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  5. LOST TREE VILLAGE CHARITABLE FOUNDATION, INC.

LOST TREE VILLAGE CHARITABLE FOUNDATION, INC.

Company Details

Entity Name: LOST TREE VILLAGE CHARITABLE FOUNDATION, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 23 Mar 1981 (44 years ago)
Document Number: 756892
FEI/EIN Number 592104920
Address: 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408, US
Mail Address: 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408, US
ZIP code: 33408
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LOST TREE VILLAGE CHARITABLE FOUNDATION 401(K) PLAN 2016 592104902 2017-11-06 LOST TREE VILLAGE CHARITABLE FOUNDATION, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 813000
Sponsor’s telephone number 5616223780
Plan sponsor’s address 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408
LOST TREE VILLAGE CHARITABLE FOUNDATION 401(K) PLAN 2015 592104902 2017-04-13 LOST TREE VILLAGE CHARITABLE FOUNDATION, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 813000
Sponsor’s telephone number 5616223780
Plan sponsor’s address 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408
LOST TREE VILLAGE CHARITABLE FOUNDATION 401(K) PLAN 2014 592104902 2016-01-29 LOST TREE VILLAGE CHARITABLE FOUNDATION, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 813000
Sponsor’s telephone number 5616223780
Plan sponsor’s address 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408
LOST TREE VILLAGE CHARITABLE FOUNDATION 401(K) PLAN 2013 592104902 2014-11-18 LOST TREE VILLAGE CHARITABLE FOUNDATION, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 813000
Sponsor’s telephone number 5616223780
Plan sponsor’s address 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408
LOST TREE VILLAGE CHARITABLE FOUNDATION 401(K) PLAN 2012 592104902 2014-01-30 LOST TREE VILLAGE CHARITABLE FOUNDATION, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 813000
Sponsor’s telephone number 5616223780
Plan sponsor’s address 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408

Signature of
Role Plan administrator
Date 2014-01-30
Name of individual signing PAMELA RUE
Valid signature Filed with authorized/valid electronic signature
LOST TREE VILLAGE CHARITABLE FOUNDATION 401(K) PLAN 2011 592104920 2013-01-31 LOST TREE VILLAGE CHARITABLE FOUNDATION, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 813000
Sponsor’s telephone number 5616223780
Plan sponsor’s address 11520 LOST TREE WAY, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address
Administrator’s EIN 592104920
Plan administrator’s name LOST TREE VILLAGE CHARITABLE FOUNDATION, INC.
Plan administrator’s address 11520 LOST TREE WAY, NORTH PALM BEACH, FL, 33408
Administrator’s telephone number 5616223780

Signature of
Role Plan administrator
Date 2013-01-31
Name of individual signing PAMELA RUE
Valid signature Filed with authorized/valid electronic signature
LOST TREE VILLAGE CHARITABLE FOUNDATION 401(K) PLAN 2010 592104920 2012-03-30 LOST TREE VILLAGE CHARITABLE FOUNDATION, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 813000
Sponsor’s telephone number 5616223780
Plan sponsor’s mailing address 11555 LOST TREE WAY, NORTH PALM BEACH, FL, 33408
Plan sponsor’s address 11555 LOST TREE WAY, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address
Administrator’s EIN 592104920
Plan administrator’s name LOST TREE VILLAGE CHARITABLE FOUNDATION, INC.
Plan administrator’s address 11555 LOST TREE WAY, NORTH PALM BEACH, FL, 33408
Administrator’s telephone number 5616223780

Number of participants as of the end of the plan year
Active participants 1
Retired or separated participants receiving 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 2012-03-30
Name of individual signing PAMELA RUE
Valid signature Filed with authorized/valid electronic signature
LOST TREE VILLAGE CHARITABLE FOUNDATION 401(K) PLAN 2009 592104920 2011-04-15 LOST TREE VILLAGE CHARITABLE FOUNDATION, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 813000
Sponsor’s telephone number 5616223780
Plan sponsor’s mailing address 11555 LOST TREE WAY, NORTH PALM BEACH, FL, 33408
Plan sponsor’s address 11555 LOST TREE WAY, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address
Administrator’s EIN 592104920
Plan administrator’s name LOST TREE VILLAGE CHARITABLE FOUNDATION, INC.
Plan administrator’s address 11555 LOST TREE WAY, NORTH PALM BEACH, FL, 33408
Administrator’s telephone number 5616223780

Number of participants as of the end of the plan year
Active participants 1
Retired or separated participants receiving benefits 0
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 2011-04-15
Name of individual signing PAMELA RUE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Vukusich Jillian C Agent 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408

President

Name Role Address
Rogers Scott President 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408

Vice President

Name Role Address
Shaw Irene Vice President 8 Church Lane, North Palm Beach, FL, 33408
KANE THOMAS C Vice President 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408
Cleveland Thomas Vice President 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408
ZIEGLER CARLENE Vice President 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408

Exec

Name Role Address
Vukusich Jillian C Exec 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000090496 LOST TREE FOUNDATION ACTIVE 2016-08-22 2026-12-31 No data 8 CHURCH LANE, NORTH PALM BEACH, FL, 33408

Events

Event Type Filed Date Value Description
AMENDMENT 1985-05-01 No data No data
NAME CHANGE AMENDMENT 1984-04-04 LOST TREE VILLAGE CHARITABLE FOUNDATION, INC. No data
NAME CHANGE AMENDMENT 1983-05-06 LOST TREE CHARITABLE FOUNDATION, INC. No data

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Rogers Scott

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ZIEGLER CARLENE

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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