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  5. HUMAN SERVICES NETWORK, INC.

HUMAN SERVICES NETWORK, INC. - Florida Company Profile

Company Details

Entity Name: HUMAN SERVICES NETWORK, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 17 Sep 1984 (41 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 20 Oct 2009 (15 years ago)
Document Number: N05178
FEI/EIN Number 592450043

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4355 West Sunrise Boulevard, PLANTATION, FL, 33313, US
Mail Address: 4355 West Sunrise Boulevard, PLANTATION, FL, 33313, US
ZIP code: 33313
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699196675 2013-12-18 2013-12-18 451 N STATE ROAD 7, PLANTATION, FL, 333172833, US 451 N STATE ROAD 7, PLANTATION, FL, 333172833, US

Contacts
Phone +1 954-714-6940

Authorized person
Name MR. MARK ADLER
Role EXECUTIVE DIRECTOR
Phone 9547146940

Taxonomy
Taxonomy Code 251V00000X - Voluntary or Charitable Agency
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 673388300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HUMAN SERVICES NETWORK, INC. 2023 592450043 2024-07-18 HUMAN SERVICES NETWORK, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624200
Sponsor’s telephone number 9547318770
Plan sponsor’s address 451 N STATE ROAD 7, PLANTATION, FL, 333172833

Signature of
Role Plan administrator
Date 2024-07-18
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
HUMAN SERVICES NETWORK, INC. 2022 592450043 2023-10-12 HUMAN SERVICES NETWORK, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624200
Sponsor’s telephone number 9547318770
Plan sponsor’s address 451 N STATE ROAD 7, PLANTATION, FL, 333172833

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HUMAN SERVICES NETWORK, INC. 2021 592450043 2022-10-26 HUMAN SERVICES NETWORK, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624200
Sponsor’s telephone number 9547318770
Plan sponsor’s address 451 N STATE ROAD 7, PLANTATION, FL, 333172833

Signature of
Role Plan administrator
Date 2022-10-26
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HUMAN SERVICES NETWORK, INC. 2020 592450043 2021-07-20 HUMAN SERVICES NETWORK, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624200
Sponsor’s telephone number 9547318770
Plan sponsor’s address 451 N STATE ROAD 7, PLANTATION, FL, 333172833

Signature of
Role Plan administrator
Date 2021-07-20
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HUMAN SERVICES NETWORK, INC. 2019 592450043 2020-07-23 HUMAN SERVICES NETWORK, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624200
Sponsor’s telephone number 9547318770
Plan sponsor’s address 451 N STATE ROAD 7, PLANTATION, FL, 333172833

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HUMAN SERVICES NETWORK, INC. 2018 592450043 2019-08-08 HUMAN SERVICES NETWORK, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624200
Sponsor’s telephone number 9547318770
Plan sponsor’s address 451 N STATE ROAD 7, PLANTATION, FL, 333172833

Signature of
Role Plan administrator
Date 2019-08-08
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
403 B THRIFT PLAN OF HUMAN SERVICES NETWORK INC 2017 592450043 2018-10-11 HUMAN SERVICES NETWORK INC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 9547318770
Plan sponsor’s address 451 N STATE ROAD 7, PLANTATION, FL, 333172833

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HUMAN SERVICES NETWORK, INC. HUMAN SERVICES NETWORK, INC. 2016 592450043 2017-06-06 HUMAN SERVICES NETWORK, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 9547318770
Plan sponsor’s address 451 N STATE ROAD 7, PLANTATION, FL, 33317

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-06
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF HUMAN SERVICES NETWORK, INC. HUMAN SERVICES NETWORK, INC. 2015 592450043 2016-06-28 HUMAN SERVICES NETWORK, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 9547318770
Plan sponsor’s address 451 N STATE ROAD 7, PLANTATION, FL, 33317

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-28
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF HUMAN SERVICES NETWORK, INC. 2014 592450043 2015-06-19 HUMAN SERVICES NETWORK, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 624100
Sponsor’s telephone number 9547318770
Plan sponsor’s address 451 N STATE ROAD 7, PLANTATION, FL, 33317

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-19
Name of individual signing SHELLY MCCARTY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GERONEMUS DIANN Boar 833 NW 81ST WAY, PLANTATION, FL, 33324
GRAY MARLENE Exec 4355 West Sunrise Boulevard, PLANTATION, FL, 33313
FRANCOIS PHOEBEE R Boar 201 SE 6 CT, #530, FORT LAUDERDALE, FL, 33301
CONROY THOMAS A BOAR 99 SE Mizner Blvd, PH 2, Boca Raton, FL, 33433
MAGILL RICK BOAR 4901 NW 17TH WAY, FORT LAUDERDALE, FL, 33309
ADAMS MARY Boar 401 EAST LAS OLAS BLVD, FORT LAUDERDALE, FL, 33301
Gray Marlene Agent 4355 West Sunrise Boulevard, PLANTATION, FL, 33313

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000112021 COMPLETE CUISINE ACTIVE 2022-09-08 2027-12-31 - 451 NORTH STATE ROAD 7, PLANTATION, FL, 33317
G22000091856 MEALS ON WHEELS SOUTH FLORIDA ACTIVE 2022-08-04 2027-12-31 - 4355 WEST SUNRISE BOULEVARD, PLANTATION, FL, 33313
G16000045065 MEALS ON WHEELS SOUTH FLORIDA ACTIVE 2016-05-03 2026-12-31 - 4355 WEST SUNRISE BOULEVARD, PLANTATION, FL, 33317
G16000043727 MEALS ON WHEELS OF SOUTH FLORIDA EXPIRED 2016-04-29 2021-12-31 - 451 N STATE ROAD 7, PLANTATION, FL, 33317
G09000181225 BROWARD MEALS ON WHEELS EXPIRED 2009-12-04 2024-12-31 - 451 NORTH STATE ROAD 7, PLANTATION, FL, 33317

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-22 4355 West Sunrise Boulevard, PLANTATION, FL 33313 -
REGISTERED AGENT ADDRESS CHANGED 2024-05-22 4355 West Sunrise Boulevard, PLANTATION, FL 33313 -
REGISTERED AGENT NAME CHANGED 2024-05-22 Gray, Marlene -
CHANGE OF MAILING ADDRESS 2024-05-22 4355 West Sunrise Boulevard, PLANTATION, FL 33313 -
CANCEL ADM DISS/REV 2009-10-20 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
CANCEL ADM DISS/REV 2008-10-03 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -
AMENDMENT 1985-04-11 - -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-05-22
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-07-08

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-2450043 Corporation Unconditional Exemption 4355 W SUNRISE BLVD, PLANTATION, FL, 33313-6749 1985-04
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 5,000,000 to 9,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 7897691
Income Amount 4206987
Form 990 Revenue Amount 4206987
National Taxonomy of Exempt Entities -
Sort Name MEALS ON WHEELS SOUTH FLORIDA

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name HUMAN SERVICES NETWORK INC MEALS ON WHEELS SOUTH FLORIDA
EIN 59-2450043
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name HUMAN SERVICES NETWORK INC MEALS ON WHEELS SOUTH FLORIDA
EIN 59-2450043
Tax Period 201912
Filing Type P
Return Type 990
File View File
Organization Name HUMAN SERVICES NETWORK INC MEALS ON WHEELS SOUTH FLORIDA
EIN 59-2450043
Tax Period 201812
Filing Type P
Return Type 990
File View File
Organization Name HUMAN SERVICES NETWORK INC MEALS ON WHEELS SOUTH FLORIDA
EIN 59-2450043
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name HUMAN SERVICE NETWORK INC MEALS ON WHEELS FLORIDA
EIN 59-2450043
Tax Period 201612
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6725147104 2020-04-14 0455 PPP 451 N. State Road 7, Plantation, FL, 33317
Loan Status Date 2022-06-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 273700
Loan Approval Amount (current) 273700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description New Business or 2 years or less
Project Address Plantation, BROWARD, FL, 33317-0001
Project Congressional District FL-20
Number of Employees 43
NAICS code 624210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 197330.9
Forgiveness Paid Date 2021-04-23

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Companies related by address

No other companies in our directory share the same address as HUMAN SERVICES NETWORK, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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