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  5. HEALTHCARE CONNECTION OF TAMPA, INC.

HEALTHCARE CONNECTION OF TAMPA, INC.

Company Details

Entity Name: HEALTHCARE CONNECTION OF TAMPA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 08 Aug 1990 (35 years ago)
Date of dissolution: 24 Sep 2021 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (3 years ago)
Document Number: L91834
FEI/EIN Number 59-3038039
Address: 825 W LINEBAUGH AVE, TAMPA, FL 33612
Mail Address: 825 W LINEBAUGH AVE, TAMPA, FL 33612
ZIP code: 33612
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922105188 2006-09-20 2020-05-08 825 W LINEBAUGH AVE, TAMPA, FL, 33612, US 825 W LINEBAUGH AVE, TAMPA, FL, 33612, US

Contacts
Phone +1 813-804-4192
Fax 8139315625

Authorized person
Name MS. EVELYN GARZA
Role FINANCIAL OFFICER
Phone 8138044192

Taxonomy
Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
License Number SR29AD803901
State FL
Is Primary No
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
License Number SR29AD803901
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTHCARE CONNECTION OF TAMPA 401(K) PROFIT SHARING PLAN & TRU 2020 593038039 2021-06-15 HEALTHCARE CONNECTION OF TAMPA 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-10
Business code 621112
Sponsor’s telephone number 8138044440
Plan sponsor’s address 825 W LINEBAUGH AVE, TAMPA, FL, 33612

Signature of
Role Plan administrator
Date 2021-06-15
Name of individual signing MICHAEL HAMMER
Valid signature Filed with authorized/valid electronic signature
HEALTHCARE CONNECTION OF TAMPA 401(K) PROFIT SHARING PLAN & TRU 2019 593038039 2020-06-30 HEALTHCARE CONNECTION OF TAMPA 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-10
Business code 621112
Sponsor’s telephone number 8138044440
Plan sponsor’s address 825 W LINEBAUGH AVE, TAMPA, FL, 33612

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing MICHAEL HAMMER
Valid signature Filed with authorized/valid electronic signature
HEALTHCARE CONNECTION OF TAMPA 401(K) PROFIT SHARING PLAN & TRU 2019 593038039 2020-06-19 HEALTHCARE CONNECTION OF TAMPA 44
Three-digit plan number (PN) 001
Effective date of plan 2009-09-10
Business code 621112
Sponsor’s telephone number 8138044440
Plan sponsor’s address 825 W LINEBAUGH AVE, TAMPA, FL, 33612

Signature of
Role Plan administrator
Date 2020-06-19
Name of individual signing MHAMMER0832
Valid signature Filed with authorized/valid electronic signature
HEALTHCARE CONNECTION OF TAMPA 401(K) PROFIT SHARING PLAN & TRU 2018 593038039 2019-07-29 HEALTHCARE CONNECTION OF TAMPA 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-10
Business code 621112
Sponsor’s telephone number 8138044440
Plan sponsor’s address 825 W LINEBAUGH AVE, TAMPA, FL, 33612

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing MICHAEL HAMMER
Valid signature Filed with authorized/valid electronic signature
HEALTHCARE CONNECTION OF TAMPA 401(K) PROFIT SHARING PLAN & TRU 2017 593038039 2019-06-03 HEALTHCARE CONNECTION OF TAMPA 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-10
Business code 621111
Sponsor’s telephone number 8138044440
Plan sponsor’s address 825 W LINEBAUGH AVE, TAMPA, FL, 33612

Signature of
Role Plan administrator
Date 2019-06-03
Name of individual signing MICHAEL HAMMER
Valid signature Filed with authorized/valid electronic signature
HEALTHCARE CONNECTION OF TAMPA 401(K) PROFIT SHARING PLAN & TRU 2017 593038039 2018-10-23 HEALTHCARE CONNECTION OF TAMPA 32
Three-digit plan number (PN) 001
Effective date of plan 2009-09-10
Business code 621111
Sponsor’s telephone number 8138044440
Plan sponsor’s address 825 W LINEBAUGH AVE, TAMPA, FL, 33612

Signature of
Role Plan administrator
Date 2018-10-23
Name of individual signing MICHAEL HAMMER
Valid signature Filed with authorized/valid electronic signature
HEALTHCARE CONNECTION OF 401 K PROFIT SHARING PLAN TRUST 2010 593038039 2011-07-06 HEALTHCARE CONNECTION OF TAMPA 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8139315560
Plan sponsor’s address 825 WEST LINEBAUGH AVE, TAMPA, FL, 33612

Plan administrator’s name and address
Administrator’s EIN 593038039
Plan administrator’s name HEALTHCARE CONNECTION OF TAMPA
Plan administrator’s address 825 WEST LINEBAUGH AVE, TAMPA, FL, 33612
Administrator’s telephone number 8139315560

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing HEALTHCARE CONNECTION OF TAMPA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Myers, Patrick J Agent 825 W LINEBAUGH AVE, TAMPA, FL 33612

Chief Executive Officer

Name Role Address
Myers, Patrick J Chief Executive Officer 825 W LINEBAUGH AVE, TAMPA, FL 33612

Director

Name Role Address
Myers, Patrick J Director 825 W LINEBAUGH AVE, TAMPA, FL 33612

President

Name Role Address
Myers, Patrick J President 825 W LINEBAUGH AVE, TAMPA, FL 33612

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
AMENDMENT 2018-07-02 No data No data
REGISTERED AGENT NAME CHANGED 2014-04-30 Myers, Patrick J No data
REGISTERED AGENT ADDRESS CHANGED 2000-05-09 825 W LINEBAUGH AVE, TAMPA, FL 33612 No data
CHANGE OF PRINCIPAL ADDRESS 2000-05-09 825 W LINEBAUGH AVE, TAMPA, FL 33612 No data
CHANGE OF MAILING ADDRESS 2000-05-09 825 W LINEBAUGH AVE, TAMPA, FL 33612 No data
REINSTATEMENT 1995-01-27 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1994-08-26 No data No data

Documents

Name Date
ANNUAL REPORT 2020-03-30
ANNUAL REPORT 2019-06-13
Amendment 2018-07-02
ANNUAL REPORT 2018-01-11
AMENDED ANNUAL REPORT 2017-08-04
AMENDED ANNUAL REPORT 2017-05-10
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-05-19
ANNUAL REPORT 2014-04-30

Related by officers

Myers, Patrick J

DAVID P. MYERS, M.D., P.A.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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