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  5. GENESIS HOUSE, INC.

GENESIS HOUSE, INC.

Company Details

Entity Name: GENESIS HOUSE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 24 Oct 1974 (50 years ago)
Document Number: 730972
FEI/EIN Number 591595818
Address: 814 MELBOURNE AVE, MELBOURNE, FL, 32901
Mail Address: P O BOX 2044, MELBOURNE, FL, 32902
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GENESIS HOUSE INC 401 K PROFIT SHARING PLAN TRUST 2012 591595818 2013-07-29 GENESIS HOUSE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 812190
Sponsor’s telephone number 3219519798
Plan sponsor’s address PO BOX 2044, MELBOURNE, FL, 32902

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing GENESIS HOUSE
Valid signature Filed with authorized/valid electronic signature
GENESIS HOUSE 401 K PROFIT SHARING PLAN TRUST 2011 591595818 2012-05-22 GENESIS HOUSE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 812190
Sponsor’s telephone number 3219519798
Plan sponsor’s address PO BOX 2044, MELBOURNE, FL, 32902

Plan administrator’s name and address
Administrator’s EIN 591595818
Plan administrator’s name GENESIS HOUSE
Plan administrator’s address PO BOX 2044, MELBOURNE, FL, 32902
Administrator’s telephone number 3219519798

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing GENESIS HOUSE
Valid signature Filed with authorized/valid electronic signature
GENESIS HOUSE INC 2010 591595818 2010-11-29 GENESIS HOUSE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624200
Sponsor’s telephone number 3219519798
Plan sponsor’s address PO BOX 2044, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 591595818
Plan administrator’s name GENESIS HOUSE INC.
Plan administrator’s address PO BOX 2044, MELBOURNE, FL, 32901
Administrator’s telephone number 3219519798

Signature of
Role Plan administrator
Date 2010-11-29
Name of individual signing GENESIS HOUSE INC.
Valid signature Filed with incorrect/unrecognized electronic signature
GENESIS HOUSE INC 2009 591595818 2010-06-17 GENESIS HOUSE INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624200
Sponsor’s telephone number 3219519798
Plan sponsor’s address PO BOX 2044, MELBOURNE, FL, 32901

Plan administrator’s name and address
Administrator’s EIN 591595818
Plan administrator’s name GENESIS HOUSE INC.
Plan administrator’s address PO BOX 2044, MELBOURNE, FL, 32901
Administrator’s telephone number 3219519798

Signature of
Role Plan administrator
Date 2010-06-17
Name of individual signing GENESIS HOUSE INC.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ALLEN MARY J Agent 1201 Parkside Place, Unit 1201, Indian Harbour Beach, FL, 32937

President

Name Role Address
ALLEN MARY J President 1201 PARKSIDE PLACE, UNIT 1201, INDIAN HARBOUR BEACH, FL, 32937

Secretary

Name Role Address
CHEISMAN LAURA K Secretary 1907 HIGHWAY A1A APT 103, SATELLITE BEACH, FL, 32937

Treasurer

Name Role Address
CHEISMAN LAURA K Treasurer 1907 HIGHWAY A1A APT 103, SATELLITE BEACH, FL, 32937

Director

Name Role Address
CHEISMAN LAURA K Director 1907 HIGHWAY A1A APT 103, SATELLITE BEACH, FL, 32937
ALLEN MARY J Director 1201 PARKSIDE PLACE, UNIT 1201, INDIAN HARBOUR BEACH, FL, 32937
O'Toole Mary K Director 3162 Beach Winds Court, MELBOURNE BEACH, FL, 32951
Datta Devin Director 10350 S. Tropical Trail, Merritt Island, FL, 32952
HILL JANICE K Director 1103 BALMORAL WAY, MELBOURNE, FL, 32940

Admi

Name Role Address
Snyder Kristen K Admi 2931 Cavel St., Melbourne, FL, 32904

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000078511 GENESIS BOUTIQUE EXPIRED 2017-07-21 2022-12-31 No data P.O. BOX 2044, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1993-04-23 GENESIS HOUSE, INC. No data
NAME CHANGE AMENDMENT 1986-11-24 BIRTHRIGHT OF MELBOURNE-SOUTH BREVARD COUNTY, INC. No data

Related by officers

ALLEN MARY J

PRICE SAFE STOP, INC.

Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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