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  5. ENGLEWOOD ADULT CARE HOME, INC.

ENGLEWOOD ADULT CARE HOME, INC.

Company Details

Entity Name: ENGLEWOOD ADULT CARE HOME, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 18 Jan 1989 (36 years ago)
Date of dissolution: 20 Dec 2022 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 20 Dec 2022 (2 years ago)
Document Number: K58967
FEI/EIN Number 59-2929722
Address: 280 PINE STREET, ENGLEWOOD, FL 34223
Mail Address: 280 PINE STREET, ENGLEWOOD, FL 34223
ZIP code: 34223
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396722567 2005-12-28 2020-08-22 280 PINE ST, ENGLEWOOD, FL, 342233948, US 280 PINE ST, ENGLEWOOD, FL, 342233948, US

Contacts
Phone +1 941-474-5563
Fax 9414739722

Authorized person
Name JANET MOYNIHAN
Role OWNER
Phone 9414745563

Taxonomy
Taxonomy Code 310400000X - Assisted Living Facility
License Number AL7384
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ENGLEWOOD ADULT CARE HOME INC. 401(K) PLAN 2022 592929722 2023-04-12 ENGLEWOOD ADULT CARE HOME INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 9414745563
Plan sponsor’s address 280 PINE STREET, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2023-04-12
Name of individual signing JANET MOYNIHAN
Valid signature Filed with authorized/valid electronic signature
ENGLEWOOD ADULT CARE HOME INC. 401(K) PLAN 2022 592929722 2023-05-24 ENGLEWOOD ADULT CARE HOME INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 9414745563
Plan sponsor’s address 280 PINE STREET, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2023-05-24
Name of individual signing JANET MOYNIHAN
Valid signature Filed with authorized/valid electronic signature
ENGLEWOOD ADULT CARE HOME INC. 401(K) PLAN 2021 592929722 2022-09-09 ENGLEWOOD ADULT CARE HOME INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 9414745563
Plan sponsor’s address 280 PINE STREET, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2022-09-09
Name of individual signing JANET MOYNIHAN
Valid signature Filed with authorized/valid electronic signature
ENGLEWOOD ADULT CARE HOME INC. 401(K) PLAN 2020 592929722 2021-04-09 ENGLEWOOD ADULT CARE HOME INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 9414745563
Plan sponsor’s address 280 PINE STREET, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2021-04-09
Name of individual signing JANET MOYNIHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-09
Name of individual signing VIRGINA HALL
Valid signature Filed with authorized/valid electronic signature
ENGLEWOOD ADULT CARE HOME INC. 401(K) PLAN 2019 592929722 2020-04-22 ENGLEWOOD ADULT CARE HOME INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 9414745563
Plan sponsor’s address 280 PINE STREET, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2020-04-21
Name of individual signing JANET MOYNIHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-22
Name of individual signing VIRGINA HALL
Valid signature Filed with authorized/valid electronic signature
ENGLEWOOD ADULT CARE HOME INC. 401(K) PLAN 2018 592929722 2019-04-26 ENGLEWOOD ADULT CARE HOME INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 9414745563
Plan sponsor’s address 280 PINE STREET, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2019-04-26
Name of individual signing JANET MOYNIHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-26
Name of individual signing VIRGINA HALL
Valid signature Filed with authorized/valid electronic signature
ENGLEWOOD ADULT CARE HOME INC. 401(K) PLAN 2017 592929722 2018-04-27 ENGLEWOOD ADULT CARE HOME INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 9414745563
Plan sponsor’s address 280 PINE STREET, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2018-04-17
Name of individual signing JANET MOYNIHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-27
Name of individual signing VIRGINA HALL
Valid signature Filed with authorized/valid electronic signature
ENGLEWOOD ADULT CARE HOME INC. 401(K) PLAN 2016 592929722 2017-02-20 ENGLEWOOD ADULT CARE HOME INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 9414745563
Plan sponsor’s address 280 PINE STREET, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2017-02-14
Name of individual signing JANET MOYNIHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-20
Name of individual signing VIRGINA HALL
Valid signature Filed with authorized/valid electronic signature
ENGLEWOOD ADULT CARE HOME INC. 401(K) PLAN 2015 592929722 2016-07-28 ENGLEWOOD ADULT CARE HOME INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 9414745563
Plan sponsor’s address 280 PINE STREET, ENGLEWOOD, FL, 34223
ENGLEWOOD ADULT CARE HOME INC. 401(K) PLAN 2014 592929722 2015-07-20 ENGLEWOOD ADULT CARE HOME INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 812990
Sponsor’s telephone number 9414745563
Plan sponsor’s address 280 PINE ST, ENGLEWOOD, FL, 34223

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing JANET MOYNIHAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MOYNIHAN, JANET Agent 1210 S. Maryknoll Road, ENGLEWOOD, FL 34223

Director

Name Role Address
MOYNIHAN, JANET Director 1210 S. Maryknoll Road, ENGLEWOOD, FL 34223

President

Name Role Address
MOYNIHAN, JANET President 1210 S. Maryknoll Road, ENGLEWOOD, FL 34223

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G91085000156 INGLENOOK ACTIVE 1991-03-26 2026-12-31 No data 280 N PINE ST, ENGLEWOOD, FL, 34223

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-12-20 No data No data
REGISTERED AGENT ADDRESS CHANGED 2013-01-24 1210 S. Maryknoll Road, ENGLEWOOD, FL 34223 No data
CHANGE OF PRINCIPAL ADDRESS 1996-04-22 280 PINE STREET, ENGLEWOOD, FL 34223 No data
CHANGE OF MAILING ADDRESS 1996-04-22 280 PINE STREET, ENGLEWOOD, FL 34223 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-12-20
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-09
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-01-08
ANNUAL REPORT 2014-01-21

Related by officers

No related officers

Related by address

280 PINE STREET, ENGLEWOOD, FL 34223

BENITA & RICK LLC INGLENOOK HOUSE AFH, CO.

280 PINE STREET, ENGLEWOOD, FL 34223

BENITA & RICK LLC INGLENOOK HOUSE AFH, CO.

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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