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  5. CDAC BEHAVIORAL HEALTHCARE, INC.

CDAC BEHAVIORAL HEALTHCARE, INC.

Company Details

Entity Name: CDAC BEHAVIORAL HEALTHCARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 26 Jul 1971 (54 years ago)
Document Number: 721412
FEI/EIN Number 591380927
Address: 3804 N 9TH AVE, PENSACOLA, FL, 32503, US
Mail Address: 3804 N 9TH AVE, PENSACOLA, FL, 32503, US
ZIP code: 32503
County: Escambia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF CDAC BEHAVIORAL HEALTHCARE, INC. 2021 591380927 2023-03-08 CDAC BEHAVIORAL HEALTHCARE, INC. 79
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-11-01
Business code 621420
Sponsor’s telephone number 8504342724
Plan sponsor’s address 3804 N 9TH AVE, PENSACOLA, FL, 325032802

Signature of
Role Plan administrator
Date 2023-03-08
Name of individual signing PATRICIA BEEBE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CDAC BEHAVIORAL HEALTHCARE, INC. 2020 591380927 2022-04-07 CDAC BEHAVIORAL HEALTHCARE, INC. 75
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-11-01
Business code 621420
Sponsor’s telephone number 8504342724
Plan sponsor’s address 3804 N 9TH AVE, PENSACOLA, FL, 325032802

Signature of
Role Plan administrator
Date 2022-04-07
Name of individual signing PATRICIA BEEBE
Valid signature Filed with authorized/valid electronic signature
CDAC BEHAVIORAL HEALTHCARE INC TAX SHELTERED ANNUITY PLAN 2019 591380927 2021-01-11 CDAC BEHAVIORAL HEALTHCARE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 624100
Sponsor’s telephone number 8504342724
Plan sponsor’s address 3804 NORTH 9TH AVENUE, PENSACOLA, FL, 325032802

Signature of
Role Plan administrator
Date 2021-01-11
Name of individual signing LEASHIA SCRIVNER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CDAC BEHAVIORAL HEALTHCARE, INC. 2019 591380927 2022-04-07 CDAC BEHAVIORAL HEALTHCARE, INC. 67
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-11-01
Business code 621420
Sponsor’s telephone number 8504342724
Plan sponsor’s address 3804 N 9TH AVE, PENSACOLA, FL, 325032802

Signature of
Role Plan administrator
Date 2022-04-07
Name of individual signing PATRICIA BEEBE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CDAC BEHAVIORAL HEALTHCARE, INC. 2018 591380927 2020-01-30 CDAC BEHAVIORAL HEALTHCARE, INC. 71
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-11-01
Business code 621420
Sponsor’s telephone number 8504342724
Plan sponsor’s address 3804 N 9TH AVE, PENSACOLA, FL, 325032802

Signature of
Role Plan administrator
Date 2020-01-30
Name of individual signing PATRICIA BEEBE
Valid signature Filed with authorized/valid electronic signature
CDAC BEHAVIORAL HEALTHCARE, INC. TAX SHELTERED ANNUITY PLAN 2018 591380927 2020-03-09 CDAC BEHAVIORAL HEALTHCARE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 624100
Sponsor’s telephone number 8504342724
Plan sponsor’s address 3804 NORTH 9TH AVENUE, PENSACOLA, FL, 325032802

Signature of
Role Plan administrator
Date 2020-03-09
Name of individual signing LEASHIA SCRIVNER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF CDAC BEHAVIORAL HEALTHCARE, INC. 2017 591380927 2019-01-23 CDAC BEHAVIORAL HEALTHCARE, INC. 71
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-11-01
Business code 621420
Sponsor’s telephone number 8504342724
Plan sponsor’s address 3804 N 9TH AVE, PENSACOLA, FL, 325032802

Signature of
Role Plan administrator
Date 2019-01-23
Name of individual signing PATRICIA BEEBE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SCRIVNER LEASHIA Agent 3804 N 9TH AVE, PENSACOLA, FL, 32503

Treasurer

Name Role Address
Chesterfield Burton Treasurer 3804 N 9TH AVE, PENSACOLA, FL, 32503

President

Name Role Address
Stone Kelly President 3804 N. 9TH AVENUE, PENSACOLA, FL, 32503

1st

Name Role Address
Raines Andrew 1st 3804 N 9TH AVE, PENSACOLA, FL, 32503

Secretary

Name Role Address
Wright Karen Secretary 3804 N. 9TH AVENUE, PENSACOLA, FL, 32503

2nd

Name Role Address
Schebler Dan 2nd 3804 N. 9TH AVENUE, PENSACOLA, FL, 32503

Executive Director

Name Role Address
SCRIVNER LEASHIA Executive Director 3804 NORTH NINTH AVE, PENSACOLA, FL, 32503

Events

Event Type Filed Date Value Description
AMENDMENT 2019-08-05 No data No data
AMENDMENT 2018-12-03 No data No data
NAME CHANGE AMENDMENT 2017-06-05 CDAC BEHAVIORAL HEALTHCARE, INC. No data
REINSTATEMENT 2005-10-06 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data
AMENDMENT AND NAME CHANGE 1998-03-03 THE COMMUNITY DRUG AND ALCOHOL COUNCIL, INC. No data
NAME CHANGE AMENDMENT 1985-05-29 THE COMMUNITY DRUG AND ALCOHOL COMMISSION, INC. No data

Related by officers

Stone Kelly

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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