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  5. VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA, INC.

VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA, INC.

Company Details

Entity Name: VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 16 Jun 1966 (59 years ago)
Document Number: 711056
FEI/EIN Number 596175593
Address: 3653 CENTRAL AVENUE, FORT MYERS, FL, 33901, US
Mail Address: 12470 TELECOM DRIVE, SUITE 301, ATTN: LEGAL DEPT, TEMPLE TERRACE, FL, 33637, US
ZIP code: 33901
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023017209 2005-07-19 2016-11-18 9470 HEALTH PARK CIRCLE, FORT MYERS, FL, 33908, US 9470 HEALTH PARK CIRCLE, FORT MYERS, FL, 33908, US

Contacts
Phone +1 239-482-4673
Fax 2399857762

Authorized person
Name JILL LAMPLEY
Role CHIEF FINANCIAL OFFICER
Phone 2394899163

Taxonomy
Taxonomy Code 251E00000X - Home Health Agency
License Number HHA21277096
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BC/BS
Number H-37
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA 401(K) PLAN 2013 596175593 2014-02-05 VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 2393374848
Plan sponsor’s address 3653 CENTRAL AVENUE, FT. MYERS, FL, 33901
VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA 401(K) PLAN 2012 596175593 2013-10-29 VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 2393374848
Plan sponsor’s address 3653 CENTRAL AVENUE, FT. MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2013-10-29
Name of individual signing JILL LAMPLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-29
Name of individual signing JILL LAMPLEY
Valid signature Filed with authorized/valid electronic signature
VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA 401(K) PLAN 2011 596175593 2013-01-25 VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 2393374848
Plan sponsor’s address 3653 CENTRAL AVENUE, FT. MYERS, FL, 33901

Plan administrator’s name and address
Administrator’s EIN 596175593
Plan administrator’s name VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA
Plan administrator’s address 3653 CENTRAL AVENUE, FT. MYERS, FL, 33901
Administrator’s telephone number 2393374848

Signature of
Role Plan administrator
Date 2013-01-25
Name of individual signing DANIEL CUNDIFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-01-25
Name of individual signing DANIEL CUNDIFF
Valid signature Filed with authorized/valid electronic signature
VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA 401(K) PLAN 2010 596175593 2011-09-15 VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 621610
Sponsor’s telephone number 2393374848
Plan sponsor’s address 3653 CENTRAL AVENUE, FT. MYERS, FL, 33901

Plan administrator’s name and address
Administrator’s EIN 596175593
Plan administrator’s name VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA
Plan administrator’s address 3653 CENTRAL AVENUE, FT. MYERS, FL, 33901
Administrator’s telephone number 2393374848

Signature of
Role Plan administrator
Date 2011-09-15
Name of individual signing DANIEL CUNDIFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-15
Name of individual signing DANIEL CUNDIFF
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MOLOSKY ANDREW K Agent 12470 TELECOM DRIVE, TEMPLE TERRACE, FL, 33637

Chief Financial Officer

Name Role Address
WEBB Todd Chief Financial Officer 12470 TELECOM DRIVE, SUITE 301, TEMPLE TERRACE, FL, 33637

Pastor

Name Role Address
TURBEVILLE RICHARD Pastor 516 LAKE AVENUE, LEHIGH ACRES, FL, 33972

Chairman

Name Role Address
IDELSON CHARLES Chairman 13792 PINE VILLA LANE, FORT MYERS, FL, 33912

Secretary

Name Role Address
STILWELL YOUNGQUIST SANDRA Secretary 15871 KNIGHTSBRIDGE COURT, FORT MYERS, FL, 33908

Vice President

Name Role Address
MCCANN JOHN K Vice President 2460 PALM RIDGE ROAD, SANIBEL, FL, 33957

Director

Name Role Address
MOLOSKY ANDREW K Director 12470 TELECOM DRIVE, SUITE 301, TEMPLE TERRACE, FL, 33637

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000076359 HOPE VNA EXPIRED 2013-07-31 2018-12-31 No data 3653 CENTRAL AVENUE, FORT MYERS, FL, 33901
G13000076363 HOPE VISITING NURSES EXPIRED 2013-07-31 2018-12-31 No data 3653 CENTRAL AVENUE, FORT MYERS, FL, 33901

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2023-03-01 No data No data
AMENDED AND RESTATEDARTICLES 2013-08-12 No data No data
REINSTATEMENT 2013-03-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
AMENDED AND RESTATEDARTICLES 2007-06-18 No data No data
AMENDMENT 2000-09-07 No data No data
NAME CHANGE AMENDMENT 1988-06-23 VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA, INC. No data
NAME CHANGE AMENDMENT 1982-07-28 LEE VISITING NURSE SERVICE, INCORPORATED No data

Related by officers

TURBEVILLE RICHARD

ACCENT BUSINESS PRODUCTS OF SOUTHWEST FLORIDA, INC. HOPE HOSPICE AND COMMUNITY SERVICES, INC.

IDELSON CHARLES

THE IDELSON FOUNDATION, INC. HOPE HOSPICE AND COMMUNITY SERVICES, INC.

STILWELL YOUNGQUIST SANDRA

USEPPA ISLAND MANAGEMENT COMPANY, LLC HOPE HOSPICE AND COMMUNITY SERVICES, INC.

MOLOSKY ANDREW K

ALLCARE MEDICAL OF FLORIDA, LLC CORNERSTONE HEALTH SERVICES, INC. HOSPICE OF FLORIDA, INC. CORNERSTONE PRIMARY CARE, LLC HOSPICE OF OKEECHOBEE, INCORPORATED CORNERSTONE HOSPICE & PALLIATIVE CARE, INC. HOPE HOSPICE AND COMMUNITY SERVICES, INC.

Related by address

12470 TELECOM DRIVE, SUITE 301, ATTN: LEGAL DEPT, TEMPLE TERRACE, FL, 33637, US

CORNERSTONE HOSPICE & PALLIATIVE CARE, INC. HOPE HOSPICE AND COMMUNITY SERVICES, INC.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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