| Entity Name: | HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 18 Nov 1982 (42 years ago) |
| Document Number: | 765788 |
| FEI/EIN Number | 592247189 |
| Address: | 4201 Baymeadows Road, Jacksonville, FL, 32217, US |
| Mail Address: | 4201 Baymeadows Road, Jacksonville, FL, 32217, US |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAX DEFERRED ANNUITY PLAN OF HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA INC | 2013 | 592247189 | 2014-07-18 | HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA, INC. | 1 | |||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2014-07-18 |
| Name of individual signing | DAWN EMERICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1986-05-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 9047232162 |
| Plan sponsor’s address | 644 CESERY BLVD STE 210, JACKSONVILLE, FL, 32211 |
Plan administrator’s name and address
| Administrator’s EIN | 592247189 |
| Plan administrator’s name | HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA, INC. |
| Plan administrator’s address | 644 CESERY BLVD STE 210, JACKSONVILLE, FL, 32211 |
| Administrator’s telephone number | 9047232162 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-21 |
| Name of individual signing | DAWN EMERICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GRICH SUSAN D | Agent | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| Baird Carrie | Treasurer | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| Bowers Wiatt | Chairman | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| Grich Susan D | President | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| Payne Elizabeth | Othe | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Crowder Andrea Dr. | Othe | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| Nuland Christopher | Secretary | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
