| Entity Name: | CHILDREN'S CANCER CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 01 Apr 1974 (51 years ago) |
| Document Number: | 729217 |
| FEI/EIN Number | 591779035 |
| Address: | 4901 W CYPRESS ST, TAMPA, FL, 33607, US |
| Mail Address: | 4901 W CYPRESS ST, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S CANCER CENTER 403(B) RETIREMENT PLAN | 2023 | 591779035 | 2024-07-23 | CHILDREN'S CANCER CENTER, INC. | 12 | |||||||||||||||||||||||
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| CHILDREN'S CANCER CENTER 403(B) RETIREMENT PLAN | 2022 | 591779035 | 2023-07-19 | CHILDREN'S CANCER CENTER, INC. | 10 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-07-19 |
| Name of individual signing | PATRICIA O'LEARY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 8133675437 |
| Plan sponsor’s address | 4901 WEST CYPRESS STREET, TAMPA, FL, 33607 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 8133675437 |
| Plan sponsor’s address | 4901 WEST CYPRESS STREET, TAMPA, FL, 33607 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-27 |
| Name of individual signing | PATRICIA O'LEARY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| O'LEARY PATRICIA | Agent | 4901 W CYPRESS ST, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Sultenfuss William | Boar | 4901 W CYPRESS ST, TAMPA, FL, 33607 |
| Kaiser Vikki | Boar | 4300 W. Cypress St., Tampa, FL, 33607 |
| Kumar Mudra MD | Boar | 2 Tampa General Circle, Tampa, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| Bailey Tee Ann | Seni | 4901 W CYPRESS ST, TAMPA, FL, 33607 |
| Moraites Patrick | Seni | 211 S. Westland Ave, Tampa, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| O'LEARY PATRICIA | Chief Executive Officer | 4901 W CYPRESS ST, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDED AND RESTATEDARTICLES | 2012-05-17 | No data | No data |
| AMENDMENT | 2000-07-19 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 1994-02-14 | No data | No data |
| NAME CHANGE AMENDMENT | 1989-06-14 | CHILDREN'S CANCER CENTER, INC. | No data |
| NAME CHANGE AMENDMENT | 1976-04-30 | CHILDREN'S CENTER FOR CANCER AND BLOOD DISEASES, INC. | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
