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  5. LIGHTHOUSE OF SOUTHWEST FLORIDA, INC.

LIGHTHOUSE OF SOUTHWEST FLORIDA, INC.

Company Details

Entity Name: LIGHTHOUSE OF SOUTHWEST FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 23 Sep 1974 (50 years ago)
Document Number: 730754
FEI/EIN Number 591665257
Address: 35 WEST MARIANA AVENUE, NORTH FORT MYERS, FL, 33903
Mail Address: P.O. BOX 3464, N. FT. MYERS, FL, 33918-3464
ZIP code: 33903
County: Lee
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIGHTHOUSE OF SWFL 401(K) PLAN 2022 591665257 2024-04-18 LIGHTHOUSE OF SOUTHWEST FLORIDA, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-15
Business code 624100
Sponsor’s telephone number 2399977797
Plan sponsor’s address PO BOX 3464, NORTH FT MYERS, FL, 33918

Signature of
Role Plan administrator
Date 2024-04-18
Name of individual signing ANISSA BARKSDALE
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE OF SWFL 401(K) PLAN 2021 591665257 2023-03-22 LIGHTHOUSE OF SOUTHWEST FLORIDA, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-15
Business code 624100
Sponsor’s telephone number 2399977797
Plan sponsor’s address PO BOX 3464, NORTH FT MYERS, FL, 33918

Signature of
Role Plan administrator
Date 2023-03-22
Name of individual signing DOTTY ST. AMAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-22
Name of individual signing ANISSA BARKSDALE
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE OF SWFL 401(K) PLAN 2020 591665257 2022-04-07 LIGHTHOUSE OF SOUTHWEST FLORIDA, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-15
Business code 624100
Sponsor’s telephone number 2399977797
Plan sponsor’s address PO BOX 3464, NORTH FT MYERS, FL, 33918

Signature of
Role Plan administrator
Date 2022-04-07
Name of individual signing ANISSA BARKSDALE
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE OF SWFL 401(K) PLAN 2019 591665257 2021-07-08 LIGHTHOUSE OF SOUTHWEST FLORIDA, INC. 24
Three-digit plan number (PN) 001
Effective date of plan 2016-06-15
Business code 624100
Sponsor’s telephone number 2399977797
Plan sponsor’s address PO BOX 3464, NORTH FT MYERS, FL, 33918

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing ANISSA BARKSDALE
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE OF SWFL 401(K) PLAN 2019 591665257 2021-08-17 LIGHTHOUSE OF SOUTHWEST FLORIDA, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-15
Business code 624100
Sponsor’s telephone number 2399977797
Plan sponsor’s address PO BOX 3464, NORTH FT MYERS, FL, 33918

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing ANISSA BARKSDALE
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE OF SWFL 401(K) PLAN 2018 591665257 2020-07-14 LIGHTHOUSE OF SOUTHWEST FLORIDA, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-15
Business code 624100
Sponsor’s telephone number 2399977797
Plan sponsor’s address 35 W. MARIANA AVENUE, NORTH FORT MYERS, FL, 33903

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing DAWN KILGORE
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE OF SWFL 401(K) PLAN 2017 591665257 2019-04-17 LIGHTHOUSE OF SOUTHWEST FLORIDA, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-15
Business code 624100
Sponsor’s telephone number 2398221273
Plan sponsor’s address 35 W. MARIANA AVENUE, NORTH FORT MYERS, FL, 33903

Signature of
Role Plan administrator
Date 2019-04-10
Name of individual signing DAWN KILGORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-10
Name of individual signing DAWN KILGORE
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE OF SWFL 401(K) PLAN 2016 591665257 2017-06-22 LIGHTHOUSE OF SOUTHWEST FLORIDA, INC 7
Three-digit plan number (PN) 001
Effective date of plan 2016-06-15
Business code 621498
Sponsor’s telephone number 2398221273
Plan sponsor’s address 35 W. MARIANA AVENUE, NORTH FORT MYERS, FL, 33903

Signature of
Role Plan administrator
Date 2017-06-22
Name of individual signing DOUGLAS L FOWLER
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE OF SWFL 401(K) PLAN 2016 591665257 2018-07-12 LIGHTHOUSE OF SOUTHWEST FLORIDA, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-06-15
Business code 624100
Sponsor’s telephone number 2398221273
Plan sponsor’s address 35 W. MARIANA AVENUE, NORTH FORT MYERS, FL, 33903

Signature of
Role Plan administrator
Date 2018-07-12
Name of individual signing DOUGLAS FOWLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CARTER KATHY Y Agent 5452 Governors Drive, Fort Myers, FL, 33907

President

Name Role Address
Turner Jill President 1249 Morningside Drive, Fort Myers, FL, 33901

Vice President

Name Role Address
Gittens Gwynetta Vice President 2705 48th St SW, Cape Coral, FL, 33976

Treasurer

Name Role Address
O'Donnell Patricia Treasurer 4291 Williams Road, Estero, FL, 33928

Director

Name Role Address
Ciccarello Michael Director 24 Live Oak Lane, Fort Myers, FL, 33905
Jacobson Jordan Director 20050 Barletta Ln, Estero, FL, 33928
Llechu Armando Director 9981 S Healthpark Drive 1st Floor Administ, Fort Myers, FL, 33908

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000051701 LIGHTHOUSE OF SWFL ACTIVE 2023-04-24 2028-12-31 No data 35 W. MARIANA AVE, NORTH FT MYERS, FL, 33903
G12000044697 LIGHTHOUSE OF SWFL EXPIRED 2012-05-14 2017-12-31 No data 35 WEST MARIANNA AVENUE, NORTH FORT MYERS, FL, 33903

Events

Event Type Filed Date Value Description
REINSTATEMENT 2019-10-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
NAME CHANGE AMENDMENT 2012-05-11 LIGHTHOUSE OF SOUTHWEST FLORIDA, INC. No data
AMENDMENT 2008-08-07 No data No data
AMENDMENT 2002-11-12 No data No data
AMENDMENT 1987-07-22 No data No data

Related by officers

Jacobson Jordan

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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