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  5. CUSTOM MEDICAL SERVICES, INC.

CUSTOM MEDICAL SERVICES, INC.

Company Details

Entity Name: CUSTOM MEDICAL SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Sep 1984 (40 years ago)
Document Number: H22334
FEI/EIN Number 650117283
Mail Address: 5965 PINEBROOK DRIVE, BOCA RATON, FL, 33433
Address: 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442
ZIP code: 33442
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUSTOM MEDICAL SERVICES, INC. 401(K) PLAN 2012 650117283 2013-06-20 CUSTOM MEDICAL SERVICES, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-01
Business code 541219
Sponsor’s telephone number 9544268840
Plan sponsor’s mailing address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442
Plan sponsor’s address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442

Plan administrator’s name and address
Administrator’s EIN 650117283
Plan administrator’s name CUSTOM MEDICAL SERVICES, INC.
Plan administrator’s address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442
Administrator’s telephone number 9544268840

Number of participants as of the end of the plan year
Active participants 20
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
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 23
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing MARK TABOR
Valid signature Filed with authorized/valid electronic signature
CUSTOM MEDICAL SERVICES, INC. 401(K) PLAN 2011 650117283 2012-05-09 CUSTOM MEDICAL SERVICES, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-01
Business code 541219
Sponsor’s telephone number 9544268840
Plan sponsor’s mailing address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442
Plan sponsor’s address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442

Plan administrator’s name and address
Administrator’s EIN 650117283
Plan administrator’s name CUSTOM MEDICAL SERVICES, INC.
Plan administrator’s address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442
Administrator’s telephone number 9544268840

Number of participants as of the end of the plan year
Active participants 20
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 22
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-05-09
Name of individual signing MARK TABOR
Valid signature Filed with authorized/valid electronic signature
CUSTOM MEDICAL SERVICES, INC. 401(K) PLAN 2010 650117283 2011-06-28 CUSTOM MEDICAL SERVICES, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-01
Business code 541219
Sponsor’s telephone number 9544268840
Plan sponsor’s mailing address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442
Plan sponsor’s address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442

Plan administrator’s name and address
Administrator’s EIN 650117283
Plan administrator’s name CUSTOM MEDICAL SERVICES, INC.
Plan administrator’s address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442
Administrator’s telephone number 9544268840

Number of participants as of the end of the plan year
Active participants 24
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
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 30
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-06-28
Name of individual signing MARK TABOR
Valid signature Filed with authorized/valid electronic signature
CUSTOM MEDICAL SERVICES, INC. 401(K) PLAN 2009 650117283 2010-05-14 CUSTOM MEDICAL SERVICES, INC. 40
Three-digit plan number (PN) 001
Effective date of plan 2006-09-01
Business code 541219
Sponsor’s telephone number 9544268840
Plan sponsor’s mailing address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442
Plan sponsor’s address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442

Plan administrator’s name and address
Administrator’s EIN 650117283
Plan administrator’s name CUSTOM MEDICAL SERVICES, INC.
Plan administrator’s address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442
Administrator’s telephone number 9544268840

Number of participants as of the end of the plan year
Active participants 25
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
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 28
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2010-05-14
Name of individual signing MARK TABOR
Valid signature Filed with authorized/valid electronic signature
CUSTOM MEDICAL SERVICES, INC. 401(K) PLAN 2009 650117283 2010-05-14 CUSTOM MEDICAL SERVICES, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-09-01
Business code 541219
Sponsor’s telephone number 9544268840
Plan sponsor’s mailing address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442
Plan sponsor’s address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442

Plan administrator’s name and address
Administrator’s EIN 650117283
Plan administrator’s name CUSTOM MEDICAL SERVICES, INC.
Plan administrator’s address 406 SW 12TH AVENUE, DEERFIELD BEACH, FL, 33442
Administrator’s telephone number 9544268840

Number of participants as of the end of the plan year
Active participants 25
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
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 28
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-05-14
Name of individual signing MARK TABOR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TURNOFF BYRON H Agent 5965 PINEBROOK DRIVE, BOCA RATON, FL, 33433

President

Name Role Address
TURNOFF BYRON H President 5965 PINEBROOK DR., BOCA RATON, FL

Treasurer

Name Role Address
TURNOFF BYRON H Treasurer 5965 PINEBROOK DR., BOCA RATON, FL

Secretary

Name Role Address
MARK TABOR M Secretary 406 SW 12TH AVE., DEERFIELD BEACH, FL, 33442

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REINSTATEMENT 1989-04-21 No data No data
INVOLUNTARILY DISSOLVED 1985-11-01 No data No data

Related by officers

TURNOFF BYRON H

NMSI, INC.

Related by address

5965 PINEBROOK DRIVE, BOCA RATON, FL, 33433

NEURO MEDICAL SYSTEMS, INC.

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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