| Entity Name: | CEREBRAL PALSY ADULT HOME, INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 Oct 1966 (58 years ago) |
| Date of dissolution: | 28 Nov 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Nov 2022 (2 years ago) |
| Document Number: | 711630 |
| FEI/EIN Number | 59-1161328 |
| Address: | 660 SW 29TH TERRACE, FT LAUDERDALE, FL 33312 |
| Mail Address: | 660 SW 29TH TERRACE, FT LAUDERDALE, FL 33312 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861678393 | 2008-01-15 | 2008-01-15 | 1001 NE 3RD AVE, POMPANO BEACH, FL, 330605712, US | 1405 NW 10TH ST, DANIA, FL, 330042342, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Fax | 9547856635 |
| Phone | +1 954-786-0344 |
Authorized person
| Name | MRS. MARSHA FAYE LINVILLE |
| Role | EXECUTIVE DIRECTOR |
| Phone | 9547860344 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | 10-1454GH |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MACLEAN AND EMA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| Shine, Randolph | President | 1405 NW 10th Street, Dania Beach, FL 33004-2399 |
| Name | Role | Address |
|---|---|---|
| Shine, Randolph | Director | 1405 NW 10th Street, Dania Beach, FL 33004-2399 |
| Tacquard, Branda | Director | 1405 NW 10th Street, Dania Beach, FL 33004-2399 |
| DeMare, Griffith | Director | 1405 NW 10th Street, Dania Beach, FL 33004-2399 |
| Name | Role | Address |
|---|---|---|
| Shine, Randolph | Treasurer | 1405 NW 10th Street, Dania Beach, FL 33004-2399 |
| Name | Role | Address |
|---|---|---|
| Tacquard, Branda | Vice President | 1405 NW 10th Street, Dania Beach, FL 33004-2399 |
| Name | Role | Address |
|---|---|---|
| DeMare, Griffith | Secretary | 1405 NW 10th Street, Dania Beach, FL 33004-2399 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000112269 | IRVING'S LODGE | EXPIRED | 2018-10-16 | 2023-12-31 | No data | 1001 NORTHEAST 3RD AVE, POMPANO BEACH, FL, 33060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-11-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-30 | 660 SW 29TH TERRACE, FT LAUDERDALE, FL 33312 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-30 | 660 SW 29TH TERRACE, FT LAUDERDALE, FL 33312 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-11-01 | 2600 NE 14th Street Causeway, POMPANO BEACH, FL 33062 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-11-01 | MacLean and Ema, P.A. | No data |
| AMENDED AND RESTATEDARTICLES | 1991-10-23 | No data | No data |
| NAME CHANGE AMENDMENT | 1971-09-28 | CEREBRAL PALSY ADULT HOME, INCORPORATED | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2022-11-28 |
| ANNUAL REPORT | 2022-04-05 |
| AMENDED ANNUAL REPORT | 2021-08-11 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-15 |
| AMENDED ANNUAL REPORT | 2019-07-17 |
| AMENDED ANNUAL REPORT | 2019-06-03 |
| ANNUAL REPORT | 2019-03-06 |
| AMENDED ANNUAL REPORT | 2018-11-01 |
| ANNUAL REPORT | 2018-01-19 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
