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  5. CHAPTERS HEALTH SYSTEM, INC.

CHAPTERS HEALTH SYSTEM, INC.

Company Details

Entity Name: CHAPTERS HEALTH SYSTEM, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 28 Jun 1982 (43 years ago)
Document Number: 763935
FEI/EIN Number 592264957
Address: 12470 Telecom Drive, Temple Terrace, FL, 33637, US
Mail Address: 12470 Telecom Drive, Attn: Legal, Temple Terrace, FL, 33637, US
ZIP code: 33637
County: Hillsborough
Place of Formation: FLORIDA

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
5493006LIQ01NI41P063 763935 US-FL GENERAL ACTIVE No data

Addresses
Legal C/O Fernandez, Kathy L, 12470 Telecom Drive, Suite 300 West, Temple Terrace, US-FL, US, 33637
Headquarters 12470 Telecom Drive, Suite 300 West, Temple Terrace, US-FL, US, 33637

Registration details
Registration Date 2017-03-15
Last Update 2023-08-04
Status LAPSED
Next Renewal 2018-03-13
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 763935

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAPTERS HEALTH SYSTEM, INC. RETIREMENT PLAN 2015 592264957 2016-10-16 CHAPTERS HEALTH SYSTEM, INC. 2114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-02-01
Business code 621610
Sponsor’s telephone number 8138718111
Plan sponsor’s mailing address 12470 TELECOM DR STE 300 WEST, TEMPLE TERRACE, FL, 336370904
Plan sponsor’s address 12470 TELECOM DR STE 300 WEST, TEMPLE TERRACE, FL, 336370904

Number of participants as of the end of the plan year
Active participants 1512
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 467
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 1040
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 71

Signature of
Role Plan administrator
Date 2016-10-16
Name of individual signing AUDRA FARISH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-16
Name of individual signing AUDRA FARISH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Molosky Andrew K Agent 12470 Telecom Drive, Temple Terrace, FL, 33637

Director

Name Role Address
Becker William FJr. Director 12470 Telecom Drive, Temple Terrace, FL, 33637
Fogarty Jerry F Director 12470 Telecom Drive, Temple Terrace, FL, 33637
Wegman Philip D Director 12470 Telecom Drive, Temple Terrace, FL, 33637
Woodruff Randall K Director 12260 CORTEZ BLVD, BROOKSVILLE, FL, 34613

Chief Financial Officer

Name Role Address
Webb Todd AJr. Chief Financial Officer 12470 Telecom Drive, Temple Terrace, FL, 33637

Asst

Name Role Address
Eaton Gayle E Asst 12470 Telecom Drive, Temple Terrace, FL, 33637

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000013401 CHAPTERS ACTIVE 2017-02-06 2027-12-31 No data 12470 TELECOM DR., STE. 301, ATTN: LEGAL DEPT., TEMPLE TERRACE, FL, 33637
G17000013405 CHAPTERS HEALTH ACTIVE 2017-02-06 2027-12-31 No data 12470 TELECOM DR., STE. 301, ATTN: LEGAL DEPT., TEMPLE TERRACE, FL, 33637
G11000086334 CHAPTERS HEALTH SYSTEM ACTIVE 2011-08-31 2026-12-31 No data 12470 TELECOM DRIVE, SUITE #301, TEMPLE TERRACE, FL, 33637
G01320900027 LIFE'S TREASURES ACTIVE 2001-11-16 2026-12-31 No data 12470 TELECOM DRIVE, SUITE #301, TEMPLE TERRACE, FL, 33637

Events

Event Type Filed Date Value Description
AMENDMENT 2022-01-10 No data No data
MERGER 2015-05-15 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000151495
AMENDMENT 2015-01-30 No data No data
RESTATED ARTICLES 2012-12-17 No data No data
NAME CHANGE AMENDMENT 2011-06-01 CHAPTERS HEALTH SYSTEM, INC. No data
AMENDMENT 2011-05-25 No data No data
AMENDMENT 2011-01-24 No data No data
RESTATED ARTICLES AND NAME CHANGE 2008-05-01 HPC HEALTHCARE, INC. No data
NAME CHANGE AMENDMENT 2001-04-23 LIFEPATH HOSPICE AND PALLIATIVE CARE, INC. No data
NAME CHANGE AMENDMENT 1997-12-02 LIFEPATH, INC. No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13001493627 TERMINATED 1000000536938 HILLSBOROU 2013-09-19 2023-10-03 $ 855.77 STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166
J12000841000 TERMINATED 1000000405322 HILLSBOROU 2012-11-06 2022-11-14 $ 1,076.24 STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166

Related by officers

Becker William FJr.

HPH REAL ESTATE, INC.

Eaton Gayle E

CHAPTERS HEALTH HOME CONNECT, INC.

Molosky Andrew K

CHAPTERS HEALTH STAFFING, LLC. CHAPTERS HEALTH, INC. CHAPTERS HEALTH HOME CONNECT, INC. HOSPICE OF HILLSBOROUGH, INC. HERNANDO-PASCO HOSPICE, INC. CHAPTERS HEALTH FOUNDATION, INC. CORNERSTONE HOSPICE & PALLIATIVE CARE, INC. LIFEPATH HOSPICE, INC. CHAPTERS HEALTH PALLIATIVE CARE, LLC. GOOD SHEPHERD HOSPICE, INC.

Related by address

12470 Telecom Drive, Temple Terrace, FL, 33637, US

CHAPTERS HEALTH HOME CONNECT, INC. HERNANDO-PASCO HOSPICE, INC. CHAPTERS HEALTH FOUNDATION, INC. ACHIEVE HOME CARE, LLC GOOD SHEPHERD HOSPICE, INC.

12470 Telecom Drive, Attn: Legal, Temple Terrace, FL, 33637, US

CHAPTERS HEALTH FOUNDATION, INC. LIFEPATH HOSPICE, INC.

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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