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  5. LIGHTHOUSE OF BROWARD COUNTY, INC.

LIGHTHOUSE OF BROWARD COUNTY, INC.

Company Details

Entity Name: LIGHTHOUSE OF BROWARD COUNTY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 12 Sep 1974 (50 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 24 Oct 2011 (13 years ago)
Document Number: 730668
FEI/EIN Number 59-1650909
Address: 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313
Mail Address: 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313
ZIP code: 33313
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932336187 2009-06-15 2009-06-15 650 N ANDREWS AVE, FORT LAUDERDALE, FL, 333117436, US 650 N ANDREWS AVE, FORT LAUDERDALE, FL, 333117436, US

Contacts
Phone +1 954-463-4217
Fax 9547643825

Authorized person
Name DR. ELLY DU PRE
Role EXECUTIVE DIRECTOR
Phone 9544634217

Taxonomy
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) PLAN OF LIGHTHOUSE OF BROWARD COUNTY 2023 591650909 2024-10-30 LIGHTHOUSE OF BROWARD COUNTY, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 624200
Sponsor’s telephone number 9544155695
Plan sponsor’s address 5901 DEL LAGO CIRCLE, SUNRISE, FL, 33313

Signature of
Role Plan administrator
Date 2024-10-30
Name of individual signing GENTRY VITALE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-30
Name of individual signing GENTRY VITALE
Valid signature Filed with authorized/valid electronic signature
403(B) PLAN OF LIGHTHOUSE OF BROWARD COUNTY 2022 591650909 2023-10-11 LIGHTHOUSE OF BROWARD COUNTY, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 624200
Sponsor’s telephone number 9544155695
Plan sponsor’s address 650 N. ANDREWS AVE., FORT LAUDERDALE, FL, 33311

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing GENTRY VITALE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN FOR EMPLOYEES OF LIGHTHOUSE OF BROWARD COUNTY, INC. 2021 591650909 2023-03-21 LIGHTHOUSE OF BROWARD COUNTY, 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 624200
Sponsor’s telephone number 9544634217
Plan sponsor’s address 650 N ANDREWS AVE, FORT LAUDERDALE, FL, 333117436

Signature of
Role Plan administrator
Date 2023-03-21
Name of individual signing GENTRY VITALE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF LIGHTHOUSE OF BROWARD COUNTY, INC. 2020 591650909 2022-04-18 LIGHTHOUSE OF BROWARD COUNTY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 624200
Sponsor’s telephone number 9544634217
Plan sponsor’s address 650 N ANDREWS AVE, FORT LAUDERDALE, FL, 333117436

Signature of
Role Plan administrator
Date 2022-04-18
Name of individual signing GENTRY VITALE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF LIGHTHOUSE OF BROWARD COUNTY, INC. 2019 591650909 2021-03-15 LIGHTHOUSE OF BROWARD COUNTY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 624200
Sponsor’s telephone number 9544634217
Plan sponsor’s address 650 N ANDREWS AVE, FORT LAUDERDALE, FL, 333117436

Signature of
Role Plan administrator
Date 2021-03-15
Name of individual signing GENTRY VITALE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF LIGHTHOUSE OF BROWARD COUNTY, INC. 2018 591650909 2020-04-09 LIGHTHOUSE OF BROWARD COUNTY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 624200
Sponsor’s telephone number 9544634217
Plan sponsor’s address 650 N ANDREWS AVE, FORT LAUDERDALE, FL, 333117436

Signature of
Role Plan administrator
Date 2020-04-09
Name of individual signing GENTRY VITALE
Valid signature Filed with authorized/valid electronic signature
403 B THRIFT PLAN OF LIGHTHOUSE OF BROWARD COUNTY INC 2017 591650909 2019-01-10 LIGHTHOUSE OF BROWARD COUNTY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 624200
Sponsor’s telephone number 9544634217
Plan sponsor’s address 650 N ANDREWS AVE, FORT LAUDERDALE, FL, 33311

Signature of
Role Plan administrator
Date 2019-01-10
Name of individual signing GENTRY VITALE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF LIGHTHOUSE OF BROWARD COUNTY, INC 2016 591650909 2017-08-30 LIGHTHOUSE OF BROWARD COUNTY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 624200
Sponsor’s telephone number 9544634217
Plan sponsor’s address 650 N ANDREWS AVE, FORT LAUDERDALE, FL, 33311

Signature of
Role Plan administrator
Date 2017-08-30
Name of individual signing JANET GROSSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-30
Name of individual signing JANET GROSSMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF LIGHTHOUSE OF BROWARD COUNTY, INC. 2015 591650909 2016-12-28 LIGHTHOUSE OF BROWARD COUNTY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 624200
Sponsor’s telephone number 9544634217
Plan sponsor’s address 650 N ANDREWS AVE, FORT LAUDERDALE, FL, 33311

Signature of
Role Plan administrator
Date 2016-12-28
Name of individual signing ELLY DU PRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-12-28
Name of individual signing ELLY DU PRE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF LIGHTHOUSE OF BROWARD COUNTY, INC. 2015 591650909 2016-09-22 LIGHTHOUSE OF BROWARD COUNTY, INC. 8
Three-digit plan number (PN) 001
Effective date of plan 2013-04-01
Business code 624200
Sponsor’s telephone number 9544634217
Plan sponsor’s address 650 N ANDREWS AVE, FORT LAUDERDALE, FL, 33311

Signature of
Role Plan administrator
Date 2016-09-22
Name of individual signing ELLY DU PRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-22
Name of individual signing ELLY DU PRE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Drotzer, Ellyn Agent 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313

President

Name Role Address
Drotzer, Ellyn President 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313

Chief Executive Officer

Name Role Address
Drotzer, Ellyn Chief Executive Officer 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313

Chairman

Name Role Address
Moffatt, Timothy Chairman 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313

Vice Chairman

Name Role Address
Wellik, Sarah Dr. Vice Chairman 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313

Treasurer

Name Role Address
RICKETTS, ERICA Treasurer 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313

Secretary

Name Role Address
Pierson, Maria, Dr. Secretary 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-31 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313 No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-31 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313 No data
CHANGE OF MAILING ADDRESS 2024-01-31 5901 DEL LAGO CIRCLE, SUNRISE, FL 33313 No data
REGISTERED AGENT NAME CHANGED 2017-03-06 Drotzer, Ellyn No data
REINSTATEMENT 2011-10-24 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
NAME CHANGE AMENDMENT 1995-09-11 LIGHTHOUSE OF BROWARD COUNTY, INC. No data
NAME CHANGE AMENDMENT 1992-05-26 FORT LAUDERDALE LIGHTHOUSE FOR THE BLIND, INC. No data
EVENT CONVERTED TO NOTES 1991-06-12 No data No data
NAME CHANGE AMENDMENT 1977-02-18 THE BROWARD CENTER FOR THE BLIND, INC. No data

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-22
AMENDED ANNUAL REPORT 2020-02-19
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-01-28
AMENDED ANNUAL REPORT 2018-09-19
ANNUAL REPORT 2018-01-09

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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