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GRACE MEDICAL HOME, INC.

Company Details

Entity Name: GRACE MEDICAL HOME, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 22 Jan 2008 (17 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 13 Jan 2011 (14 years ago)
Document Number: N08000000672
FEI/EIN Number 261817966
Address: 1417 E. Concord Street, Orlando, FL, 32803, US
Mail Address: 1417 E. Concord Street, Orlando, FL, 32803, US
ZIP code: 32803
County: Orange
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRACE MEDICAL HOME, INC. 403(B) PLAN 2023 261817966 2024-07-01 GRACE MEDICAL HOME, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 621112
Sponsor’s telephone number 4079362785
Plan sponsor’s address 1417 E. CONCORD ST., ORLANDO, FL, 32803

Signature of

Role Plan administrator
Date 2024-07-01
Name of individual signing BETTINA HOLLAND
Valid signature Filed with authorized/valid electronic signature
GRACE MEDICAL HOME, INC. 403(B) PLAN 2022 261817966 2023-07-11 GRACE MEDICAL HOME, INC. 36
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 621112
Sponsor’s telephone number 4079362785
Plan sponsor’s address 1417 E. CONCORD ST., ORLANDO, FL, 32803

Signature of

Role Plan administrator
Date 2023-07-11
Name of individual signing BETTINA HOLLAND
Valid signature Filed with authorized/valid electronic signature
GRACE MEDICAL HOME, INC. 403(B) PLAN 2022 261817966 2023-09-18 GRACE MEDICAL HOME, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 621112
Sponsor’s telephone number 4079362785
Plan sponsor’s address 1417 E. CONCORD ST., ORLANDO, FL, 32803

Signature of

Role Plan administrator
Date 2023-09-18
Name of individual signing BETTINA HOLLAND
Valid signature Filed with authorized/valid electronic signature
GRACE MEDICAL HOME, INC. 403(B) PLAN 2021 261817966 2022-10-13 GRACE MEDICAL HOME, INC. 4
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 621112
Sponsor’s telephone number 4079362785
Plan sponsor’s address 1417 E. CONCORD ST., ORLANDO, FL, 32803

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing BETTINA HOLLAND
Valid signature Filed with authorized/valid electronic signature
GRACE MEDICAL HOME, INC. 403(B) PLAN 2021 261817966 2022-10-31 GRACE MEDICAL HOME, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 621112
Sponsor’s telephone number 4079362785
Plan sponsor’s address 1417 E. CONCORD ST., ORLANDO, FL, 32803

Signature of

Role Plan administrator
Date 2022-10-31
Name of individual signing BETTINA HOLLAND
Valid signature Filed with authorized/valid electronic signature
GRACE MEDICAL HOME, INC. 403(B) PLAN 2020 261817966 2021-06-04 GRACE MEDICAL HOME, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 621112
Sponsor’s telephone number 4079362785
Plan sponsor’s address 1417 E. CONCORD ST., ORLANDO, FL, 32803
GRACE MEDICAL HOME, INC. 403(B) PLAN 2019 261817966 2020-05-08 GRACE MEDICAL HOME, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 621112
Sponsor’s telephone number 4079362785
Plan sponsor’s address 1417 E. CONCORD ST., ORLANDO, FL, 32803
GRACE MEDICAL HOME, INC. 403(B) PLAN 2018 261817966 2019-06-21 GRACE MEDICAL HOME, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 621112
Sponsor’s telephone number 4079362785
Plan sponsor’s address 51 PENNSYLVANIA ST., ORLANDO, FL, 32806
GRACE MEDICAL HOME, INC. 403(B) PLAN 2017 261817966 2018-06-12 GRACE MEDICAL HOME INC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 621112
Sponsor’s telephone number 4079362785
Plan sponsor’s address 51 PENNSYLVANIA ST., ORLANDO, FL, 32806

Signature of

Role Plan administrator
Date 2018-06-12
Name of individual signing STEPHANIE GARRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-12
Name of individual signing STEPHANIE GARRIS
Valid signature Filed with authorized/valid electronic signature
GRACE MEDICAL HOME, INC. 403(B) PLAN 2016 261817966 2017-05-30 GRACE MEDICAL HOME, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-07-01
Business code 621112
Sponsor’s telephone number 4079362785
Plan sponsor’s address 51 PENNSYLVANIA ST., ORLANDO, FL, 32806

Signature of

Role Plan administrator
Date 2017-05-30
Name of individual signing STEPHANIE GARRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-30
Name of individual signing STEPHANIE GARRIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GARRIS STEPHANIE NCEO Agent 1417 E. Concord Street, Orlando, FL, 32803

Trustee

Name Role Address
HARDY MARVIN Trustee 1417 E. Concord Street, Orlando, FL, 32803

Director

Name Role Address
KING MARILYN Director 1417 E. Concord Street, Orlando, FL, 32803
MORGAN DIANNA Director 1417 E. Concord Street, Orlando, FL, 32803
Moorhead Sheryl Director 1417 E. Concord Street, Orlando, FL, 32803

Chairman

Name Role Address
Aitcheson Michael Chairman 1417 E. Concord Street, Orlando, FL, 32803

Imme

Name Role Address
Stewart Christine Imme 1417 E. Concord Street, Orlando, FL, 32803

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-30 1417 E. Concord Street, Orlando, FL 32803 No data
CHANGE OF MAILING ADDRESS 2020-01-30 1417 E. Concord Street, Orlando, FL 32803 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-30 1417 E. Concord Street, Orlando, FL 32803 No data
REGISTERED AGENT NAME CHANGED 2017-02-08 GARRIS, STEPHANIE N, CEO No data
REINSTATEMENT 2011-01-13 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-02-16
ANNUAL REPORT 2022-02-11
ANNUAL REPORT 2021-02-17
ANNUAL REPORT 2020-01-30
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-02-07
ANNUAL REPORT 2017-02-08
ANNUAL REPORT 2016-02-16
ANNUAL REPORT 2015-03-24

Date of last update: 01 Jan 2025

Sources: Florida Department of State