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  5. GENESIS HEALTH, INC.

GENESIS HEALTH, INC.

Company Details

Entity Name: GENESIS HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 28 Apr 1982 (43 years ago)
Document Number: 763030
FEI/EIN Number 592249370
Address: 3599 UNIVERSITY BLVD., S, JACKSONVILLE, FL, 32216, US
Mail Address: 3599 UNIVERSITY BLVD., S, JACKSONVILLE, FL, 32216, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300S2TJ3WGO4WK192 763030 US-FL GENERAL ACTIVE No data

Addresses
Legal C/O Pritchard, Robert H, 1301 Riverplace Boulevard, Suite 1500, Jacksonville, US-FL, US, 32207
Headquarters 3599 University Boulevard South, Jacksonville, US-FL, US, 32216

Registration details
Registration Date 2013-04-10
Last Update 2023-08-04
Status LAPSED
Next Renewal 2017-01-20
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 763030

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROOKS HEALTH AND WELFARE BENEFIT PLAN 2023 592249370 2024-07-26 GENESIS HEALTH INC 1894
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9048587301
Plan sponsor’s mailing address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252
Plan sponsor’s address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252

Number of participants as of the end of the plan year
Active participants 1953
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-07-26
Name of individual signing LYNN LAWSON
Valid signature Filed with authorized/valid electronic signature
BROOKS HEALTH AND WELFARE BENEFIT PLAN 2022 592249370 2023-07-20 GENESIS HEALTH INC 1846
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9048587301
Plan sponsor’s mailing address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252
Plan sponsor’s address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252

Number of participants as of the end of the plan year
Active participants 1894
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing NATALIE BRADDOCK
Valid signature Filed with authorized/valid electronic signature
BROOKS HEALTH AND WELFARE BENEFIT PLAN 2021 592249370 2022-08-02 GENESIS HEALTH INC 1808
Three-digit plan number (PN) 501
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9048587301
Plan sponsor’s mailing address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252
Plan sponsor’s address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252

Number of participants as of the end of the plan year
Active participants 1862

Signature of
Role Plan administrator
Date 2022-08-02
Name of individual signing LISA KEMPH
Valid signature Filed with authorized/valid electronic signature
BROOKS HEALTH AND WELFARE BENEFIT PLAN 2021 592249370 2022-09-01 GENESIS HEALTH INC 1808
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9048587301
Plan sponsor’s mailing address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252
Plan sponsor’s address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252

Number of participants as of the end of the plan year
Active participants 1862

Signature of
Role Plan administrator
Date 2022-09-01
Name of individual signing NATALIE BRADDOCK
Valid signature Filed with authorized/valid electronic signature
BROOKS HEALTH AND WELFARE BENEFIT PLAN 2020 592249370 2021-07-19 GENESIS HEALTH INC 1759
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9048587301
Plan sponsor’s mailing address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252
Plan sponsor’s address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252

Number of participants as of the end of the plan year
Active participants 1808

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing NATALIE BRADDOCK
Valid signature Filed with authorized/valid electronic signature
BROOKS HEALTH AND WELFARE BENEFIT PLAN 2019 592249370 2020-08-18 GENESIS HEALTH INC 1714
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9048587301
Plan sponsor’s mailing address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252
Plan sponsor’s address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252

Number of participants as of the end of the plan year
Active participants 1727

Signature of
Role Plan administrator
Date 2020-08-17
Name of individual signing TONY DENKINS
Valid signature Filed with authorized/valid electronic signature
BROOKS HEALTH AND WELFARE BENEFIT PLAN 2018 592249370 2019-07-26 GENESIS HEALTH INC 1646
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9048587301
Plan sponsor’s mailing address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252
Plan sponsor’s address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252

Number of participants as of the end of the plan year
Active participants 1714
Retired or separated participants receiving benefits 13

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing ANDREA KAELIN
Valid signature Filed with authorized/valid electronic signature
BROOKS HEALTH AND WELFARE BENEFIT PLAN 2017 592249370 2018-07-27 GENESIS HEALTH INC 1550
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9048587301
Plan sponsor’s mailing address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252
Plan sponsor’s address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252

Number of participants as of the end of the plan year
Active participants 1641
Retired or separated participants receiving benefits 13

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing KAREN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
BROOKS HEALTH AND WELFARE BENEFIT PLAN 2016 592249370 2017-07-31 GENESIS HEALTH INC 1528
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9048587301
Plan sponsor’s mailing address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252
Plan sponsor’s address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252

Number of participants as of the end of the plan year
Active participants 1548
Retired or separated participants receiving benefits 11

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing KAREN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
BROOKS HEALTH AND WELFARE BENEFIT PLAN 2015 592249370 2016-08-01 GENESIS HEALTH INC 1209
File View Page
Three-digit plan number (PN) 510
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9048587301
Plan sponsor’s mailing address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252
Plan sponsor’s address 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252

Number of participants as of the end of the plan year
Active participants 1300
Retired or separated participants receiving benefits 7

Signature of
Role Plan administrator
Date 2016-08-01
Name of individual signing KAREN GALLAGHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
URS AGENTS, LLC Agent

Director

Name Role Address
JOHNSON BRUCE Director 3599 University Blvd. S., JACKSONVILLE, FL, 32216
CARTER STANLEY W Director 3599 UNIVERSITY BLVD., S, JACKSONVILLE, FL, 32216
Serkin Howard Director 3599 UNIVERSITY BLVD., S, JACKSONVILLE, FL, 32216
BRODSKY ERNIE M Director 3599 UNIVERSITY BLVD., S, JACKSONVILLE, FL, 32216

Secretary

Name Role Address
CARTER STANLEY W Secretary 3599 UNIVERSITY BLVD., S, JACKSONVILLE, FL, 32216

Chief Financial Officer

Name Role Address
TABOR J B Chief Financial Officer 3599 UNIVERSITY BLVD., S, JACKSONVILLE, FL, 32216

Chief Executive Officer

Name Role Address
BAER DOUGLAS M Chief Executive Officer 3599 University Blvd. S., Jacksonville, FL, 32216

Vice President

Name Role Address
Serkin Howard Vice President 3599 UNIVERSITY BLVD., S, JACKSONVILLE, FL, 32216

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000026439 HELEN'S HOUSE ACTIVE 2018-02-22 2028-12-31 No data 6207 BEACH BLVD., JACKSONVILLE, FL, 32216
G11000016746 BROOKS REHABILITATION CLINICAL RESEARCH CENTER EXPIRED 2011-01-28 2016-12-31 No data 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216
G04303900224 BROOKS REHABILITATION ACTIVE 2004-10-29 2029-12-31 No data 3599 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216
G99008900019 BROOKS HEALTH SYSTEM ACTIVE 1999-01-08 2029-12-31 No data 3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216-4252

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
MERGER 2005-12-20 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 100000054311
MERGER 2000-01-14 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000027309
NAME CHANGE AMENDMENT 1995-02-22 GENESIS HEALTH, INC. No data
NAME CHANGE AMENDMENT 1994-08-23 MEMORIAL HEALTHCARE SYSTEM, INC. No data

Related by officers

JOHNSON BRUCE

DEAN GERLOFF PAINTING LLC MACCORP CONSULTING SERVICES, INC. SPLASHTEC, LLC WRBC LLC GOLDEN STATE NOTARY, INC. BRUCE JOHNSON, P.A. BRUCE C. JOHNSON LLC B & D INVESTMENT PROPERTIES, LLC MICHAELS COMMUNITY SERVICES CORPORATION KIND CONFIDENCE FOR KIDS CORPORATION

Serkin Howard

THE DIGITAL MARKETING GROUP LLC GENESIS MANAGEMENT SERVICES, INC.

BAER DOUGLAS M

BROOKS SKILLED NURSING FACILITY A, INC. BROOKS HOME CARE ADVANTAGE, INC. BROOKS SKILLED NURSING FACILITY HOLDINGS A, INC. BROOKS SKILLED NURSING MANAGEMENT, LLC BROOKS REHABILITATION CLINICAL RESEARCH CENTER, INC. BROOKS SKILLED NURSING FACILITY B, INC. BROOKS SKILLED NURSING FACILITY HOLDINGS B, INC. BROOKS SUPPORT SERVICES, LLC HB REHABILITATIVE SERVICES, INC. HB OUTPATIENT REHABILITATIVE SERVICES, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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