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  5. NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC.

NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC.

Company Details

Entity Name: NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 18 Dec 1989 (35 years ago)
Document Number: L36857
FEI/EIN Number 592979941
Address: 752 W PLYMOUTH AVE, DELAND, FL, 32720, US
Mail Address: 1245 South Boston Avenue, DELAND, FL, 32724, US
ZIP code: 32720
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC PROFIT SHARING PLAN 2015 592979941 2016-09-19 NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 3867341136
Plan sponsor’s address 752 WEST PLYMOUTH AVENUE, DELAND, FL, 32720
NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC PROFIT SHARING PLAN 2015 592979941 2016-09-19 NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 3867341136
Plan sponsor’s address 752 WEST PLYMOUTH AVENUE, DELAND, FL, 32720
NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC PROFIT SHARING PLAN 2014 592979941 2015-06-19 NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 3867341136
Plan sponsor’s address 752 WEST PLYMOUTH AVENUE, DELAND, FL, 32720
NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC PROFIT SHARING PLAN 2013 592979941 2014-03-28 NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 3867341136
Plan sponsor’s address 752 WEST PLYMOUTH AVENUE, DELAND, FL, 32720
NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC PROFIT SHARING PLAN 2012 592979941 2013-04-22 NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 3867341136
Plan sponsor’s address 752 WEST PLYMOUTH AVENUE, DELAND, FL, 32720

Signature of
Role Plan administrator
Date 2013-04-22
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-22
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC PROFIT SHARING PLAN 2011 592979941 2012-07-05 NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 3867341136
Plan sponsor’s address 752 WEST PLYMOUTH AVENUE, DELAND, FL, 32720

Plan administrator’s name and address
Administrator’s EIN 592979941
Plan administrator’s name NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC
Plan administrator’s address 752 WEST PLYMOUTH AVENUE, DELAND, FL, 32720
Administrator’s telephone number 3867341136

Signature of
Role Plan administrator
Date 2012-07-05
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-05
Name of individual signing TATIANA POMBO
Valid signature Filed with authorized/valid electronic signature
NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC PROFIT SHARING PLAN 2010 592979941 2011-04-25 NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 3867341136
Plan sponsor’s address 752 WEST PLYMOUTH AVENUE, DELAND, FL, 32720

Plan administrator’s name and address
Administrator’s EIN 592979941
Plan administrator’s name NORTHSIDE PHYSICAL THERAPY & REHABILITATION, INC
Plan administrator’s address 752 WEST PLYMOUTH AVENUE, DELAND, FL, 32720
Administrator’s telephone number 3867341136

Signature of
Role Plan administrator
Date 2011-04-25
Name of individual signing TATIANA CHAVEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-25
Name of individual signing TATIANA CHAVEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HOLLAND, PAUL Agent 1245 South Boston Avenue, DELAND, FL, 32724

President

Name Role Address
Holland Paul D President 1245 South Boston Avenue, DELAND, FL, 32724

Secretary

Name Role Address
HOLLAND, CHARLENE Secretary 1245 South Boston Avenue, DELAND, FL, 32724

Treasurer

Name Role Address
HOLLAND, CHARLENE Treasurer 1245 South Boston Avenue, DELAND, FL, 32724

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2019-01-03 No data No data

Related by officers

HOLLAND, PAUL

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Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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