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LIBERTY OF WEST PALM BEACH, LLC

Company Details

Entity Name: LIBERTY OF WEST PALM BEACH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Jun 2008 (17 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Oct 2012 (12 years ago)
Document Number: L08000059210
FEI/EIN Number 26-2815942
Address: 1601 BELVEDERE ROAD, SUITE 407 SOUTH, WEST PALM BEACH, FL 33406
Mail Address: 1601 BELVEDERE ROAD, SUITE 407 SOUTH, WEST PALM BEACH, FL 33406
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366784688 2013-03-25 2023-11-13 1601 BELVEDERE RD STE 407S, WEST PALM BEACH, FL, 334061518, US 3000 CENTRAL GARDENS CIR, PALM BEACH GARDENS, FL, 334188700, US

Contacts

Phone +1 561-644-4186
Fax 6166075555
Fax 5615365528

Authorized person

Name MRS. MARIA FITOS
Role REHAB DIRECTOR
Phone 5616444186

Taxonomy

Taxonomy Code 224Z00000X - Occupational Therapy Assistant
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes
Taxonomy Code 225200000X - Physical Therapy Assistant
Is Primary No
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIBERTY OF WEST PALM BEACH LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 262815942 2024-07-23 LIBERTY OF WEST PALM BEACH LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 5616896601
Plan sponsor’s address 1601 BELVEDERE RD SUITE 407 S, WEST PALM BEACH, FL, 33406

Signature of

Role Plan administrator
Date 2024-07-23
Name of individual signing MARIA FITOS
Valid signature Filed with authorized/valid electronic signature
LIBERTY OF WEST PALM BEACH LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 262815942 2023-07-12 LIBERTY OF WEST PALM BEACH LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 5616896601
Plan sponsor’s address 347 HIATT DR, PALM BEACH GARDENS, FL, 33418

Signature of

Role Plan administrator
Date 2023-07-12
Name of individual signing MARIA FITOS
Valid signature Filed with authorized/valid electronic signature
LIBERTY OF WEST PALM BEACH LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 262815942 2022-07-01 LIBERTY OF WEST PALM BEACH LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 5616896601
Plan sponsor’s address 347 HIATT DR, PALM BEACH GARDENS, FL, 33418

Signature of

Role Plan administrator
Date 2022-07-01
Name of individual signing MARIA FITOS
Valid signature Filed with authorized/valid electronic signature
LIBERTY OF WEST PALM BEACH LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 262815942 2021-07-28 LIBERTY OF WEST PALM BEACH LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 5612273200
Plan sponsor’s address 1601 BELVEDERE RD - STE 407, WEST PALM BEACH, FL, 33406

Signature of

Role Plan administrator
Date 2021-07-28
Name of individual signing MARIA FITOS
Valid signature Filed with authorized/valid electronic signature
LIBERTY OF WEST PALM BEACH LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 262815942 2020-07-28 LIBERTY OF WEST PALM BEACH LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 5612273200
Plan sponsor’s address 1601 BELVEDERE RD STE 407, WEST PALM BEACH, FL, 33406

Signature of

Role Plan administrator
Date 2020-07-28
Name of individual signing MARIA FITOS
Valid signature Filed with authorized/valid electronic signature
LIBERTY OF WEST PALM BEACH 401 K PROFIT SHARING PLAN TRUST 2018 262815942 2019-07-01 LIBERTY OF WEST PALM BEACH 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 5612273295
Plan sponsor’s address 1601 BELVEDERE RD - STE 407, WEST PALM BEACH, FL, 33406

Signature of

Role Plan administrator
Date 2019-07-01
Name of individual signing MARIA FITOS
Valid signature Filed with authorized/valid electronic signature
LIBERTY OF WEST PALM BEACH, LL 401 K PROFIT SHARING PLAN TRUST 2017 262815942 2018-07-25 LIBERTY OF WEST PALM BEACH LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 541990
Sponsor’s telephone number 5612273295
Plan sponsor’s address 1601 BELVEDERE RD - STE 407, WEST PALM BEACH, FL, 33406

Signature of

Role Plan administrator
Date 2018-07-25
Name of individual signing MARIA FITOS
Valid signature Filed with authorized/valid electronic signature
LIBERTY OF WEST PALM BEACH, LLC 401(K) PLAN 2016 262815942 2017-09-13 LIBERTY OF WEST PALM BEACH, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 5612273295
Plan sponsor’s address 1601 BELVEDERE RD, SUITE 407 S, WPB, FL, 33406

Signature of

Role Plan administrator
Date 2017-09-13
Name of individual signing MARIE FITOS
Valid signature Filed with authorized/valid electronic signature
LIBERTY OF WEST PALM BEACH, LLC 401(K) PLAN 2015 262815942 2016-10-11 LIBERTY OF WEST PALM BEACH, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 5612273295
Plan sponsor’s address 1601 BELVEDERE RD, SUITE 407 S, WPB, FL, 33406

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing MARIE FITOS
Valid signature Filed with authorized/valid electronic signature
LIBERTY OF WEST PALM BEACH, LLC 401(K) PLAN 2014 262815942 2015-06-11 LIBERTY OF WEST PALM BEACH, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 5612273295
Plan sponsor’s address 347 HIATT DRIVE, PALM BEACH GARDENS, FL, 33418

Signature of

Role Plan administrator
Date 2015-06-11
Name of individual signing MARIE FITOS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MEYER, WILLIAM A Agent 1601 BELVEDERE ROAD, SUITE 407 SOUTH, WEST PALM BEACH, FL 33406

Manager

Name Role
LIBERTY REHAB HOLDINGS INC. Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08235900274 LIBERTY REHAB EXPIRED 2008-08-22 2013-12-31 No data 1601 BELVEDERE ROAD, SUITE 407 SOUTH, WEST PALM BEACH, FL, 33406

Events

Event Type Filed Date Value Description
REINSTATEMENT 2012-10-19 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-10-19 1601 BELVEDERE ROAD, SUITE 407 SOUTH, WEST PALM BEACH, FL 33406 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
MERGER 2008-08-27 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 100000089851

Documents

Name Date
ANNUAL REPORT 2024-04-12
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-06-01
ANNUAL REPORT 2019-03-07
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-02-08
ANNUAL REPORT 2016-03-18
ANNUAL REPORT 2015-01-15

Date of last update: 26 Jan 2025

Sources: Florida Department of State