| Entity Name: | LIFESTREAM BEHAVIORAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 12 Mar 1971 (54 years ago) |
| Document Number: | 720479 |
| FEI/EIN Number | 591561501 |
| Address: | 1616 S 14TH STREET, LEESBURG, FL, 34748, US |
| Mail Address: | p.o. box 491000, LEESBURG, FL, 34749-1000, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659613776 | 2013-03-27 | 2013-03-27 | PO BOX 491000, LEESBURG, FL, 347491000, US | 215 N 3RD ST, LEESBURG, FL, 347485105, US | |||||||||||||||||||||||||||||
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| Phone | +1 352-315-7500 |
| Fax | 3523606582 |
| Phone | +1 352-315-7900 |
Authorized person
| Name | MS. CAROL E DOZIER |
| Role | CPA |
| Phone | 3523157532 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024576301 |
| State | FL |
| Issuer | MEDICARE GROUP NUMBER |
| Number | 98270 |
| State | FL |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300YNIT1B6Y5UF996 | 720479 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
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| Legal | C/O Evans, David L, Mateer & Harbert, P.A., 2 Landmark Center, 225 East Robinson Street, Suite 600, Orlando, US-FL, US, 32801 |
| Headquarters | C/O Mateer & Harbert, P.A., 2 Landmark Center, 225 East Robinson Street, Suite 600, Orlando, US-FL, US, 32801 |
Registration details
| Registration Date | 2013-07-18 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2019-09-27 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 720479 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIFESTREAM BEHAVIORAL CENTER EMPLOYEE PENSION PLAN | 2019 | 591561501 | 2021-09-15 | LIFESTREAM BEHAVIORAL CENTER | 823 | |||||||||||||||||||||||||||||||||||||
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| Active participants | 797 |
| Other retired or separated participants entitled to future benefits | 208 |
| Number of participants with account balances as of the end of the plan year | 657 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 49 |
Signature of
| Role | Plan administrator |
| Date | 2021-09-15 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2016-10-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 3523157532 |
| Plan sponsor’s mailing address | PO BOX 491000, LEESBURG, FL, 347491000 |
| Plan sponsor’s address | PO BOX 491000, LEESBURG, FL, 347491000 |
Number of participants as of the end of the plan year
| Active participants | 625 |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2016-10-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 3523157532 |
| Plan sponsor’s mailing address | PO BOX 491000, LEESBURG, FL, 347491000 |
| Plan sponsor’s address | PO BOX 491000, LEESBURG, FL, 347491000 |
Number of participants as of the end of the plan year
| Active participants | 435 |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2016-10-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 3523157532 |
| Plan sponsor’s mailing address | PO BOX 491000, LEESBURG, FL, 347491000 |
| Plan sponsor’s address | PO BOX 491000, LEESBURG, FL, 347491000 |
Number of participants as of the end of the plan year
| Active participants | 315 |
Signature of
| Role | Plan administrator |
| Date | 2020-04-22 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-04-22 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2016-10-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 3523157532 |
| Plan sponsor’s mailing address | PO BOX 491000, LEESBURG, FL, 347491000 |
| Plan sponsor’s address | PO BOX 491000, LEESBURG, FL, 347491000 |
Number of participants as of the end of the plan year
| Active participants | 673 |
Signature of
| Role | Plan administrator |
| Date | 2020-04-22 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-04-22 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1993-07-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 3523157500 |
| Plan sponsor’s mailing address | P.O. BOX 491000, LEESBURG, FL, 34749 |
| Plan sponsor’s address | 515 W. MAIN STREET, LEESBURG, FL, 34748 |
Number of participants as of the end of the plan year
| Active participants | 491 |
| Other retired or separated participants entitled to future benefits | 183 |
| Number of participants with account balances as of the end of the plan year | 666 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 64 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-14 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2016-10-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 3523157532 |
| Plan sponsor’s mailing address | PO BOX 491000, LEESBURG, FL, 347491000 |
| Plan sponsor’s address | PO BOX 491000, LEESBURG, FL, 347491000 |
Number of participants as of the end of the plan year
| Active participants | 587 |
Signature of
| Role | Plan administrator |
| Date | 2020-04-22 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-04-22 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2016-10-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 3523157532 |
| Plan sponsor’s mailing address | PO BOX 491000, LEESBURG, FL, 347491000 |
| Plan sponsor’s address | PO BOX 491000, LEESBURG, FL, 347491000 |
Number of participants as of the end of the plan year
| Active participants | 587 |
Signature of
| Role | Plan administrator |
| Date | 2020-04-22 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-04-22 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1993-07-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 3523157500 |
| Plan sponsor’s mailing address | P.O. BOX 491000, LEESBURG, FL, 34749 |
| Plan sponsor’s address | 515 W. MAIN STREET, LEESBURG, FL, 34748 |
Number of participants as of the end of the plan year
| Active participants | 483 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 236 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 690 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 34 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-15 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2016-10-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 3523157532 |
| Plan sponsor’s mailing address | PO BOX 491000, LEESBURG, FL, 347491000 |
| Plan sponsor’s address | PO BOX 491000, LEESBURG, FL, 347491000 |
Number of participants as of the end of the plan year
| Active participants | 611 |
Signature of
| Role | Plan administrator |
| Date | 2020-04-22 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-04-22 |
| Name of individual signing | CAROL DOZIER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| EVANS DAVID L | Agent | Dinsmore & Shohl LLP, Orlando, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| HANKEY RICK | Chief Executive Officer | 1616 S 14TH STREET, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| MORRIS TIMOTHY | Director | 1616 South 14th Street, LEESBURG, FL, 34748 |
| JOHNS PAUL | Director | 1616 South 14th Street, LEESBURG, FL, 34748 |
| SLEAFORD MICHAEL | Director | 1616 South 14th Street, LEESBURG, FL, 34748 |
| BIGARD HEATHER DR. | Director | 1616 South 14th Street, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| JOHNS PAUL | Vice Chairman | 1616 South 14th Street, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| SLEAFORD MICHAEL | Treasurer | 1616 South 14th Street, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| BIGARD HEATHER DR. | Secretary | 1616 South 14th Street, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| MORRIS TIMOTHY | Chairman | 1616 South 14th Street, LEESBURG, FL, 34748 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000118175 | ADULT CHOICE | ACTIVE | 2024-09-20 | 2029-12-31 | No data | PO BOX 491000, LEESBURG, FL, 34749 |
| G24000118180 | HOPE SPRINGS VILLAS | ACTIVE | 2024-09-20 | 2029-12-31 | No data | PO BOX 491000, LEESBURG, FL, 34749 |
| G24000118166 | LIFESTREAM BEHAVIORAL CENTER | ACTIVE | 2024-09-20 | 2029-12-31 | No data | PO BOX 491000, LEESBURG, FL, 34749 |
| G24000118177 | PHOENIX HOUSE | ACTIVE | 2024-09-20 | 2029-12-31 | No data | PO BOX 491000, LEESBURG, FL, 34749 |
| G21000035820 | AIMS | ACTIVE | 2021-03-15 | 2026-12-31 | No data | P.O. BOX 491000, LEESBURG, FL, 34749-1000 |
| G19000063289 | OPEN DOOR | ACTIVE | 2019-05-31 | 2029-12-31 | No data | PO BOX 491000, LEESBURG, FL, 34749-1000 |
| G19000063285 | OUR TURNING POINT RANCH | ACTIVE | 2019-05-31 | 2029-12-31 | No data | PO BOX 491000, LEESBURG, FL, 34749-1000 |
| G09000133549 | LAKE ACADEMY | EXPIRED | 2009-07-10 | 2024-12-31 | No data | P.O. BOX 491000, LEESBURG, FL, 34749-1000 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDED AND RESTATEDARTICLES | 2018-08-29 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2010-05-05 | No data | No data |
| NAME CHANGE AMENDMENT | 1993-11-01 | LIFESTREAM BEHAVIORAL CENTER, INC. | No data |
| AMENDMENT | 1987-07-13 | No data | No data |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Angel E. Gaston, Appellant(s), v. Lifestream Behavioral Center, Inc., Appellee(s). | 5D2024-2407 | 2024-08-28 | Open | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | Angel E. Gaston |
| Role | Appellant |
| Status | Active |
| Name | Hon. Brian Jerome Welke |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | Lake Clerk |
| Role | Lower Tribunal Clerk |
| Status | Active |
| Name | LIFESTREAM BEHAVIORAL CENTER, INC. |
| Role | Appellee |
| Status | Active |
| Representations | Isabella Sanchez, Scott Allan Cole, Francesca M. Stein |
Docket Entries
| Docket Date | 2024-11-13 |
| Type | Order |
| Subtype | Order on Motion for Extension of Time |
| Description | Order on Motion for Extension of Time; AA INDIGENT; NTC/MOT EOT DENIED AS MOOT |
| View | View File |
| Docket Date | 2024-11-12 |
| Type | Order |
| Subtype | Show Cause Jurisdiction |
| Description | Show Cause Jurisdiction; AA W/IN 10 DYS RE: WHY APPEAL SHOULD NOT BE DISMISSED... |
| View | View File |
| Docket Date | 2024-11-07 |
| Type | Brief |
| Subtype | Initial Brief |
| Description | Initial Brief; Mailbox 11/04/24 |
| On Behalf Of | Angel E. Gaston |
| View | View File |
| Docket Date | 2024-10-31 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order waiving Filing Fee |
| View | View File |
| Docket Date | 2024-10-31 |
| Type | Misc. Events |
| Subtype | Determination of Indigency/LT Order Insolvency |
| Description | FILED: 10/31 ; PER: 8/28 ORDER |
| Docket Date | 2024-10-30 |
| Type | Notice |
| Subtype | Notice of Appearance |
| Description | Notice of Appearance |
| On Behalf Of | Lifestream Behavioral Center, Inc. |
| Docket Date | 2024-10-28 |
| Type | Record |
| Subtype | Record on Appeal |
| Description | Record on Appeal-247 pages |
| On Behalf Of | Lake Clerk |
| Docket Date | 2024-10-25 |
| Type | Motions Extensions |
| Subtype | Motion for Extension of Time |
| Description | 2nd Motion for Extension of Time; to comply with order to pay filing fee; Cert of svc 10/23/24; DENIED AS MOOT PER 11/13 ORDER |
| On Behalf Of | Angel E. Gaston |
| Docket Date | 2024-10-04 |
| Type | Order |
| Subtype | Order on Motion for Extension of Time |
| Description | LOWER COURT ORDER OF INSOLVENCY BY OCTOBER 24, 2024; ABSENT EXTENUATING CIRCUMSTANCES, ADDITIONAL EXTENSIONS OF TIME WILL BE DENIED. |
| View | View File |
| Docket Date | 2024-09-27 |
| Type | Notice |
| Subtype | Notice of Filing |
| Description | Notice of Filing LT NON-FINAL ORDER |
| On Behalf Of | Lifestream Behavioral Center, Inc. |
| Docket Date | 2024-09-11 |
| Type | Motions Extensions |
| Subtype | Motion for Extension of Time |
| Description | Motion for Extension of Time to comply with 08/28 order; Mailbox 09/06/24 |
| On Behalf Of | Angel E. Gaston |
| Docket Date | 2024-09-06 |
| Type | Notice |
| Subtype | Notice |
| Description | "Notice to the Court" (mailbox 9/4/24); FILED IN LT AND FORWARDED |
| On Behalf Of | Angel E. Gaston |
| Docket Date | 2024-08-28 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgment Letter |
| View | View File |
| Docket Date | 2024-08-28 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order on Filing Fee |
| View | View File |
| Docket Date | 2024-08-28 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | MAILBOX DATE: 08/21/2024 |
| Docket Date | 2024-12-05 |
| Type | Order |
| Subtype | Order Relinquishing Jurisdiction |
| Description | JURISDICTION RELINQUISHED UNTIL 1/21/25; IF ORDER NOT RENDERED BEFORE EXPIRATION OF RELINQUISHMENT PERIOD, AAs SHALL FILE A STATUS REPORT. THE 11/2 OTSC IS DISCHARGED |
| View | View File |
| Docket Date | 2024-11-26 |
| Type | Response |
| Subtype | Response |
| Description | Response to 11/12 order; Mailbox 11/21/24 |
| On Behalf Of | Lake Clerk |
| Classification | Original Proceedings - Circuit Civil - Certiorari |
| Court | 5th District Court of Appeal |
| Originating Court |
Circuit Court for the Fifth Judicial Circuit, Lake County 2020-CA-000935 |
Parties
| Name | LIFESTREAM BEHAVIORAL CENTER, INC. |
| Role | Petitioner |
| Status | Active |
| Representations | Michael R. D'Lugo |
| Name | Estate of John Zachary Allerton |
| Role | Respondent |
| Status | Active |
| Name | John Allerton |
| Role | Respondent |
| Status | Active |
| Representations | Andrew A. Harris, Michael Brevda |
| Name | Hon. Michael G. Takac |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | Lake Co Circuit Ct Clerk |
| Role | Lower Tribunal Clerk |
| Status | Active |
Docket Entries
| Docket Date | 2022-11-28 |
| Type | Order |
| Subtype | Order to File Response |
| Description | ORD-Respondent to Respond ~ RESPONSE W/IN 20 DYS; REPLY W/IN 10 DYS |
| Docket Date | 2023-02-14 |
| Type | Response |
| Subtype | Response |
| Description | RESPONSE ~ TO MOT ATTY FEES |
| On Behalf Of | Lifestream Behavioral Center, Inc. |
| Docket Date | 2023-09-18 |
| Type | Record |
| Subtype | Returned Records |
| Description | Returned Records ~ NO RECORD EFILED |
| Docket Date | 2023-09-18 |
| Type | Mandate |
| Subtype | Disp. w/o Mandate |
| Description | Disp. w/o Mandate |
| Docket Date | 2023-08-29 |
| Type | Disposition by Opinion |
| Subtype | Denied |
| Description | Denied - PC Denied ~ PCD |
| Docket Date | 2023-08-29 |
| Type | Order |
| Subtype | Order on Motion For Attorney's Fees |
| Description | Grant Att Fees-Remand to JCC 60d fr Mand |
| Docket Date | 2023-08-16 |
| Type | Notice |
| Subtype | Notice of Supplemental Authority |
| Description | Notice of Supplemental Authority |
| On Behalf Of | John Allerton |
| Docket Date | 2023-02-02 |
| Type | Response |
| Subtype | Reply |
| Description | REPLY |
| On Behalf Of | Lifestream Behavioral Center, Inc. |
| Docket Date | 2023-01-31 |
| Type | Order |
| Subtype | Order on Motion for Extension of Time to Reply to Response |
| Description | Order Grant EOT to Reply to Response ~ TO 2/2 |
| Docket Date | 2023-01-30 |
| Type | Motions Relating to Attorney Fees/Costs |
| Subtype | Motion For Attorney's Fees |
| Description | Motion For Attorney's Fees ~ GRANTED PER 8/29 ORDER |
| On Behalf Of | John Allerton |
| Docket Date | 2023-01-30 |
| Type | Motions Extensions |
| Subtype | Motion Extension of Time To Reply To Response |
| Description | Motion Extension of TimeTo Reply To Respons |
| On Behalf Of | Lifestream Behavioral Center, Inc. |
| Docket Date | 2023-01-19 |
| Type | Response |
| Subtype | Response |
| Description | RESPONSE ~ PER 11/28 ORDER |
| On Behalf Of | John Allerton |
| Docket Date | 2022-12-20 |
| Type | Order |
| Subtype | Order on Motion for Extension of Time to File Response |
| Description | Order Grant EOT to file Response to Ct. Order ~ RESPONSE BY 1/19/23 |
| Docket Date | 2022-12-19 |
| Type | Motions Extensions |
| Subtype | Motion for Extension of Time to File Response |
| Description | Motion for Extension of Time to File Response |
| On Behalf Of | John Allerton |
| Docket Date | 2022-11-22 |
| Type | Misc. Events |
| Subtype | Case Filing Fee Paid through Portal |
| Description | CASE FILING FEE PAID THROUGH PORTAL |
| Docket Date | 2022-11-22 |
| Type | Petition |
| Subtype | Petition |
| Description | Petition Filed ~ FILED 11/22/22 |
| On Behalf Of | Lifestream Behavioral Center, Inc. |
| Docket Date | 2022-11-22 |
| Type | Record |
| Subtype | Appendix to Petition |
| Description | Appendix to Petition |
| Docket Date | 2022-11-22 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgement Letter 1 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
