Search icon

LIGHTHOUSE CENTRAL FLORIDA, INC.

Company Details

Entity Name: LIGHTHOUSE CENTRAL FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 20 Jul 1983 (42 years ago)
Document Number: 769472
FEI/EIN Number 592418228
Address: 215 E NEW HAMPSHIRE ST, ORLANDO, FL, 32804
Mail Address: 2500 Kunze Ave, ORLANDO, FL, 32806, US
ZIP code: 32804
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033248141 2007-03-05 2007-12-13 215 E NEW HAMPSHIRE ST, ORLANDO, FL, 328046403, US 215 E NEW HAMPSHIRE ST, ORLANDO, FL, 328046403, US

Contacts

Phone +1 407-898-2483
Fax 4078955255

Authorized person

Name MRS. LEE ANN NASEHI
Role EXECUTIVE DIRECTOR
Phone 4078982483

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIGHTHOUSE CENTRAL FLORIDA, INC. RETIREMENT SAVINGS PLAN 2021 592418228 2023-07-17 LIGHTHOUSE CENTRAL FLORIDA, INC. 184
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624100
Sponsor’s telephone number 4078982483
Plan sponsor’s mailing address 2500 KUNZE AVENUE, ORLANDO, FL, 32806
Plan sponsor’s address 2500 KUNZE AVENUE, ORLANDO, FL, 32806

Number of participants as of the end of the plan year

Active participants 332
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 52
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 218
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 12
LIGHTHOUSE CENTRAL FLORIDA, INC. RETIREMENT SAVINGS PLAN 2021 592418228 2023-09-27 LIGHTHOUSE CENTRAL FLORIDA, INC. 184
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624100
Sponsor’s telephone number 4078982483
Plan sponsor’s mailing address 2500 KUNZE AVENUE, ORLANDO, FL, 32806
Plan sponsor’s address 2500 KUNZE AVENUE, ORLANDO, FL, 32806

Number of participants as of the end of the plan year

Active participants 332
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 52
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 218
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 12
LIGHTHOUSE CENTRAL FLORIDA, INC. RETIREMENT SAVINGS PLAN 2020 592418228 2022-05-25 LIGHTHOUSE CENTRAL FLORIDA, INC. 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624100
Sponsor’s telephone number 4078982483
Plan sponsor’s address 2500 KUNZE AVENUE, ORLANDO, FL, 32806
LIGHTHOUSE CENTRAL FLORIDA, INC. RETIREMENT SAVINGS PLAN 2019 592418228 2020-11-13 LIGHTHOUSE CENTRAL FLORIDA, INC. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624100
Sponsor’s telephone number 4078982483
Plan sponsor’s address 2500 KUNZE AVE, ORLANDO, FL, 32806

Signature of

Role Plan administrator
Date 2020-11-13
Name of individual signing DONNA AMUNDSON
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE CENTRAL FLORIDA, INC. RETIREMENT SAVINGS PLAN 2018 592418228 2019-12-02 LIGHTHOUSE CENTRAL FLORIDA, INC. 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624100
Sponsor’s telephone number 4078982483
Plan sponsor’s address 2500 KUNZE AVE, ORLANDO, FL, 32806

Signature of

Role Plan administrator
Date 2019-12-02
Name of individual signing DONNA AMUNDSON
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE CENTRAL FLORIDA, INC. RETIREMENT SAVINGS PLAN 2017 592418228 2019-06-27 LIGHTHOUSE CENTRAL FLORIDA, INC. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624100
Sponsor’s telephone number 4078982483
Plan sponsor’s address 2500 KUNZE AVE, ORLANDO, FL, 32806

Signature of

Role Plan administrator
Date 2019-06-27
Name of individual signing DONNA AMUNDSON
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE CENTRAL FLORIDA, INC. RETIREMENT SAVINGS PLAN 2016 592418228 2018-02-12 LIGHTHOUSE CENTRAL FLORIDA, INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-04
Business code 624100
Sponsor’s telephone number 4078982483
Plan sponsor’s address 2500 KUNZE AVENUE, ORLANDO, FL, 32806

Signature of

Role Plan administrator
Date 2018-02-12
Name of individual signing DEE AMUNDSON
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE CENTRAL FLORIDA, INC. RETIREMENT SAVINGS PLAN 2015 592418228 2017-04-25 LIGHTHOUSE CENTRAL FLORIDA, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-04
Business code 624100
Sponsor’s telephone number 4078982483
Plan sponsor’s address 2500 KUNZE AVENUE, ORLANDO, FL, 32806

Signature of

Role Plan administrator
Date 2017-04-25
Name of individual signing DEE AMUNDSON
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE CENTRAL FLORIDA, INC. RETIREMENT SAVINGS PLAN 2014 592418228 2016-04-12 LIGHTHOUSE CENTRAL FLORIDA, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-04
Business code 624100
Sponsor’s telephone number 4078982483
Plan sponsor’s address 215 E. NEW HAMPSHIRE STREET, ORLANDO, FL, 32804

Signature of

Role Plan administrator
Date 2016-04-12
Name of individual signing DEE AMUNDSON
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE CENTRAL FLORIDA, INC. 2013 592418228 2015-07-14 LIGHTHOUSE CENTRAL FLORIDA, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-04
Business code 624100
Sponsor’s telephone number 4078982483
Plan sponsor’s address 215 E. NEW HAMPSHIRE STREET, ORLANDO, FL, 32804

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing DONNA AMUNDSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Johnson Kyle Agent 2500 Kunze Ave, ORLANDO, FL, 32806

Director

Name Role Address
Spoone Dan Director 2500 Kunze Ave, ORLANDO, FL, 32806
Holland Andrew Director 2500 Kunze Ave, ORLANDO, FL, 32806
Matthews Cathy Director 2500 Kunze Ave, ORLANDO, FL, 32806

Chief Executive Officer

Name Role Address
Johnson Kyle Chief Executive Officer 2500 Kunze Ave, ORLANDO, FL, 32806

Secretary

Name Role Address
Reardon-Bark Emily Secretary 2500 Kunze Ave, ORLANDO, FL, 32806

Chairman

Name Role Address
Weiner Douglas Chairman 2500 Kunze Ave, ORLANDO, FL, 32806

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2004-09-01 LIGHTHOUSE CENTRAL FLORIDA, INC. No data
AMENDMENT AND NAME CHANGE 1993-06-21 CITE: THE LIGHTHOUSE FOR CENTRAL FLORIDA, INC. No data

Date of last update: 01 Feb 2025

Sources: Florida Department of State