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  5. ALTERNATE FAMILY CARE, INC.

ALTERNATE FAMILY CARE, INC. - Florida Company Profile

Company Details

Entity Name: ALTERNATE FAMILY CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ALTERNATE FAMILY CARE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 02 Jul 1986 (39 years ago)
Date of dissolution: 11 Dec 2014 (10 years ago)
Last Event: VOLUNTARY DISS W/ NOTICE
Event Date Filed: 11 Dec 2014 (10 years ago)
Document Number: J22183
FEI/EIN Number 592708404

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 10001 W OAKLAND PARK BLVD, 200, SUNRISE, FL, 33351, US
Mail Address: 10001 W OAKLAND PARK BLVD, 200, SUNRISE, FL, 33351, US
ZIP code: 33351
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003952417 2007-01-30 2008-05-13 10001 W OAKLAND PARK BLVD, SUITE 200, SUNRISE, FL, 333516925, US 10001 W OAKLAND PARK BLVD, SUITE 200, SUNRISE, FL, 333516925, US

Contacts
Phone +1 954-746-5200
Fax 9547465216

Authorized person
Name DR. RONALD DAVID SIMON
Role CFO
Phone 9547465200

Taxonomy
Taxonomy Code 322D00000X - Emotionally Disturbed Childrens' Residential Treatment Facility
License Number R-AFC-0906-100-6
State FL
Is Primary Yes
Taxonomy Code 322D00000X - Emotionally Disturbed Childrens' Residential Treatment Facility
License Number R-AFC-0906-101-6
State FL
Is Primary No
Taxonomy Code 323P00000X - Psychiatric Residential Treatment Facility
License Number R-AFC-1006-102-17
State FL
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 029582503
State FL
Issuer MEDICAID
Number 029582508
State FL
Issuer MEDICAID
Number 029582510
State FL
Issuer MEDICAID
Number 029582516
State FL
Issuer MEDICAID
Number 029582505
State FL
Issuer MEDICAID
Number 029582500
State FL
Issuer MEDICAID
Number 029582501
State FL
Issuer MEDICAID
Number 029582502
State FL
Issuer MEDICAID
Number 029582507
State FL
Issuer MEDICAID
Number 029582504
State FL
Issuer MEDICAID
Number 029582511
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALTERNATE FAMILY CARE RETIREMENT PLAN 2014 592708404 2015-10-05 ALTERNATE FAMILY CARE, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 9547465200
Plan sponsor’s address 10001 W. OAKLAND PARK BLVD, STE 200, SUNRISE, FL, 33351

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing RONALD SIMON
Valid signature Filed with authorized/valid electronic signature
ALTERNATE FAMILY CARE RETIREMENT PLAN 2013 592708404 2014-10-05 ALTERNATE FAMILY CARE, INC. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 9547465200
Plan sponsor’s address 10001 W. OAKLAND PARK BLVD, STE 200, SUNRISE, FL, 33351

Signature of
Role Plan administrator
Date 2014-10-05
Name of individual signing RONALD SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-05
Name of individual signing RONALD SIMON
Valid signature Filed with authorized/valid electronic signature
ALTERNATE FAMILY CARE RETIREMENT PLAN 2012 592708404 2013-07-10 ALTERNATE FAMILY CARE, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 9547465200
Plan sponsor’s address 10001 W. OAKLAND PARK BLVD, STE 200, SUNRISE, FL, 33351

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing RONALD SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-10
Name of individual signing RONALD SIMON
Valid signature Filed with authorized/valid electronic signature
ALTERNATE FAMILY CARE RETIREMENT PLAN 2011 592708404 2012-08-22 ALTERNATE FAMILY CARE, INC. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 9547465200
Plan sponsor’s address 10001 W. OAKLAND PARK BLVD, STE 200, SUNRISE, FL, 33351

Plan administrator’s name and address
Administrator’s EIN 592708404
Plan administrator’s name ALTERNATE FAMILY CARE, INC.
Plan administrator’s address 10001 W. OAKLAND PARK BLVD, STE 200, SUNRISE, FL, 33351
Administrator’s telephone number 9547465200

Signature of
Role Plan administrator
Date 2012-08-22
Name of individual signing RONALD SIMON
Valid signature Filed with authorized/valid electronic signature
ALTERNATE FAMILY CARE RETIREMENT PLAN 2010 592708404 2011-09-16 ALTERNATE FAMILY CARE, INC. 87
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 9547465200
Plan sponsor’s address 10001 W. OAKLAND PARK BLVD, STE 200, SUNRISE, FL, 33351

Plan administrator’s name and address
Administrator’s EIN 592708404
Plan administrator’s name ALTERNATE FAMILY CARE, INC.
Plan administrator’s address 10001 W. OAKLAND PARK BLVD, STE 200, SUNRISE, FL, 33351
Administrator’s telephone number 9547465200

Signature of
Role Plan administrator
Date 2011-09-16
Name of individual signing RONALD SIMON
Valid signature Filed with authorized/valid electronic signature
ALTERNATE FAMILY CARE RETIREMENT PLAN 2010 592708404 2011-09-16 ALTERNATE FAMILY CARE, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 9547465200
Plan sponsor’s address 10001 W. OAKLAND PARK BLVD, STE 200, SUNRISE, FL, 33351

Plan administrator’s name and address
Administrator’s EIN 592708404
Plan administrator’s name ALTERNATE FAMILY CARE, INC.
Plan administrator’s address 10001 W. OAKLAND PARK BLVD, STE 200, SUNRISE, FL, 33351
Administrator’s telephone number 9547465200

Signature of
Role Plan administrator
Date 2011-09-16
Name of individual signing RONALD SIMON
Valid signature Filed with authorized/valid electronic signature
ALTERNATE FAMILY CARE RETIREMENT PLAN 2009 592708404 2010-09-30 ALTERNATE FAMILY CARE, INC. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 9547465200
Plan sponsor’s address 10001 W. OAKLAND PARK BLVD, STE 302, SUNRISE, FL, 33351

Plan administrator’s name and address
Administrator’s EIN 592708404
Plan administrator’s name ALTERNATE FAMILY CARE, INC.
Plan administrator’s address 10001 W. OAKLAND PARK BLVD, STE 302, SUNRISE, FL, 33351
Administrator’s telephone number 9547465200

Signature of
Role Plan administrator
Date 2010-09-30
Name of individual signing RONALD SIMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-30
Name of individual signing RONALD SIMON
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
FERGUSON, DAVID President 5311 NE 16TH AVE, FT LAUDERDALE, FL, 33334
FERGUSON, DAVID Director 5311 NE 16TH AVE, FT LAUDERDALE, FL, 33334
SIMON, RONALD Secretary 10540 LA REINA RD, DELRAY BEACH, FL, 33446
SIMON, RONALD Treasurer 10540 LA REINA RD, DELRAY BEACH, FL, 33446
SIMON RONALD Agent 10540 LA REINA ROAD, DELRAY BEACH, FL, 334462725

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2014-12-11 - -
REGISTERED AGENT NAME CHANGED 2011-04-02 SIMON, RONALD -
CHANGE OF MAILING ADDRESS 2008-04-19 10001 W OAKLAND PARK BLVD, 200, SUNRISE, FL 33351 -
REGISTERED AGENT ADDRESS CHANGED 2008-04-19 10540 LA REINA ROAD, DELRAY BEACH, FL 33446-2725 -
CHANGE OF PRINCIPAL ADDRESS 2008-04-19 10001 W OAKLAND PARK BLVD, 200, SUNRISE, FL 33351 -

Documents

Name Date
CORAPVDWN 2014-12-11
ANNUAL REPORT 2014-03-02
ANNUAL REPORT 2013-02-02
ANNUAL REPORT 2012-03-13
ANNUAL REPORT 2011-04-02
ANNUAL REPORT 2010-03-22
ANNUAL REPORT 2009-04-12
ANNUAL REPORT 2008-04-19
ANNUAL REPORT 2007-03-25
ANNUAL REPORT 2006-04-28

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Date of last update: 01 Mar 2025

Sources: Florida Department of State

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