| Entity Name: | THE WORK STUDIES INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jan 2014 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 23 Aug 2021 (3 years ago) |
| Document Number: | L14000016087 |
| FEI/EIN Number | 46-4686659 |
| Address: | 8317 Front Beach road, STE 23, PANAMA CITY BEACH, FL, 32407, US |
| Mail Address: | The Work Studies Institute,LLC, 8317 Front Beach Road, PANAMA CITY BEACH, FL, 32407, US |
| ZIP code: | 32407 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | THE WORK STUDIES INSTITUTE, LLC, ALABAMA | 000-574-348 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497286074 | 2017-03-24 | 2022-07-21 | 415 N RICHARD JACKSON BLVD STE 209, PANAMA CITY BEACH, FL, 324073694, US | 415 N RICHARD JACKSON BLVD, SUITE 204, PANAMA CITY BEACH, FL, 324073664, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-866-0441 |
| Fax | 8502540827 |
| Phone | +1 914-263-5250 |
Authorized person
| Name | BARBARA ELLIS-WOROCH |
| Role | OWNER |
| Phone | 8508660441 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102793900 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE WORK STUDIES INSTITUTE LLC | 2023 | 464686659 | 2024-09-13 | THE WORK STUDIES INSTITUTE LLC | 11 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-13 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-09-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 8508660441 |
| Plan sponsor’s address | 415 N RICHARD JACKSON BLVD, STE 209, PANAMA CITY BEACH, FL, 32407 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-15 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-09-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 8508660441 |
| Plan sponsor’s address | 415 N RICHARD JACKSON BLVD, STE 209, PANAMA CITY BEACH, FL, 32407 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-23 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| ELLIS-WOROCH BARBARA PHD | memb | 8317 Front Beach road, PANAMA CITY BEACH, FL, 32407 |
| Name | Role | Address |
|---|---|---|
| Ellis-Woroch Barbara Phd | Auth | The Work Studies Institute,LLC, PANAMA CITY BEACH, FL, 32407 |
| Name | Role | Address |
|---|---|---|
| ELLIS-WOROCH BARBARA | Manager | 8317 Front Beach road, PANAMA CITY BEACH, FL, 32407 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000035843 | WSI LEARNING CENTER | ACTIVE | 2017-04-04 | 2027-12-31 | No data | 415 RICHARD JACKSON BLVD, SUITE 209, PANAMA CITY BEACH, FL, 32407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-04 | 8317 Front Beach road, STE 23, PANAMA CITY BEACH, FL 32407 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-04 | 8317 Front Beach road, STE 23, PANAMA CITY BEACH, FL 32407 | No data |
| LC AMENDMENT | 2021-08-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-21 | 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 | No data |
| LC REVOCATION OF DISSOLUTION | 2016-10-31 | No data | No data |
| VOLUNTARY DISSOLUTION | 2016-07-22 | No data | No data |
| LC DISSOCIATION MEM | 2016-06-30 | No data | No data |
| LC AMENDMENT | 2014-07-31 | No data | No data |
| LC NAME CHANGE | 2014-03-05 | THE WORK STUDIES INSTITUTE, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-02-12 |
| ANNUAL REPORT | 2022-04-30 |
| AMENDED ANNUAL REPORT | 2021-09-03 |
| LC Amendment | 2021-08-23 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-01-11 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-02-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
