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  5. HEALTH INTEGRATED, INC.

HEALTH INTEGRATED, INC.

Company Details

Entity Name: HEALTH INTEGRATED, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active
Date Filed: 10 Mar 2003 (22 years ago)
Document Number: F03000001162
FEI/EIN Number 861052333
Address: 2917 ST. ANDREWS BLVD., TARPON SPRINGS, FL, 34688, US
Mail Address: 2917 ST. ANDREWS BLVD., TARPON SPRINGS, FL, 34688, US
ZIP code: 34688
County: Pinellas
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811028772 2007-03-09 2020-08-22 10008 N DALE MABRY HWY, SUITE 214, TAMPA, FL, 336184424, US 10008 N DALE MABRY HWY, SUITE 214, TAMPA, FL, 336184424, US

Contacts
Phone +1 813-264-7577
Fax 8133492177

Authorized person
Name DR. SAM TONEY
Role CHIEL MEDICAL OFFICER
Phone 8132647577

Taxonomy
Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTH INTEGRATED, INC. 401(K) SAVINGS PLAN 2019 861052333 2020-07-31 HEALTH INTEGRATED, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621399
Sponsor’s telephone number 8133884000
Plan sponsor’s address 10008 NORTH DALE MABRY HIGHWAY, TAMPA, FL, 33618

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing PRESTON KAVANAGH
Valid signature Filed with authorized/valid electronic signature
HEALTH INTEGRATED, INC. WELFARE BENEFIT PLAN 2014 861052333 2015-05-18 HEALTH INTEGRATED, INC. 333
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2010-07-01
Business code 541600
Sponsor’s telephone number 8133884091
Plan sponsor’s mailing address 10008 N DALE MABRY HIGHWAY, #214, TAMPA, FL, 33618
Plan sponsor’s address 10008 N DALE MABRY HIGHWAY, #214, TAMPA, FL, 33618

Number of participants as of the end of the plan year
Active participants 356
Retired or separated participants receiving benefits 7
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing GENE MAGRINI
Valid signature Filed with authorized/valid electronic signature
HEALTH INTEGRATED, INC. WELFARE BENEFIT PLAN 2013 861052333 2014-07-30 HEALTH INTEGRATED, INC. 274
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2010-07-01
Business code 541600
Sponsor’s telephone number 8133884091
Plan sponsor’s mailing address 10008 N DALE MABRY HIGHWAY, #214, TAMPA, FL, 33618
Plan sponsor’s address 10008 N DALE MABRY HIGHWAY, #214, TAMPA, FL, 33618

Number of participants as of the end of the plan year
Active participants 248
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing KIM BOULAHANIS
Valid signature Filed with authorized/valid electronic signature
HEALTH INTEGRATED, INC. WELFARE BENEFIT PLAN 2012 861052333 2013-07-30 HEALTH INTEGRATED, INC. 251
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2010-07-01
Business code 541600
Sponsor’s telephone number 8133884091
Plan sponsor’s mailing address 10008 N DALE MABRY HIGHWAY, #214, TAMPA, FL, 33618
Plan sponsor’s address 10008 N DALE MABRY HIGHWAY, #214, TAMPA, FL, 33618

Number of participants as of the end of the plan year
Active participants 253
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing SHARON SHIRLEY
Valid signature Filed with authorized/valid electronic signature
HEALTH INTEGRATED, INC. WELFARE BENEFIT PLAN 2011 861052333 2012-07-31 HEALTH INTEGRATED, INC. 245
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-07-01
Business code 541600
Sponsor’s telephone number 8133884091
Plan sponsor’s mailing address 10008 N DALE MABRY HIGHWAY, TAMPA, FL, 33618
Plan sponsor’s address 10008 N DALE MABRY HIGHWAY, TAMPA, FL, 33618

Plan administrator’s name and address
Administrator’s EIN 861052333
Plan administrator’s name HEALTH INTEGRATED, INC.
Plan administrator’s address 10008 N DALE MABRY HIGHWAY, TAMPA, FL, 33618
Administrator’s telephone number 8133884091

Number of participants as of the end of the plan year
Active participants 251

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing SHARON SHIRLEY
Valid signature Filed with authorized/valid electronic signature
HEALTH INTEGRATED, INC. WELFARE BENEFIT PLAN 2010 861052333 2011-08-04 HEALTH INTEGRATED, INC. 188
Three-digit plan number (PN) 501
Effective date of plan 2010-01-01
Business code 541600
Sponsor’s telephone number 8133884091
Plan sponsor’s mailing address 10008 N DALE MABRY HIGHWAY, TAMPA, FL, 33618
Plan sponsor’s address 10008 N DALE MABRY HIGHWAY, TAMPA, FL, 33618

Plan administrator’s name and address
Administrator’s EIN 861052333
Plan administrator’s name HEALTH INTEGRATED, INC.
Plan administrator’s address 10008 N DALE MABRY HIGHWAY, TAMPA, FL, 33618
Administrator’s telephone number 8133884091

Number of participants as of the end of the plan year
Active participants 193

Signature of
Role Plan administrator
Date 2011-08-04
Name of individual signing SHARON SHIRLEY
Valid signature Filed with authorized/valid electronic signature
HEALTH INTEGRATED, INC. WELFARE BENEFIT PLAN 2010 861052333 2011-08-04 HEALTH INTEGRATED, INC. 193
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2010-07-01
Business code 541600
Sponsor’s telephone number 8133884091
Plan sponsor’s mailing address 10008 N DALE MABRY HIGHWAY, TAMPA, FL, 33618
Plan sponsor’s address 10008 N DALE MABRY HIGHWAY, TAMPA, FL, 33618

Plan administrator’s name and address
Administrator’s EIN 861052333
Plan administrator’s name HEALTH INTEGRATED, INC.
Plan administrator’s address 10008 N DALE MABRY HIGHWAY, TAMPA, FL, 33618
Administrator’s telephone number 8133884091

Number of participants as of the end of the plan year
Active participants 245

Signature of
Role Plan administrator
Date 2011-08-04
Name of individual signing SHARON SHIRLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
BUSH ROSS REGISTERED AGENT SERVICES, LLC Agent

Chief Financial Officer

Name Role Address
Kavanagh Preston BIII Chief Financial Officer 2917 ST. ANDREWS BLVD., TARPON SPRINGS, FL, 34688

Director

Name Role Address
Trbovich John Director 750 S. ORLANDO AVE., SUITE 200, WINTER PARK, FL, 32789

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-03-05 1801 N. HIGHLAND AVE., TAMPA, FL 33602 No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-20 2917 ST. ANDREWS BLVD., TARPON SPRINGS, FL 34688 No data
CHANGE OF MAILING ADDRESS 2018-04-20 2917 ST. ANDREWS BLVD., TARPON SPRINGS, FL 34688 No data
REGISTERED AGENT NAME CHANGED 2018-04-20 BUSH ROSS REGISTERED AGENT SERVICES, LLC No data

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-03-01
ANNUAL REPORT 2021-04-25
ANNUAL REPORT 2020-02-27
ANNUAL REPORT 2019-03-05
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-01-26

Related by officers

Trbovich John

ARSENAL INDUSTRIES, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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