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  5. FOUNDCARE, INC.

FOUNDCARE, INC.

Company Details

Entity Name: FOUNDCARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 20 Jun 2002 (23 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 21 Aug 2013 (11 years ago)
Document Number: N02000004723
FEI/EIN Number 542083748
Address: 2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33406, US
Mail Address: 2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33406, US
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538927652 2024-03-12 2024-03-12 2330 S CONGRESS AVE, WEST PALM BEACH, FL, 334067608, US 2330 S CONGRESS AVE, WEST PALM BEACH, FL, 334067608, US

Contacts
Phone +1 561-432-5849
Fax 5612830677

Authorized person
Name CHRISTOPHER FRANCIS IRIZARRY
Role CEO
Phone 5614327901

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOUNDCARE, INC. RETIREMENT PLAN 2022 542083748 2023-10-13 FOUNDCARE, INC. 211
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 624100
Sponsor’s telephone number 5614729160
Plan sponsor’s mailing address PO BOX 18887, PALM SPRINGS, FL, 33416
Plan sponsor’s address 2330 S CONGRESS, WEST PALM BEACH, FL, 33406

Number of participants as of the end of the plan year
Active participants 150
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 31
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 122
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing ANDY ANTENOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-13
Name of individual signing ANDY ANTENOR
Valid signature Filed with authorized/valid electronic signature
FOUNDCARE, INC. RETIREMENT PLAN 2016 542083748 2017-05-01 FOUNDCARE, INC. 120
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 624100
Sponsor’s telephone number 5614729160
Plan sponsor’s address 2330 S. CONGRESS, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2017-05-01
Name of individual signing ROBERT AGUERO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-01
Name of individual signing ROBERT AGUERO
Valid signature Filed with authorized/valid electronic signature
FOUNDCARE, INC. RETIREMENT PLAN 2015 542083748 2016-06-28 FOUNDCARE, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 624100
Sponsor’s telephone number 5614729160
Plan sponsor’s address 2330 S, CONGRESS, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing ROBERT AGUERO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-28
Name of individual signing ROBERT AGUERO
Valid signature Filed with authorized/valid electronic signature
FOUNDCARE, INC. RETIREMENT PLAN 2014 542083748 2015-07-17 FOUNDCARE, INC. 101
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 624100
Sponsor’s telephone number 5614729160
Plan sponsor’s address 2330 S, CONGRESS, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2015-07-17
Name of individual signing ROBERT AGUERO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-17
Name of individual signing ROBERT AGUERO
Valid signature Filed with authorized/valid electronic signature
FOUNDCARE, INC. RETIREMENT PLAN 2013 542083748 2014-07-29 FOUNDCARE, INC. 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 624100
Sponsor’s telephone number 5614729160
Plan sponsor’s address 2330 SOUTH CONGRESS AVE, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing ROBERT AGUERO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
COE VANESSA E Agent 423 FERN STREET, WEST PALM BEACH, FL, 33401

Director

Name Role Address
Druskin Ken Director 2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33406
Dodson David Director 2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33406
Carden Stephanie Director 2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33406
Gordon Paul Director 2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33406
Diaz Eric Director 2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33406

Secretary

Name Role Address
Condes Bertha Secretary 2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33406

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000078380 CAP ACTIVE 2014-07-30 2029-12-31 No data 2330 SOUTH CONGRESS AVENUE, PALM SPRINGS, FL, 33406
G13000128368 COMPREHENSIVE AIDS PROGRAM OF PALM BEACH COUNTY ACTIVE 2013-12-30 2028-12-31 No data FOUNDCARE, INC., 2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33406
G09000161851 FOUNDCARE HEALTH CENTER ACTIVE 2009-10-05 2029-12-31 No data 2330 S. CONGRESS AVENUE, PALM SPRINGS, FL, 33406
G09000157647 FOUNDCARE COMMUNITY HEALTH CENTER EXPIRED 2009-09-22 2014-12-31 No data 2330 S. CONGRESS AVENUE, PALM SPRINGS, FL, 33406, US
G09000157595 FOUNDCARE EXPIRED 2009-09-22 2014-12-31 No data 2330 S.CONGRESS AVE., WEST PALM BEACH, FL, 33406
G09000101372 CCCNET COMMUNITY HEALTH CENTER EXPIRED 2009-04-27 2014-12-31 No data 2330 S. CONGRESS AVENUE, PALM SPRINGS, FL, 33406

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-01-25 COE, VANESSA ESQ No data
MERGER 2013-08-21 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000133739
AMENDMENT AND NAME CHANGE 2011-04-22 FOUNDCARE, INC. No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-04 423 FERN STREET, SUITE 200, WEST PALM BEACH, FL 33401 No data
CHANGE OF PRINCIPAL ADDRESS 2003-04-29 2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL 33406 No data
CHANGE OF MAILING ADDRESS 2003-04-29 2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL 33406 No data

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-05
AMENDED ANNUAL REPORT 2023-09-21
ANNUAL REPORT 2023-02-01
AMENDED ANNUAL REPORT 2022-03-24
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-01-11
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-01-03

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Diaz Eric

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Related by address

2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33406, US

FOUNDCARE FOUNDATION, INC.

2330 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL, 33406, US

FOUNDCARE FOUNDATION, INC.

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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