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  5. NORTH FLORIDA RETIREMENT VILLAGE, INC.

NORTH FLORIDA RETIREMENT VILLAGE, INC.

Headquarter

Company Details

Entity Name: NORTH FLORIDA RETIREMENT VILLAGE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 16 Jan 1979 (46 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 30 Jan 2014 (11 years ago)
Document Number: 745569
FEI/EIN Number 59-1912330
Address: 8000 NW 27 BLVD., GAINESVILLE, FL 32606
Mail Address: 8000 NW 27 BLVD., GAINESVILLE, FL 32606
ZIP code: 32606
County: Alachua
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of NORTH FLORIDA RETIREMENT VILLAGE, INC., KENTUCKY 1334855 KENTUCKY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265742928 2010-10-15 2010-10-15 8000 NW 27TH BLVD, GAINESVILLE, FL, 32606, US 8000 NW 27TH BLVD, GAINESVILLE, FL, 32606, US

Contacts
Phone +1 352-373-4032

Authorized person
Name MARK CREWS
Role ADMINISTRATOR, HEALTH SERVICES
Phone 3523734032

Taxonomy
Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH FLORIDA RETIREMENT VILLAGE, INC. DISABILITY PLAN 2018 591912330 2019-05-16 NORTH FLORIDA RETIREMENT VILLAGE, INC. 324
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2003-02-01
Business code 623000
Sponsor’s telephone number 3523734032
Plan sponsor’s DBA name THE VILLAGE
Plan sponsor’s mailing address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633
Plan sponsor’s address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2019-05-13
Name of individual signing CHRISTINE SHIPLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-13
Name of individual signing CHRISTINE SHIPLEY
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA RETIREMENT VILLAGE, INC. DENTAL INSURANCE PLAN 2018 591912330 2019-05-16 NORTH FLORIDA RETIREMENT VILLAGE, INC. 324
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2009-06-01
Business code 623000
Sponsor’s telephone number 3523734032
Plan sponsor’s DBA name THE VILLAGE
Plan sponsor’s mailing address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633
Plan sponsor’s address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2019-05-13
Name of individual signing CHRISTINE SHIPLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-13
Name of individual signing CHRISTINE SHIPLEY
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA RETIREMENT VILLAGE, INC. HEALTH INSURANCE PLAN 2018 591912330 2019-05-13 NORTH FLORIDA RETIREMENT VILLAGE, INC. 324
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 3523734032
Plan sponsor’s DBA name THE VILLAGE
Plan sponsor’s mailing address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633
Plan sponsor’s address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2019-05-11
Name of individual signing CHRISTINE SHIPLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-11
Name of individual signing CHRISTINE SHIPLEY
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA RETIREMENT VILLAGE, INC. DENTAL INSURANCE PLAN 2017 591912330 2018-07-06 NORTH FLORIDA RETIREMENT VILLAGE, INC. 203
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2009-06-01
Business code 623000
Sponsor’s telephone number 3523734032
Plan sponsor’s DBA name THE VILLAGE
Plan sponsor’s mailing address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633
Plan sponsor’s address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633

Number of participants as of the end of the plan year
Active participants 324

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing CATHERINE AYERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-06
Name of individual signing CATHERINE AYERS
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA RETIREMENT VILLAGE, INC. HEALTH INSURANCE PLAN 2017 591912330 2018-07-06 NORTH FLORIDA RETIREMENT VILLAGE, INC. 210
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 3523734032
Plan sponsor’s DBA name THE VILLAGE
Plan sponsor’s mailing address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633
Plan sponsor’s address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633

Number of participants as of the end of the plan year
Active participants 324

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing CATHERINE AYERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-06
Name of individual signing CATHERINE AYERS
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA RETIREMENT VILLAGE, INC. DENTAL INSURANCE PLAN 2016 591912330 2017-07-29 NORTH FLORIDA RETIREMENT VILLAGE, INC. 171
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2009-06-01
Business code 623000
Sponsor’s telephone number 3523734032
Plan sponsor’s DBA name THE VILLAGE
Plan sponsor’s mailing address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633
Plan sponsor’s address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633

Number of participants as of the end of the plan year
Active participants 203

Signature of
Role Plan administrator
Date 2017-07-29
Name of individual signing CHRISTY WHITE
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA RETIREMENT VILLAGE, INC. HEALTH INSURANCE PLAN 2016 591912330 2017-07-29 NORTH FLORIDA RETIREMENT VILLAGE, INC. 160
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 3523734032
Plan sponsor’s DBA name THE VILLAGE
Plan sponsor’s mailing address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633
Plan sponsor’s address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633

Number of participants as of the end of the plan year
Active participants 210

Signature of
Role Plan administrator
Date 2017-07-29
Name of individual signing CHRISTY WHITE
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA RETIREMENT VILLAGE, INC. DISABILITY PLAN 2016 591912330 2017-07-29 NORTH FLORIDA RETIREMENT VILLAGE, INC. 203
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2003-02-01
Business code 623000
Sponsor’s telephone number 3523734032
Plan sponsor’s DBA name THE VILLAGE
Plan sponsor’s mailing address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633
Plan sponsor’s address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633

Number of participants as of the end of the plan year
Active participants 211

Signature of
Role Plan administrator
Date 2017-07-29
Name of individual signing CHRISTY WHITE
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA RETIREMENT VILLAGE, INC. HEATLH INSURANCE PLAN 2015 591912330 2016-07-26 NORTH FLORIDA RETIREMENT VILLAGE, INC. 202
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 3523734032
Plan sponsor’s DBA name THE VILLAGE
Plan sponsor’s mailing address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633
Plan sponsor’s address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633

Number of participants as of the end of the plan year
Active participants 160
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing CHRISTY WHITE
Valid signature Filed with authorized/valid electronic signature
NORTH FLORIDA RETIREMENT VILLAGE, INC. DISABILITY PLAN 2015 591912330 2016-07-26 NORTH FLORIDA RETIREMENT VILLAGE, INC. 162
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2003-02-01
Business code 623000
Sponsor’s telephone number 3523734032
Plan sponsor’s DBA name THE VILLAGE
Plan sponsor’s mailing address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633
Plan sponsor’s address 8000 NW 27TH BLVD, GAINESVILLE, FL, 326068633

Number of participants as of the end of the plan year
Active participants 203
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing CHRISTY WHITE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ZIEGLER, STEVEN M Agent 4300 NW 89TH BLVD., GAINESVILLE, FL 32606

Director

Name Role Address
Doerr, Ben I, Jr. Director 1411 NW 46th Terrace, Gainesville, FL 32605
Hood, Glenda E Director 1210 Lancaster Drive, Orlando, FL 32806
Sasser, Jackson N, Phd Director 1096 SW 131st Street, Newberry, FL 32669
Schreiber, Lawrence G Director 18768 NW 244th Street, High Springs, FL 32643
Maddron, Kevin R Director 4500 Dartford Ct, Orlando, FL 32826

Chairman

Name Role Address
Hood, Glenda E Chairman 1210 Lancaster Drive, Orlando, FL 32806

Vice Chairman

Name Role Address
Sasser, Jackson N, Phd Vice Chairman 1096 SW 131st Street, Newberry, FL 32669

Asst. Secretary

Name Role Address
Ziegler, Steven M Asst. Secretary 4300 NW 89th Blvd., Gainesville, FL 32606

Executive Director

Name Role Address
Catalanotto, Rebecca Executive Director 8000 NW 27 BLVD., GAINESVILLE, FL 32606

Chief Executive Officer

Name Role Address
Schreiber, Lawrence G Chief Executive Officer 18768 NW 244th Street, High Springs, FL 32643

President

Name Role Address
Jennette, Ronald E President 13085 SW 1 Ln #105, Newberry, FL 32669

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08325700041 THE VILLAGE ACTIVE 2008-11-20 2028-12-31 No data 4300 NW 89TH BLVD, GAINESVILLE, FL, 32606

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2014-01-30 No data No data
REGISTERED AGENT NAME CHANGED 2011-01-25 ZIEGLER, STEVEN M No data
CHANGE OF PRINCIPAL ADDRESS 2009-01-30 8000 NW 27 BLVD., GAINESVILLE, FL 32606 No data
CHANGE OF MAILING ADDRESS 2009-01-30 8000 NW 27 BLVD., GAINESVILLE, FL 32606 No data
AMENDED AND RESTATEDARTICLES 2006-09-05 No data No data
REGISTERED AGENT ADDRESS CHANGED 2006-02-13 4300 NW 89TH BLVD., GAINESVILLE, FL 32606 No data
AMENDED AND RESTATEDARTICLES 2003-04-17 No data No data
AMENDMENT 2002-11-01 No data No data
AMENDED AND RESTATEDARTICLES 1997-07-08 No data No data
AMENDMENT 1996-02-05 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-04-10
AMENDED ANNUAL REPORT 2022-06-14
AMENDED ANNUAL REPORT 2022-04-13
ANNUAL REPORT 2022-01-05
ANNUAL REPORT 2021-01-24
ANNUAL REPORT 2020-02-20
AMENDED ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2019-03-06
ANNUAL REPORT 2018-02-22

Related by officers

ZIEGLER, STEVEN M

SF HOLDING CORP., INC. SANTAFE HEALTHCARE, INC. NORTH CENTRAL FLORIDA HOSPICE, INC. EAST RIDGE RETIREMENT VILLAGE, INC.

Doerr, Ben I, Jr.

SF HOLDING CORP., INC. SANTAFE HEALTHCARE, INC. NORTH CENTRAL FLORIDA HOSPICE, INC. EAST RIDGE RETIREMENT VILLAGE, INC.

Hood, Glenda E

SF HOLDING CORP., INC. SANTAFE HEALTHCARE, INC. NORTH CENTRAL FLORIDA HOSPICE, INC. EAST RIDGE RETIREMENT VILLAGE, INC.

Sasser, Jackson N, Phd

SF HOLDING CORP., INC. SANTAFE HEALTHCARE, INC. NORTH CENTRAL FLORIDA HOSPICE, INC. EAST RIDGE RETIREMENT VILLAGE, INC.

Ziegler, Steven M

HFK CARE CORPORATION SANTAFE HEALTHCARE, INC.

Catalanotto, Rebecca

EAST RIDGE RETIREMENT VILLAGE, INC.

Schreiber, Lawrence G

SF HOLDING CORP., INC. HFK CARE CORPORATION SANTAFE HEALTHCARE, INC. NORTH CENTRAL FLORIDA HOSPICE, INC. EAST RIDGE RETIREMENT VILLAGE, INC.

Jennette, Ronald E

EAST RIDGE RETIREMENT VILLAGE, INC.

Maddron, Kevin R

SF HOLDING CORP., INC. HFK CARE CORPORATION SANTAFE HEALTHCARE, INC. NORTH CENTRAL FLORIDA HOSPICE, INC. EAST RIDGE RETIREMENT VILLAGE, INC.

Related by address

No related companies by address

Date of last update: 05 Feb 2025

Sources: Florida Department of State

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