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  5. ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC.

ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC.

Company Details

Entity Name: ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 25 Jul 2001 (24 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 22 Oct 2024 (4 months ago)
Document Number: N01000005256
FEI/EIN Number 651127438
Address: 21050 95th Avenue S, JCC/Sandler Center, BOCA RATON, FL, 33428, US
Mail Address: 21050 95th Avenue S, JCC/Sandler Center, BOCA RATON, FL, 33428, US
ZIP code: 33428
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174139091 2020-09-16 2022-03-31 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 334281755, US 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 334281755, US

Contacts
Phone +1 561-852-3200
Fax 5618525036

Authorized person
Name MR. MARTY HABERER
Role EXECUTIVE DIRECTOR
Phone 5618523249

Taxonomy
Taxonomy Code 302R00000X - Health Maintenance Organization
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAX DEFERRED ANNUITY PLAN OF ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 2015 651127438 2016-04-22 ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 813000
Sponsor’s telephone number 5618525028
Plan sponsor’s address 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 334281755

Signature of
Role Plan administrator
Date 2016-04-22
Name of individual signing AIMEE KAYE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 2014 651127438 2015-06-03 ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 813000
Sponsor’s telephone number 5618525028
Plan sponsor’s address 9801 DONNA KLEIN BOULEVARD, BOCA RATON, FL, 33428

Signature of
Role Plan administrator
Date 2015-06-03
Name of individual signing AIMEE KAYE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 2013 651127438 2014-06-30 ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 813000
Sponsor’s telephone number 5618525028
Plan sponsor’s address 9801 DONNA KLEIN BOULEVARD, BOCA RATON, FL, 33428

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing AIMEE KAYE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-30
Name of individual signing AIMEE KAYE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 2012 651127438 2013-06-18 ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 813000
Sponsor’s telephone number 5618525028
Plan sponsor’s address 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 33428

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing AIMEE KAYE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 2011 651127438 2012-07-30 ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 813000
Sponsor’s telephone number 5618525028
Plan sponsor’s address 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 33428

Plan administrator’s name and address
Administrator’s EIN 651127438
Plan administrator’s name ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC.
Plan administrator’s address 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 33428
Administrator’s telephone number 5618525028

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing AIMEE KAYE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC 2010 651127438 2012-07-30 ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 813000
Sponsor’s telephone number 5618523200
Plan sponsor’s address 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 33428

Plan administrator’s name and address
Administrator’s EIN 651127438
Plan administrator’s name ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC.
Plan administrator’s address 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 33428
Administrator’s telephone number 5618523200

Signature of
Role Plan administrator
Date 2012-04-17
Name of individual signing AIMEE KAYE
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC 2010 651127438 2011-07-19 ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 7
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 813000
Sponsor’s telephone number 5618523200
Plan sponsor’s address 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 33428

Plan administrator’s name and address
Administrator’s EIN 651127438
Plan administrator’s name ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC.
Plan administrator’s address 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 33428
Administrator’s telephone number 5618523200

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing AIMEE KAYE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing MARTIN SCHNEER
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC 2010 651127438 2011-07-19 ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC. 7
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 813000
Sponsor’s telephone number 5618523200
Plan sponsor’s address 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 33428

Plan administrator’s name and address
Administrator’s EIN 651127438
Plan administrator’s name ADOLPH AND ROSE LEVIS JEWISH COMMUNITY CENTER, INC.
Plan administrator’s address 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 33428
Administrator’s telephone number 5618523200

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing AIMEE KAYE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-18
Name of individual signing MARTIN SCHNEER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Haberer Martin W Agent 21050 95th Avenue S, BOCA RATON, FL, 33428

Treasurer

Name Role Address
Yesner Jeff Treasurer 18029 Samba Lane, boca raton, FL, 33498

President

Name Role Address
Haberer Martin W President 21050 95th Avenue S, BOCA RATON, FL, 33428

Boar

Name Role Address
GRABELSKY EMILY Boar 4448 WOODFIELD BLVD, BOCA RATON, FL, 33428
Clarfield Steven Boar 7667 Estrella Circle, BOCA RATON, FL, 33433

Chief Financial Officer

Name Role Address
Rampersaud Seeta Chief Financial Officer 21050 95th Avenue S, Boca Raton, FL, 33428

Secretary

Name Role Address
Meadow Samantha Secretary 21050 95th Ave S, BOCA RATON, FL, 33428

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000132573 LEVIS JCC BETTY AND MARVIN ZALE EARLY CHILDHOOD LEARNING CENTER ACTIVE 2024-10-29 2029-12-31 No data 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 33428
G24000116525 ADOLPH & ROSE LEVIS JCC ACTIVE 2024-09-17 2029-12-31 No data 21050 95TH AVE S, BOCA RATON, FL, 33428
G24000078041 JCC ACTIVE 2024-06-26 2029-12-31 No data 21050 95TH AVE S, BOCA RATON, FL, 33428
G24000078042 LEVIS JEWISH COMMUNITY CENTER ACTIVE 2024-06-26 2029-12-31 No data 21050 95TH AVE S, BOCA RATON, FL, 33428
G23000114854 LEVIS JCC ACTIVE 2023-09-18 2028-12-31 No data 21050 95TH AVE, BOCA RATON, FL, 33428
G13000104062 BETTY AND MARVIN ZALE EARLY CHILDHOOD LEARNING CENTER ACTIVE 2013-10-22 2028-12-31 No data 9801 DONNA KLEIN BLVD, BOCA RATON, FL, 33428

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-10-22 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-01-23 21050 95th Avenue S, JCC/Sandler Center, BOCA RATON, FL 33428 No data
CHANGE OF MAILING ADDRESS 2023-01-23 21050 95th Avenue S, JCC/Sandler Center, BOCA RATON, FL 33428 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-23 21050 95th Avenue S, JCC/Sanderl Center, BOCA RATON, FL 33428 No data
REGISTERED AGENT NAME CHANGED 2022-03-21 Haberer, Martin W No data
AMENDMENT 2020-10-26 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-27
REINSTATEMENT 2024-10-22
AMENDED ANNUAL REPORT 2023-05-08
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-03-21
ANNUAL REPORT 2021-01-11
Amendment 2020-10-26
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-08

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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