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  5. NORTHEAST FLORIDA AREA AGENCY ON AGING, INC

NORTHEAST FLORIDA AREA AGENCY ON AGING, INC

Company Details

Entity Name: NORTHEAST FLORIDA AREA AGENCY ON AGING, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 31 Dec 1974 (50 years ago)
Document Number: 731535
FEI/EIN Number 591569867
Address: 10688 OLD ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32257, US
Mail Address: 10688 OLD ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32257, US
ZIP code: 32257
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 2023 591569867 2024-06-24 NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 98
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 813000
Sponsor’s telephone number 9043916600
Plan sponsor’s address 10688 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322571004

Signature of
Role Plan administrator
Date 2024-06-24
Name of individual signing JAMES LEE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 2022 591569867 2023-11-16 NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 78
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 813000
Sponsor’s telephone number 9043916600
Plan sponsor’s address 10688 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322571004

Signature of
Role Plan administrator
Date 2023-11-16
Name of individual signing JAMES LEE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 2021 591569867 2023-02-13 NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 73
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 813000
Sponsor’s telephone number 9043916600
Plan sponsor’s address 10688 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322571004

Signature of
Role Plan administrator
Date 2023-02-13
Name of individual signing TRINA NULLET
Valid signature Filed with authorized/valid electronic signature
THRIFT PLAN OF NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 2021 591569867 2023-02-15 NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 813000
Sponsor’s telephone number 9043916627
Plan sponsor’s DBA name ELDERSOURCE
Plan sponsor’s address 10688 OLD ST AUGUSTINE RD, JACKSONVILLE, FL, 322571004

Signature of
Role Plan administrator
Date 2023-02-15
Name of individual signing TRINA NULLET
Valid signature Filed with authorized/valid electronic signature
THRIFT PLAN OF NORTHEAST FLORIDA AREA AGENCY ON AGING, INC 2020 591569867 2021-07-30 NORTHEAST FLORIDA AREA AGENCY ON AGING, INC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 813000
Sponsor’s telephone number 9043916627
Plan sponsor’s DBA name ELDERSOURCE
Plan sponsor’s address 10688 OLD ST AUGUSTINE RD, JACKSONVILLE, FL, 322571004

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing JAMES LEE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 2020 591569867 2021-07-26 NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 62
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 813000
Sponsor’s telephone number 9043916600
Plan sponsor’s address 10688 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322571004

Signature of
Role Plan administrator
Date 2021-07-26
Name of individual signing JAMES LEE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 2019 591569867 2020-07-13 NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 58
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 813000
Sponsor’s telephone number 9043916600
Plan sponsor’s address 10688 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322571004

Signature of
Role Plan administrator
Date 2020-07-13
Name of individual signing JALYNNE SANTIAGO
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 2019 591569867 2020-07-17 NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 58
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 813000
Sponsor’s telephone number 9043916600
Plan sponsor’s address 10688 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322571004

Signature of
Role Plan administrator
Date 2020-07-17
Name of individual signing JALYNNE SANTIAGO
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 2018 591569867 2019-07-31 NORTHEAST FLORIDA AREA AGENCY ON AGING, INC. 58
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 813000
Sponsor’s telephone number 9043916600
Plan sponsor’s address 10688 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322571004

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing JALYNNE SANTIAGO
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF NORTHEAST FLORIDA AREA AGENCY ON AGING INC 2017 591569867 2018-07-31 NORTHEAST FLORIDA AREA AGENCY ON AGING INC 58
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 813000
Sponsor’s telephone number 9043916600
Plan sponsor’s address 10688 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322571004

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing JALYNNE SANTIAGO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-31
Name of individual signing JALYNNE SANTIAGO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LEVIN LINDA J Agent 10688 OLD ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32257

Secretary

Name Role Address
Gilreath Melissa Secretary 101 Palmera Court, Ponte Vedra, FL, 32082

Chief Executive Officer

Name Role Address
Levin Linda Dr. Chief Executive Officer 10688 Old St. Augustine Road, Jacksonville, FL, 32257

Vice President

Name Role Address
Stanford Walette Vice President 2160 Walnut Creek Court North, Jacksonville, FL, 32246

President

Name Role Address
Robinson Sandy Dr. President 54 Atlanta Drive, St. Augustine, FL, 32092

Treasurer

Name Role Address
Hirsch Shelley Treasurer 96071 Stoney Creek Prkwy, Fernandina Beach, FL, 32034

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000015748 ELDERSOURCE ACTIVE 2013-02-05 2028-12-31 No data 10688 OLD ST AUGUSTINE RD, JACKSONVILLE, FL, 32257

Related by officers

Gilreath Melissa

ELDERSOURCE, INC.

LEVIN LINDA J

ELDERSOURCE, INC. FRIENDS OF ELDERSOURCE, INC. ELDERSOURCE IN ACTION, INC.

Stanford Walette

ALPHA CLAY PEARLS, INC. PI ETA OMEGA, INC. OF ALPHA KAPPA ALPHA SORORITY FLORIDA CHAPTER OF AMERICAN ASSOCIATION OF BLACKS IN ENERGY, INC.

Hirsch Shelley

POWER REFERRAL GROUP, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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