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  5. WAYSIDE HOUSE, INC.

WAYSIDE HOUSE, INC.

Company Details

Entity Name: WAYSIDE HOUSE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 11 Mar 1975 (50 years ago)
Last Event: AMENDMENT
Event Date Filed: 05 Nov 2013 (11 years ago)
Document Number: 732111
FEI/EIN Number 59-1590644
Address: 378 N.E. 6TH AVENUE, DELRAY BEACH, FL 33483
Mail Address: 378 N.E. 6TH AVENUE, DELRAY BEACH, FL 33483
ZIP code: 33483
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639635980 2019-02-12 2022-07-01 378 NE 6TH AVE, DELRAY BEACH, FL, 33483, US 328 NE 6TH AVE, DELRAY BEACH, FL, 334835517, US

Contacts
Phone +1 561-666-9168
Fax 5612940178
Phone +1 561-666-9154

Authorized person
Name LISA GAIL MCWHORTER
Role CEO
Phone 5616669154

Taxonomy
Taxonomy Code 103TA0400X - Addiction (Substance Use Disorder) Psychologist
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 103939900
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF WAYSIDE HOUSE, INC. 2023 591590644 2025-01-23 WAYSIDE HOUSE, INC. 71
Three-digit plan number (PN) 003
Effective date of plan 2015-12-01
Sponsor’s telephone number 5612780055
Plan sponsor’s address 378 NE 6TH AVE, DELRAY BEACH, FL, 334835517

Signature of
Role Plan administrator
Date 2025-01-23
Name of individual signing APRIL STRONG
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF WAYSIDE HOUSE, INC. 2022 591590644 2023-08-01 WAYSIDE HOUSE, INC. 33
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-12-01
Business code 621420
Sponsor’s telephone number 5612780055
Plan sponsor’s address 378 NE 6TH AVE, DELRAY BEACH, FL, 334835517

Signature of
Role Plan administrator
Date 2023-08-01
Name of individual signing APRIL STRONG
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF WAYSIDE HOUSE, INC. 2021 591590644 2023-02-09 WAYSIDE HOUSE, INC. 36
Three-digit plan number (PN) 003
Effective date of plan 2015-12-01
Business code 621420
Sponsor’s telephone number 5612780055
Plan sponsor’s address 378 NE 6TH AVE, DELRAY BEACH, FL, 334835517

Signature of
Role Plan administrator
Date 2023-02-09
Name of individual signing APRIL STRONG
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF WAYSIDE HOUSE, INC. 2021 591590644 2023-02-09 WAYSIDE HOUSE, INC. 36
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-12-01
Business code 621420
Sponsor’s telephone number 5612780055
Plan sponsor’s address 378 NE 6TH AVE, DELRAY BEACH, FL, 334835517

Signature of
Role Plan administrator
Date 2023-02-09
Name of individual signing APRIL STRONG
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF WAYSIDE HOUSE, INC. 2020 591590644 2021-07-15 WAYSIDE HOUSE, INC. 38
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-12-01
Business code 621420
Sponsor’s telephone number 5612780055
Plan sponsor’s address 378 NE 6TH AVE, DELRAY BEACH, FL, 334835517

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing APRIL STRONG
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF WAYSIDE HOUSE, INC. 2019 591590644 2020-10-14 WAYSIDE HOUSE, INC. 41
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-12-01
Business code 621420
Sponsor’s telephone number 5612780055
Plan sponsor’s address 378 NE 6TH AVE, DELRAY BEACH, FL, 334835517

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing APRIL STRONG
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF WAYSIDE HOUSE, INC. 2018 591590644 2019-07-16 WAYSIDE HOUSE, INC. 33
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-12-01
Business code 623000
Sponsor’s telephone number 5612780055
Plan sponsor’s address 378 NE 6TH AVE, DELRAY BEACH, FL, 334835517

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing LAURIE BROWN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF WAYSIDE HOUSE INC 2017 591590644 2018-07-16 WAYSIDE HOUSE INC 39
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-12-01
Business code 623000
Sponsor’s telephone number 5612780055
Plan sponsor’s address 378 NE 6TH AVE, DELRAY BEACH, FL, 334835517

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing JACQUELINE BECERRA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-16
Name of individual signing JACQUELINE BECERRA
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF WAYSIDE HOUSE, INC. WAYSIDE HOUSE, INC. 2016 591590644 2017-04-21 WAYSIDE HOUSE, INC 30
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-12-01
Business code 623000
Sponsor’s telephone number 5612780055
Plan sponsor’s address 378 NE 6TH AVE, DELRAY BEACH, FL, 33483

Signature of
Role Plan administrator
Date 2017-04-21
Name of individual signing JACQUELINE BECERRA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-21
Name of individual signing JACQUELINE BECERRA
Valid signature Filed with incorrect/unrecognized electronic signature
EMPLOYEE BENEFIT PLAN OF WAYSIDE HOUSE, INC. 2015 591590644 2016-06-09 WAYSIDE HOUSE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-12-01
Sponsor’s telephone number 5612780055
Plan sponsor’s address 378 NE 6TH AVE, DELRAY BEACH, FL, 334835517

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing JACQUELINE BECERRA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-09
Name of individual signing JACQUELINE BECERRA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
McWhorter, Lisa G Agent 378 NE 6TH AVE, DELRAY BEACH, FL 33483

Vice President

Name Role Address
johnson, amanda Vice President 1157 Willard Wau, Boynton Beach, FL 33435

President

Name Role Address
LEONARD, KATHRYN I President 1218 BARNSTAPLE CIRCLE, WELLINGTON, FL 33414

Executive Director

Name Role Address
McWhorter, Lisa Executive Director 378 NE 6 AVENUE, DELRAY BEACH, FL 33483

Treasurer

Name Role Address
seaborg, jim Treasurer 378 NE 6th, Delray Beach, FL 33483

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2016-01-25 McWhorter, Lisa G No data
AMENDMENT 2013-11-05 No data No data
REINSTATEMENT 2013-10-08 No data No data
REGISTERED AGENT ADDRESS CHANGED 2013-10-08 378 NE 6TH AVE, DELRAY BEACH, FL 33483 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CANCEL ADM DISS/REV 2009-10-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CHANGE OF MAILING ADDRESS 2004-01-15 378 N.E. 6TH AVENUE, DELRAY BEACH, FL 33483 No data
CHANGE OF PRINCIPAL ADDRESS 2004-01-15 378 N.E. 6TH AVENUE, DELRAY BEACH, FL 33483 No data
NAME CHANGE AMENDMENT 1990-08-13 WAYSIDE HOUSE, INC. No data

Documents

Name Date
ANNUAL REPORT 2025-01-16
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-08-11
ANNUAL REPORT 2020-04-08
ANNUAL REPORT 2019-06-14
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-01-25

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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