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  5. WESLEY HOUSE FAMILY SERVICES, INC.

WESLEY HOUSE FAMILY SERVICES, INC.

Company Details

Entity Name: WESLEY HOUSE FAMILY SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 11 Jan 1975 (50 years ago)
Document Number: 731600
FEI/EIN Number 590624461
Address: 1304 TRUMAN AVENUE, KEY WEST, FL, 33040, US
Mail Address: 1304 TRUMAN AVENUE, KEY WEST, FL, 33040, US
ZIP code: 33040
County: Monroe
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013280171 2012-02-20 2012-02-20 1304 TRUMAN AVE, KEY WEST, FL, 330407268, US 3114 FLAGLER AVE, KEY WEST, FL, 330404602, US

Contacts
Phone +1 305-809-5000
Fax 3058095010

Authorized person
Name DOUG BLOMBERG
Role CEO
Phone 3058095000

Taxonomy
Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WESLEY HOUSE FAMILY SERVICES, INC 2012 590624461 2013-04-23 WESLEY HOUSE FAMILY SERVICES, INC 70
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 3058095000
Plan sponsor’s mailing address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040
Plan sponsor’s address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Number of participants as of the end of the plan year
Active participants 70

Signature of
Role Plan administrator
Date 2013-04-23
Name of individual signing DOUGLAS BLOMBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-23
Name of individual signing DOUGLAS BLOMBERG
Valid signature Filed with authorized/valid electronic signature
WESLEY HOUSE FAMILY SERVICES, INC 2011 590624461 2012-05-10 WESLEY HOUSE FAMILY SERVICES, INC 73
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 3058095000
Plan sponsor’s mailing address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040
Plan sponsor’s address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Plan administrator’s name and address
Administrator’s EIN 590624461
Plan administrator’s name WESLEY HOUSE FAMILY SERVICES, INC
Plan administrator’s address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040
Administrator’s telephone number 3058095000

Number of participants as of the end of the plan year
Active participants 73
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2012-05-10
Name of individual signing DOUGLAS BLOMBERG
Valid signature Filed with authorized/valid electronic signature
WESLEY HOUSE FAMILY SERVICES, INC 2010 590624461 2011-05-04 WESLEY HOUSE FAMILY SERVICES, INC 73
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 3058095000
Plan sponsor’s mailing address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040
Plan sponsor’s address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Plan administrator’s name and address
Administrator’s EIN 590624461
Plan administrator’s name WESLEY HOUSE FAMILY SERVICES, INC
Plan administrator’s address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040
Administrator’s telephone number 3058095000

Number of participants as of the end of the plan year
Active participants 73
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2011-05-04
Name of individual signing DOUGLAS BLOMBERG
Valid signature Filed with authorized/valid electronic signature
WESLEY HOUSE FAMILY SERVICES, INC 2009 590624461 2010-08-12 WESLEY HOUSE FAMILY SERVICES INC 84
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 3058095000
Plan sponsor’s mailing address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040
Plan sponsor’s address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Plan administrator’s name and address
Administrator’s EIN 590624461
Plan administrator’s name WESLEY HOUSE FAMILY SERVICES INC
Plan administrator’s address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040
Administrator’s telephone number 3058095000

Number of participants as of the end of the plan year
Active participants 71
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-08-12
Name of individual signing DOUGLAS BLOMBERG
Valid signature Filed with authorized/valid electronic signature
WESLEY HOUSE FAMILY SERVICES, INC 2009 590624461 2010-08-12 WESLEY HOUSE FAMILY SERVICES INC 84
Three-digit plan number (PN) 501
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 3058095000
Plan sponsor’s mailing address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040
Plan sponsor’s address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Plan administrator’s name and address
Administrator’s EIN 590624461
Plan administrator’s name WESLEY HOUSE FAMILY SERVICES INC
Plan administrator’s address 1304 TRUMAN AVENUE, KEY WEST, FL, 33040
Administrator’s telephone number 3058095000

Number of participants as of the end of the plan year
Active participants 71
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-08-12
Name of individual signing DOUGLAS BLOMBERG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Smith Wayne L Agent THE SMITH LAW FIRM, KEY WEST, FL, 33040

Treasurer

Name Role Address
Torrado Julio Treasurer 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Secretary

Name Role Address
Lindner Pamela Secretary 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Chief Executive Officer

Name Role Address
Jacobo Aleida Chief Executive Officer 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Chief Financial Officer

Name Role Address
Wheeler Greg Chief Financial Officer 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Vice President

Name Role Address
Brandenburg Sean Vice President 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Chairman

Name Role Address
Pabian Kristine Chairman 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09075900470 WESLEY HOUSE PROFESSIONAL CHILD CARE ACADEMY EXPIRED 2009-03-16 2014-12-31 No data 1304 TRUMAN AVENUE, KEY WEST, FL, 33040

Events

Event Type Filed Date Value Description
REINSTATEMENT 2010-10-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CANCEL ADM DISS/REV 2006-10-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data
NAME CHANGE AMENDMENT 2003-05-07 WESLEY HOUSE FAMILY SERVICES, INC. No data

Related by officers

Torrado Julio

KEY WEST FILM SOCIETY, INC.

Smith Wayne L

FLORIDA LAWYERS ASSISTANCE, INC.

Wheeler Greg

PICKETT DOWNS UNIT IV HOMEOWNERS' ASSOCIATION, 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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