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  5. SPACE COAST HOSPITAL SERVICES, INC.

SPACE COAST HOSPITAL SERVICES, INC. - Florida Company Profile

Company Details

Entity Name: SPACE COAST HOSPITAL SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 28 Oct 1980 (44 years ago)
Date of dissolution: 28 Aug 2018 (7 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 Aug 2018 (7 years ago)
Document Number: 754848
FEI/EIN Number 592135377

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1119 Saxon Blvd., Orange City, FL, 32763, US
Mail Address: 1119 Saxon Blvd., Orange City, FL, 32763, US
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPACE COAST HOSPITAL SERVICES 401(K) PROFIT SHARING PLAN AND TRUST 2012 592135377 2013-10-09 SPACE COAST HOSPITAL SERVICES, INC. 81
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 812320
Sponsor’s telephone number 3216315550
Plan sponsor’s address 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing WILLIAM CAREY
Valid signature Filed with authorized/valid electronic signature
SPACE COAST HOSPITAL SERVICES 401(K) PROFIT SHARING PLAN AND TRUST 2011 592135377 2013-01-31 SPACE COAST HOSPITAL SERVICES, INC. 78
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 812320
Sponsor’s telephone number 3216315550
Plan sponsor’s address 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955

Plan administrator’s name and address
Administrator’s EIN 592135377
Plan administrator’s name SPACE COAST HOSPITAL SERVICES, INC.
Plan administrator’s address 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955
Administrator’s telephone number 3216315550

Signature of
Role Plan administrator
Date 2013-01-31
Name of individual signing WILLIAM CAREY
Valid signature Filed with authorized/valid electronic signature
SPACE COAST HOSPITAL SERVICES 401(K) PROFIT SHARING PLAN AND TRUST 2010 592135377 2012-07-16 SPACE COAST HOSPITAL SERVICES, INC. 75
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 812320
Sponsor’s telephone number 3216315550
Plan sponsor’s address 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955

Plan administrator’s name and address
Administrator’s EIN 592135377
Plan administrator’s name SPACE COAST HOSPITAL SERVICES, INC.
Plan administrator’s address 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955
Administrator’s telephone number 3216315550

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing WILLIAM CAREY
Valid signature Filed with authorized/valid electronic signature
SPACE COAST HOSPITAL SERVICES 401(K) PROFIT SHARING PLAN AND TRUST 2009 592135377 2011-07-13 SPACE COAST HOSPITAL SERVICES, INC. 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 812320
Sponsor’s telephone number 3216315550
Plan sponsor’s address 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955

Plan administrator’s name and address
Administrator’s EIN 592135377
Plan administrator’s name SPACE COAST HOSPITAL SERVICES, INC.
Plan administrator’s address 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955
Administrator’s telephone number 3216315550

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing WILLIAM CAREY
Valid signature Filed with authorized/valid electronic signature
SPACE COAST HOSPITAL SERVICES, INC MONEY PURCHASE PLAN 2009 592135377 2010-06-14 SPACE COAST HOSPITAL SERVICES, INC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 812330
Sponsor’s telephone number 3216315550
Plan sponsor’s address 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955

Plan administrator’s name and address
Administrator’s EIN 592135377
Plan administrator’s name SPACE COAST HOSPITAL SERVICES, INC
Plan administrator’s address 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955
Administrator’s telephone number 3216315550

Signature of
Role Plan administrator
Date 2010-06-14
Name of individual signing CAROLYN HOE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
THOMAS DEBORA Chairman 1119 Saxon Blvd., Orange City, FL, 32763
SKELDON TIM Vice Chairman 951 N WASHINGTON AVENUE, TITUSVILLE, FL, 32796
SKELDON TIM Secretary 951 N WASHINGTON AVENUE, TITUSVILLE, FL, 32796
LACEY STEPHEN J Agent 1901 S. HARBOR CITY BLVD, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2018-08-28 - -
REGISTERED AGENT NAME CHANGED 2018-01-10 LACEY, STEPHEN J -
REINSTATEMENT 2018-01-10 - -
CHANGE OF MAILING ADDRESS 2018-01-10 1119 Saxon Blvd., Orange City, FL 32763 -
CHANGE OF PRINCIPAL ADDRESS 2018-01-10 1119 Saxon Blvd., Orange City, FL 32763 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2014-06-19 1901 S. HARBOR CITY BLVD, SUITE 500, MELBOURNE, FL 32901 -
REINSTATEMENT 2014-06-19 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
CANCEL ADM DISS/REV 2007-10-05 - -

Documents

Name Date
REINSTATEMENT 2018-01-10
REINSTATEMENT 2014-06-19
ANNUAL REPORT 2012-06-11
ANNUAL REPORT 2011-09-06
ANNUAL REPORT 2010-08-10
ANNUAL REPORT 2009-03-19
ANNUAL REPORT 2008-05-08
REINSTATEMENT 2007-10-05
ANNUAL REPORT 2006-04-27
REINSTATEMENT 2005-10-10

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD FA252107P0002 2008-09-25 2009-09-30 2011-09-30
Unique Award Key CONT_AWD_FA252107P0002_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Description
Title LAUNDRY SERVICES
NAICS Code 812332: INDUSTRIAL LAUNDERERS
Product and Service Codes S209: LAUNDRY AND DRYCLEANING SERVICES

Recipient Details
Recipient SPACE COAST HOSPITAL SERVICES INC
UEI XN4RE9MPK3A7
Legacy DUNS 044290930
Recipient Address 1895 MURRELL ROAD, ROCKLEDGE, 329553231, UNITED STATES

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
109313601 0420600 1997-06-26 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 1997-08-12
Case Closed 1997-10-01

Related Activity
Type Complaint
Activity Nr 202352779
Health Yes

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19101030 G02 I
Issuance Date 1997-08-22
Abatement Due Date 1997-09-09
Initial Penalty 3000.0
Nr Instances 1
Nr Exposed 8
Related Event Code (REC) Complaint
Gravity 10
Citation ID 02001
Citaton Type Other
Standard Cited 19100024 B
Issuance Date 1997-08-22
Abatement Due Date 1997-08-27
Nr Instances 8
Nr Exposed 8
Gravity 01
Citation ID 02002
Citaton Type Other
Standard Cited 19100147 C04 II
Issuance Date 1997-08-22
Abatement Due Date 1997-09-24
Nr Instances 1
Nr Exposed 4
Gravity 01
116449984 0420600 1997-01-14 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 1997-01-27
Case Closed 1997-03-14

Related Activity
Type Complaint
Activity Nr 202256632
Health Yes

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19101030 F02 I
Issuance Date 1997-02-21
Abatement Due Date 1997-03-05
Current Penalty 1500.0
Initial Penalty 2500.0
Nr Instances 20
Nr Exposed 20
Related Event Code (REC) Complaint
Gravity 10
Citation ID 02001
Citaton Type Other
Standard Cited 19101030 C01 IV
Issuance Date 1997-02-21
Abatement Due Date 1997-03-26
Nr Instances 1
Nr Exposed 20
Gravity 01

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
863471 Intrastate Non-Hazmat 2013-02-01 218400 2012 6 9 Private(Property)
Legal Name SPACE COAST HOSPITAL SERVICES INC
DBA Name -
Physical Address 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955, US
Mailing Address 1895 MURRELL ROAD, ROCKLEDGE, FL, 32955, US
Phone (321) 631-5550
Fax (321) 639-4938
E-mail B.CAREY@SPACECOASTSERVICES.COM

Safety Measurement System - All Transportation
Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

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Companies related by address

No other companies in our directory share the same address as SPACE COAST HOSPITAL SERVICES, INC.

Date of last update: 03 Mar 2025

Sources: Florida Department of State

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