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FEEDING SOUTH FLORIDA, INC.

Company Details

Entity Name: FEEDING SOUTH FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 17 Feb 1981 (44 years ago)
Document Number: 756490
FEI/EIN Number 592097520
Address: 2501 SW 32 TERRACE, PEMBROKE PARK, FL, 33023
Mail Address: 2501 SW 32 TERRACE, PEMBROKE PARK, FL, 33023
ZIP code: 33023
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205602711 2023-11-27 2023-11-27 2501 SW 32ND TER, PEMBROKE PARK, FL, 330237707, US 2501 SW 32ND TER, PEMBROKE PARK, FL, 330237707, US

Contacts

Phone +1 954-518-1818

Authorized person

Name FRANCISCO VELEZ
Role PRESIDENT AND CEO
Phone 9545181818

Taxonomy

Taxonomy Code 133NN1002X - Nutrition Education Nutritionist
Is Primary No
Taxonomy Code 133V00000X - Registered Dietitian
Is Primary No
Taxonomy Code 136A00000X - Registered Dietetic Technician
Is Primary No
Taxonomy Code 171400000X - Health & Wellness Coach
Is Primary No
Taxonomy Code 171M00000X - Case Manager/Care Coordinator
Is Primary No
Taxonomy Code 172V00000X - Community Health Worker
Is Primary No
Taxonomy Code 174200000X - Meals Provider
Is Primary No
Taxonomy Code 174H00000X - Health Educator
Is Primary No
Taxonomy Code 174N00000X - Lactation Consultant (Non-RN)
Is Primary No
Taxonomy Code 251V00000X - Voluntary or Charitable Agency
Is Primary Yes
Taxonomy Code 332U00000X - Home Delivered Meals
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FEEDING SOUTH FLORIDA 401(K) PROFIT SHARING PLAN & TRUST 2023 592097520 2024-05-28 FEEDING SOUTH FLORIDA 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 624200
Sponsor’s telephone number 9545181818
Plan sponsor’s address 2501 SW 32ND TERRACE, HOLLYWOOD, FL, 330237707

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC.
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2024-05-28
Name of individual signing ERISA FIDUCIARY SERVICES, INC.
Valid signature Filed with authorized/valid electronic signature
FEEDING SOUTH FLORIDA 2023 592097520 2024-07-16 FEEDING SOUTH FLORIDA 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 624200
Sponsor’s telephone number 9545181818
Plan sponsor’s DBA name FEEDING SOUTH FLORIDA, INC.
Plan sponsor’s address 2501 SW 32ND TERRACE, HOLLYWOOD, FL, 33023

Plan administrator’s name and address

Administrator’s EIN 471637791
Plan administrator’s name ERISA FIDUCIARY SERVICES, INC
Plan administrator’s address 1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788
Administrator’s telephone number 6312490500

Signature of

Role Plan administrator
Date 2024-07-16
Name of individual signing HELENE KAFKA
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FEEDING SOUTH FLORIDA 2022 592097520 2024-07-16 FEEDING SOUTH FLORIDA 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-05-01
Business code 624200
Sponsor’s telephone number 9545181818
Plan sponsor’s address 2501 SW 32ND TER, PEMBROKE PARK, FL, 330237707

Signature of

Role Plan administrator
Date 2024-07-16
Name of individual signing HELENE KAFKA
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FEEDING SOUTH FLORIDA 2022 592097520 2023-09-18 FEEDING SOUTH FLORIDA 91
Three-digit plan number (PN) 001
Effective date of plan 2016-05-01
Business code 624200
Sponsor’s telephone number 9545181818
Plan sponsor’s address 2501 SW 32ND TER, PEMBROKE PARK, FL, 330237707

Signature of

Role Plan administrator
Date 2023-09-18
Name of individual signing HELENE KAFKA
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FEEDING SOUTH FLORIDA 2021 592097520 2023-02-15 FEEDING SOUTH FLORIDA 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-05-01
Business code 624200
Plan sponsor’s address 2501 SW 32ND TER, PEMBROKE PARK, FL, 330237707

Signature of

Role Plan administrator
Date 2023-02-15
Name of individual signing HELENE KAFKA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-15
Name of individual signing HELENE KAFKA
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FEEDING SOUTH FLORIDA, INC. 2020 592097520 2021-07-22 FEEDING SOUTH FLORIDA, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 624200
Sponsor’s telephone number 9545181818
Plan sponsor’s address 2501 SW 32ND TER, PEMBROKE PARK, FL, 330237707

Signature of

Role Plan administrator
Date 2021-07-22
Name of individual signing MICHELLE HOFMANN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FEEDING SOUTH FLORIDA, INC. 2019 592097520 2020-06-26 FEEDING SOUTH FLORIDA, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 624200
Sponsor’s telephone number 9545181818
Plan sponsor’s address 2501 SW 32ND TER, PEMBROKE PARK, FL, 330237707

Signature of

Role Plan administrator
Date 2020-06-26
Name of individual signing SHAHNAAZ YASIN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FEEDING SOUTH FLORIDA, INC. 2018 592097520 2019-10-14 FEEDING SOUTH FLORIDA, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 624200
Sponsor’s telephone number 9545181818
Plan sponsor’s address 2501 SW 32ND TER, PEMBROKE PARK, FL, 330237707

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing SHAHNAAZ YASIN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FEEDING SOUTH FLORIDA INC 2017 592097520 2018-10-11 FEEDING SOUTH FLORIDA INC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Business code 624200
Sponsor’s telephone number 9545181818
Plan sponsor’s address 2501 SW 32ND TER, PEMBROKE PARK, FL, 330237707

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing NORMAN W. BEASLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing NORMAN W. BEASLEY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FEEDING SOUTH FLORIDA, INC. 2016 592097520 2017-09-22 FEEDING SOUTH FLORIDA, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-03-01
Sponsor’s telephone number 9545181818
Plan sponsor’s address 2501 SW 32ND TER, PEMBROKE PARK, FL, 330237707

Signature of

Role Plan administrator
Date 2017-09-22
Name of individual signing FRANCISCO VELEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-22
Name of individual signing FRANCISCO VELEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
VELEZ FRANCISCO R Agent 2501 SW 32 TERRACE, PEMBROKE PARK, FL, 33023

President

Name Role Address
VELEZ FRANCISCO President 2501 SW 32 TERRACE, PEMBROKE PARK, FL, 33023

Prev

Name Role Address
Siskind Harris Prev 2501 SW 32 TERRACE, PEMBROKE PARK, FL, 33023

Director

Name Role Address
Block Michael Director 2501 SW 32 TERRACE, PEMBROKE PARK, FL, 33023
Del Campo Henry Director 2501 SW 32 TERRACE, PEMBROKE PARK, FL, 33023
McCabe Robert Director 2501 SW 32 TERRACE, PEMBROKE PARK, FL, 33023
Fletcher William Director 2501 SW 32 Terrace, Pembroke Park, FL, 33023

Events

Event Type Filed Date Value Description
AMENDMENT 2015-08-07 No data No data
REINSTATEMENT 2014-10-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
AMENDMENT 2014-09-25 No data No data
NAME CHANGE AMENDMENT 2009-09-25 FEEDING SOUTH FLORIDA, INC. No data
CANCEL ADM DISS/REV 2003-10-16 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 No data No data
NAME CHANGE AMENDMENT 1986-12-18 DAILY BREAD FOOD BANK, INC. No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J15000338174 TERMINATED 1000000664105 DADE 2015-03-02 2025-03-04 $ 6,448.57 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149

Date of last update: 01 Jan 2025

Sources: Florida Department of State