635776040

Number of participants as of the end of the plan year
Active participants 63
Other retired or separated participants entitled to future benefits 40
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 105

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
FLORIDA PRESBYTERIAN HOMES, INC. 2010 590760207 2011-10-13 FLORIDA PRESBYTERIAN HOMES, INC. 137
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 623000
Sponsor’s telephone number 8635776040
Plan sponsor’s mailing address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Plan sponsor’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803

Plan administrator’s name and address
Administrator’s EIN 590760207
Plan administrator’s name FLORIDA PRESBYTERIAN HOMES, INC.
Plan administrator’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Administrator’s telephone number 8635776040

Number of participants as of the end of the plan year
Active participants 63
Other retired or separated participants entitled to future benefits 40
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 105

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature
FLORIDA PRESBYTERIAN HOMES, INC. TAX SHELTERED ANNUITY PLAN 2009 590760207 2010-11-15 FLORIDA PRESBYTERIAN HOMES, INC. 58
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 623000
Sponsor’s telephone number 8635776040
Plan sponsor’s mailing address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Plan sponsor’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803

Plan administrator’s name and address
Administrator’s EIN 590760207
Plan administrator’s name FLORIDA PRESBYTERIAN HOMES, INC.
Plan administrator’s address 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
Administrator’s telephone number 8635776040

Number of participants as of the end of the plan year
Active participants 69

Signature of
Role Plan administrator
Date 2010-11-15
Name of individual signing PATTY FEKETE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KEITH HENRY T Agent 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801

Treasurer

Name Role Address
Keith Henry T Treasurer 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801

Chairman

Name Role Address
HILLENMEYER JOHN Chairman 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801

President

Name Role Address
ROGERS TERENCE President 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801

Secretary

Name Role Address
HENNIS GARRY Secretary 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801

Director

Name Role Address
TAMNEY MICHAEL Director 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801
LANGSTON SCOTT T Director 80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000011229 WESTMINSTER LAKELAND ACTIVE 2024-01-19 2029-12-31 No data 80 W. LUCERNE CIRCLE, ORLANDO, FL, 32801
G17000042271 FLORIDA PRESBYTERIAN NURSING AND REHAB EXPIRED 2017-04-19 2022-12-31 No data 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
G17000006621 FLORIDA PRESBYTERIAN REHABILITATION EXPIRED 2017-01-18 2022-12-31 No data 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803
G17000006624 FLORIDA PRESBYTERIAN REHAB EXPIRED 2017-01-18 2022-12-31 No data 16 LAKE HUNTER, LAKELAND, FL, 33803

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2023-12-19 No data No data
AMENDMENT 2023-06-20 No data No data
REINSTATEMENT 2020-10-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
AMENDMENT 2014-06-09 No data No data
AMENDMENT 2004-02-25 No data No data
AMENDMENT 1994-01-12 No data No data
AMENDMENT 1986-08-06 No data No data

Related by officers

Keith Henry T

WESTMINSTER COMMUNITIES, INC. VILLAGE PARK OWNERS ASSOCIATION, INC. JEFFERSON CENTER FOUNDATION, INC. PALM SHORES RETIREMENT COMMUNITY, INC. COLLEGE ARMS TOWERS, INC. JEFFERSON CENTER, INC.

HILLENMEYER JOHN

WESTMINSTER FOUNDATION III, INC. WESTMINSTER SENIOR CARE PHARMACY, LLC COMMUNITY HEALTH CARE SYSTEMS, INC. F. I. HERNANDEZ, M.D., INC. CENTRAL FLORIDA MEDICAL CENTER, INC. S. CORNELIA FRANZ, M.D., INC. THE DR. P. PHILLIPS FOUNDATION PINE LAUREL HOMEOWNERS ASSOCIATION, INC. FLORIDA HEALTH, INC. ZANE G. KALTER, M.D., INC.

ROGERS TERENCE

TLR HOMES, LLC PINE LAUREL HOMEOWNERS ASSOCIATION, INC.

HENNIS GARRY

WESTMINSTER SENIOR CARE PHARMACY, LLC LEADINGAGE FLORIDA EDUCATION FOUNDATION, INC.

KEITH HENRY T

WESTMINSTER ASBURY EAST, INC. WESTMINSTER FOUNDATION III, INC. WESTMINSTER FOUNDATION IV, INC. WESTMINSTER FOUNDATION V, INC. WESTMINSTER COMMUNITIES, INC. WESTMINSTER HEALTH PARTNERS, LLC WESTMINSTER SHORES, INC. WESTMINSTER RETIREMENT COMMUNITIES, INC. WESTMINSTER SENIOR CARE PHARMACY, LLC SUNCOAST MANOR RETIREMENT COMMUNITY, INC.

Related by address

80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801

WESTMINSTER SENIOR CARE PHARMACY, LLC PALM SHORES RETIREMENT COMMUNITY, INC. WESLEY WOODS, INC.

80 WEST LUCERNE CIRCLE, ORLANDO, FL, 32801

WESTMINSTER SENIOR CARE PHARMACY, LLC PALM SHORES RETIREMENT COMMUNITY, INC. WESLEY WOODS, INC.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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