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  5. THE WALLACE H. COULTER FOUNDATION, INC.

THE WALLACE H. COULTER FOUNDATION, INC.

Company Details

Entity Name: THE WALLACE H. COULTER FOUNDATION, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Non-Profit
Status: Active
Date Filed: 02 Mar 2000 (25 years ago)
Document Number: F00000001129
FEI/EIN Number 311546126
Address: 790 N.W. 107TH AVE., STE 215, MIAMI, FL, 33172
Mail Address: 790 N.W. 107TH AVE., STE 215, MIAMI, FL, 33172
ZIP code: 33172
County: Miami-Dade
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WALLACE H. COULTER 403 (B) PLAN 2023 311546126 2024-07-24 WALLACE H COULTER FOUNDATION 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 3053218149
Plan sponsor’s address 790 NW 107TH AVE STE 215, MIAMI, FL, 331723158

Signature of
Role Plan administrator
Date 2024-07-24
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-24
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
WALLACE H. COULTER 403 (B) PLAN 2022 311546126 2023-07-26 WALLACE H COULTER FOUNDATION 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 3055592991
Plan sponsor’s address 790 NW 107TH AVE STE 215, MIAMI, FL, 331723158

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-26
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
WALLACE H. COULTER 403 (B) PLAN 2021 311546126 2022-07-21 WALLACE H COULTER FOUNDATION 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 3055592991
Plan sponsor’s address 790 NW 107TH AVE STE 215, MIAMI, FL, 331723158

Signature of
Role Plan administrator
Date 2022-07-19
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-19
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
WALLACE H. COULTER FOUNDATION 403 (B) PLAN 2020 311546126 2021-07-21 WALLACE H COULTER FOUNDATION 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 3055592991
Plan sponsor’s address 790 NW 107TH AVE STE 215, MIAMI, FL, 331723158

Signature of
Role Plan administrator
Date 2021-07-21
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-21
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
WALLACE H. COULTER FOUNDATION 403 (B) PLAN 2019 311546126 2020-07-24 WALLACE H COULTER FOUNDATION 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 3055592991
Plan sponsor’s address 790 NW 107TH AVE STE 215, MIAMI, FL, 331723158

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-23
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
WALLACE H. COULTER FOUNDATION 403 (B) PLAN 2018 311546126 2019-07-19 WALLACE H. COULTER FOUNDATION 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 3055592991
Plan sponsor’s address 790 NW 107TH AVE STE 215, MIAMI, FL, 331723158

Signature of
Role Plan administrator
Date 2019-07-19
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-19
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
WALLACE H. COULTER FOUNDATION 403 (B) PLAN 2017 311546126 2018-07-24 WALLACE H. COULTER FOUNDATION 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 3055592991
Plan sponsor’s address 790 NW 107TH AVE STE 215, MIAMI, FL, 331723158

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-24
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
WALLACE H. COULTER FOUNDATION 403 (B) PLAN 2016 311546126 2017-07-28 WALLACE H. COULTER FOUNDATION 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 3055592991
Plan sponsor’s address 790 NW 107TH AVE STE 215, MIAMI, FL, 331723158

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-28
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
WALLACE H. COULTER FOUNDATION 403 (B) PLAN 2015 311546126 2016-07-21 WALLACE H. COULTER FOUNDATION 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 3055592991
Plan sponsor’s address 790 NW 107TH AVE STE 215, MIAMI, FL, 331723158

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-21
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
WALLACE H. COULTER FOUNDATION 403 (B) PLAN 2014 311546126 2016-07-21 WALLACE H. COULTER FOUNDATION 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Business code 813000
Sponsor’s telephone number 3055592991
Plan sponsor’s address 790 N.W. 107TH AVENUE SUITE 215, MIAMI, FL, 33172

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-21
Name of individual signing WAYNE BARLIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

President

Name Role Address
VAN SUE President 790 NW 107TH AVENUE, STE 215, MIAMI, FL, 33172

Chairman

Name Role Address
VAN SUE Chairman 790 NW 107TH AVENUE, STE 215, MIAMI, FL, 33172

Director

Name Role Address
VAN SUE Director 790 NW 107TH AVENUE, STE 215, MIAMI, FL, 33172
Van Dennis Director 790 NW 107th Avenue, Miami, FL, 33176

Vice President

Name Role Address
RACHER SUSAN M Vice President 790 NW 107TH AVENUE, STE 215, MIAMI, FL, 33172
BARLIN WAYNE A Vice President 790 NW 107TH AVENUE, STE 215, MIAMI, FL, 33172
SUSIE SANDS V Vice President 790 NW 107TH AVENUE, SUITE215, MIAMI, FL, 33172

Secretary

Name Role Address
BARLIN WAYNE A Secretary 790 NW 107TH AVENUE, STE 215, MIAMI, FL, 33172

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-11-01 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2024-11-01 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data

Documents

Name Date
Reg. Agent Change 2024-11-01
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-03-02
ANNUAL REPORT 2019-01-14
ANNUAL REPORT 2018-02-08
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-01-20

Related by officers

VAN SUE

WHC INTERNATIONAL, INC. CC TROPICALS, INC.

BARLIN WAYNE A

WHC INTERNATIONAL, INC. COULTER TECHNOLOGIES, INC. CC TROPICALS, 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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