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  5. IMPACT BROWARD, INC.

IMPACT BROWARD, INC.

Company Details

Entity Name: IMPACT BROWARD, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 29 Aug 2011 (13 years ago)
Date of dissolution: 27 Sep 2011 (13 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 27 Sep 2011 (13 years ago)
Document Number: N11000008158
Address: 4701 N W 33RD AVENUE, FORT LAUDERDALE, FL, 33309, US
Mail Address: 4701 N W 33RD AVENUE, FORT LAUDERDALE, FL, 33309, US
ZIP code: 33309
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IMPACT BROWARD, INC. RETIREMENT PLAN 2015 591297932 2017-04-13 IMPACT BROWARD, INC. 23
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 813000
Sponsor’s telephone number 9544847117
Plan sponsor’s address 4701 NW 33 AVE., FT. LAUDERDALE, FL, 33309

Signature of
Role Plan administrator
Date 2017-04-13
Name of individual signing PETER KALDES
Valid signature Filed with authorized/valid electronic signature
IMPACT BROWARD, INC. RETIREMENT PLAN 2015 591297932 2018-02-01 IMPACT BROWARD, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 813000
Sponsor’s telephone number 9544847117
Plan sponsor’s address 4701 NW 33 AVE., FT. LAUDERDALE, FL, 33309
IMPACT BROWARD, INC. RETIREMENT PLAN 2014 591297932 2017-07-12 IMPACT BROWARD, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 813000
Sponsor’s telephone number 9544847117
Plan sponsor’s address 4701 NW 33 AVE., FT. LAUDERDALE, FL, 33309

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing PETER KALDES
Valid signature Filed with authorized/valid electronic signature
IMPACT BROWARD, INC. RETIREMENT PLAN 2014 591297932 2017-01-31 IMPACT BROWARD, INC. 20
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 813000
Sponsor’s telephone number 9544847117
Plan sponsor’s address 4701 NW 33 AVE., FT. LAUDERDALE, FL, 33309

Signature of
Role Plan administrator
Date 2017-01-31
Name of individual signing PETER KALDES
Valid signature Filed with authorized/valid electronic signature
IMPACT BROWARD, INC. RETIREMENT PLAN 2013 591297932 2014-09-29 IMPACT BROWARD, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 813000
Sponsor’s telephone number 9544847117
Plan sponsor’s address 4701 NW 33RD AVE, OAKLAND PARK, FL, 333096807

Signature of
Role Plan administrator
Date 2014-09-25
Name of individual signing JOHN GARGOTTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-29
Name of individual signing JOHN GARGOTTA
Valid signature Filed with authorized/valid electronic signature
IMPACT BROWARD, INC. RETIREMENT PLAN 2012 591297932 2013-10-02 IMPACT BROWARD, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 813000
Sponsor’s telephone number 9544847117
Plan sponsor’s address 4701 NW 33RD AVE, OAKLAND PARK, FL, 333096807

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing PATRICK MCGOWAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-02
Name of individual signing PATRICK MCGOWAN
Valid signature Filed with authorized/valid electronic signature
SENIOR VOLUNTEER SERVICES, INC RETIREMENT PLAN 2011 591297932 2012-08-30 IMPACT BROWARD, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-07-01
Business code 813000
Sponsor’s telephone number 9544847117
Plan sponsor’s address 4701 NW 33RD AVE, OAKLAND PARK, FL, 333096807

Plan administrator’s name and address
Administrator’s EIN 591297932
Plan administrator’s name IMPACT BROWARD, INC.
Plan administrator’s address 4701 NW 33RD AVE, OAKLAND PARK, FL, 333096807
Administrator’s telephone number 9544847117

Signature of
Role Plan administrator
Date 2012-08-30
Name of individual signing PATRICK MCGOWAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-30
Name of individual signing PATRICK MCGOWAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GARGOTTA JOHN R Agent 10602 NW 6TH COURT, PLANTATION, FL, 33324

Chairman

Name Role Address
CREP MARLENE Chairman 401 N.W. 42ND AVENUE, PLANTATION, FL, 33317

Vice Chairman

Name Role Address
WEITZ PETER E Vice Chairman 5571 N. UNIVERSITY DRIVE STE 104, CORAL SPRINGS, FL, 33067

Secretary

Name Role Address
LAUER DEBORAH A Secretary 10111 NW 14 STREET, PLANTATION, FL, 33322

Treasurer

Name Role Address
SZKARADEK ANDY Treasurer 201 S. BISCAYNE BLVD 28TH FLOOR, MIAMI, FL, 33131

President

Name Role Address
GARGOTTA JOHN R President 10602 NW 6TH COURT, PLANTATION, FL, 33324

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2011-09-27 No data No data

Documents

Name Date
Voluntary Dissolution 2011-09-27
Domestic Non-Profit 2011-08-29

Related by officers

CREP MARLENE

VOLUNTEER AUXILIARY, INC. OF PLANTATION GENERAL HOSPITAL

WEITZ PETER E

LONGMEADOW PARTNERS, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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