Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Broward
    4. ›
  4. 33313
    5. ›
  5. HUMAN SERVICES NETWORK, INC.

HUMAN SERVICES NETWORK, INC.

Company Details

Entity Name: HUMAN SERVICES NETWORK, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 17 Sep 1984 (40 years ago)
Document Number: N05178
FEI/EIN Number 592450043
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

Agent

Name Role Address
Gray Marlene Agent 4355 West Sunrise Boulevard, PLANTATION, FL, 33313

Exec

Name Role Address
GRAY MARLENE Exec 4355 West Sunrise Boulevard, PLANTATION, FL, 33313

Boar

Name Role Address
FRANCOIS PHOEBEE R Boar 201 SE 6 CT, #530, FORT LAUDERDALE, FL, 33301
GERONEMUS DIANN Boar 833 NW 81ST WAY, PLANTATION, FL, 33324
ADAMS MARY Boar 401 EAST LAS OLAS BLVD, FORT LAUDERDALE, FL, 33301

BOAR

Name Role Address
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

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 No data 451 NORTH STATE ROAD 7, PLANTATION, FL, 33317
G22000091856 MEALS ON WHEELS SOUTH FLORIDA ACTIVE 2022-08-04 2027-12-31 No data 4355 WEST SUNRISE BOULEVARD, PLANTATION, FL, 33313
G16000045065 MEALS ON WHEELS SOUTH FLORIDA ACTIVE 2016-05-03 2026-12-31 No data 4355 WEST SUNRISE BOULEVARD, PLANTATION, FL, 33317
G16000043727 MEALS ON WHEELS OF SOUTH FLORIDA EXPIRED 2016-04-29 2021-12-31 No data 451 N STATE ROAD 7, PLANTATION, FL, 33317
G09000181225 BROWARD MEALS ON WHEELS EXPIRED 2009-12-04 2024-12-31 No data 451 NORTH STATE ROAD 7, PLANTATION, FL, 33317

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2009-10-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CANCEL ADM DISS/REV 2008-10-03 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
AMENDMENT 1985-04-11 No data No data

Related by officers

GRAY MARLENE

UNITED HEARING AND DEAF SERVICES, INC.

FRANCOIS PHOEBEE R

MINORITY DEVELOPMENT AND EMPOWERMENT, INC.

GERONEMUS DIANN

BROWARD HOMEBOUND PROGRAM, INC.

ADAMS MARY

ADAMS PASTURE LLC R.E. OSCAR INVESTMENTS CORP. MARY E. ADAMS ARNP LLC RED LEATHER LLC SATELLITE DESIGN & TECHNOLOGY INC. BIG BEND CENTER FOR HUMAN SERVICES INC. RIVERVIEW INVESTMENTS, LLC REAL TIME INTEGRATION, INC. THE PEGGY WILLIS BALLET COMPANY OF THE CONSERVATORY OF CLASSICALBALLET, INC. PEACE OF HIGHLANDS COUNTY, INC.

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated