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HEALTH RISK SCREENING, INC.

Company Details

Entity Name: HEALTH RISK SCREENING, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit Corporation
Status: Active
Date Filed: 27 Oct 2014 (10 years ago)
Document Number: F14000004557
FEI/EIN Number 27-2974286
Address: 25400 US Hwy 19 North, 197, Clearwater, FL 33763
Mail Address: 25400 US Hwy 19 North, 197, Clearwater, FL 33763
ZIP code: 33763
County: Pinellas
Place of Formation: VIRGINIA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTELLECTABILITY 401(K) P/S PLAN 2023 272974286 2024-05-29 HEALTH RISK SCREENING, INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541511
Sponsor’s telephone number 7274373201
Plan sponsor’s address 25400 US HIGHWAY 19 N STE 197, CLEARWATER, FL, 33763

Signature of

Role Plan administrator
Date 2024-05-29
Name of individual signing SASKIA MURPHY
Valid signature Filed with authorized/valid electronic signature
HEALTH RISK SCREENING 401(K) P/S PLAN 2020 272974286 2021-05-05 HEALTH RISK SCREENING 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541511
Sponsor’s telephone number 7274373201
Plan sponsor’s address 25400 US HIGHWAY 19 N STE 197, CLEARWATER, FL, 33763

Plan administrator’s name and address

Administrator’s EIN 272974286
Plan administrator’s name HEALTH RISK SCREENING
Plan administrator’s address 25400 US HIGHWAY 19 N STE 197, CLEARWATER, FL, 33763
Administrator’s telephone number 7274373201

Signature of

Role Plan administrator
Date 2021-05-05
Name of individual signing ROB REFO
Valid signature Filed with authorized/valid electronic signature
HEALTH RISK SCREENING 401(K) P/S PLAN 2019 272974286 2020-06-08 HEALTH RISK SCREENING 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541511
Sponsor’s telephone number 7274373201
Plan sponsor’s address 25400 US HIGHWAY 19 N STE 197, CLEARWATER, FL, 33763

Plan administrator’s name and address

Administrator’s EIN 272974286
Plan administrator’s name HEALTH RISK SCREENING
Plan administrator’s address 25400 US HIGHWAY 19 N STE 197, CLEARWATER, FL, 33763
Administrator’s telephone number 7274373201

Signature of

Role Plan administrator
Date 2020-06-08
Name of individual signing ROB REFO
Valid signature Filed with authorized/valid electronic signature
HEALTH RISK SCREENING 401(K) P/S PLAN 2018 272974286 2019-06-07 HEALTH RISK SCREENING 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541511
Sponsor’s telephone number 7274373201
Plan sponsor’s address 25400 US HIGHWAY 19 N STE 197, CLEARWATER, FL, 33763

Plan administrator’s name and address

Administrator’s EIN 272974286
Plan administrator’s name HEALTH RISK SCREENING
Plan administrator’s address 25400 US HIGHWAY 19 N STE 197, CLEARWATER, FL, 33763
Administrator’s telephone number 7274373201

Signature of

Role Plan administrator
Date 2019-06-07
Name of individual signing GINA KUGLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KUGLER, GINA Agent 920 North Osceola Avenue, Unit 705, Clearwater, FL 33755

Officer

Name Role Address
Kugler, Gina Officer Unit 705, Clearwater, FL 33755

Chief Executive Officer

Name Role Address
REFO, ROB Chief Executive Officer 1341 Azalea Dr, #2 Dunedin, FL 34698

Chief Financial Officer

Name Role Address
Vo, Viet Chief Financial Officer 6615 Rocky Park Street, Tampa, FL 33625

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000158297 INTELLECTABILITY ACTIVE 2020-12-14 2025-12-31 No data 25400 US HWY 19 N, #197, CLEARWATER, FL, 33763

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-02-08 920 North Osceola Avenue, Unit 705, Clearwater, FL 33755 No data
CHANGE OF MAILING ADDRESS 2017-01-09 25400 US Hwy 19 North, 197, Clearwater, FL 33763 No data
CHANGE OF PRINCIPAL ADDRESS 2016-03-08 25400 US Hwy 19 North, 197, Clearwater, FL 33763 No data

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-08

Date of last update: 21 Jan 2025

Sources: Florida Department of State