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BROWARD BEHAVIORAL HEALTH COALITION, INC.

Company Details

Entity Name: BROWARD BEHAVIORAL HEALTH COALITION, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 13 Oct 2011 (13 years ago)
Document Number: N11000009707
FEI/EIN Number 453675836
Address: 3521 West Broward Boulevard, Lauderhill, FL, 33312, US
Mail Address: 3521 West Broward Boulevard, Lauderhill, FL, 33312, US
ZIP code: 33312
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821333717 2012-12-03 2012-12-03 1715 SE 4TH AVE, FORT LAUDERDALE, FL, 333162515, US 1715 SE 4TH AVE, FORT LAUDERDALE, FL, 333162515, US

Contacts

Phone +1 954-622-8121
Fax 9546781625

Authorized person

Name MRS. SILVIA QUINTANA
Role CEO
Phone 9546228121

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF BROWARD BEHAVIORAL HEALTH COALITION, INC. 2020 453675836 2021-10-12 BROWARD BEHAVIORAL HEALTH COALITION, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 621399
Sponsor’s telephone number 9546228121
Plan sponsor’s address 3521 W BROWARD BLVD STE 206, LAUDERHILL, FL, 333121049

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing STEVE ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF BROWARD BEHAVIORAL HEALTH COALITION, INC. 2019 453675836 2020-10-12 BROWARD BEHAVIORAL HEALTH COALITION, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 621399
Sponsor’s telephone number 9546228121
Plan sponsor’s address 3521 W BROWARD BLVD STE 206, LAUDERHILL, FL, 333121049

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing STEVE ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF BROWARD BEHAVIORAL HEALTH COALITION, INC. 2018 453675836 2019-10-11 BROWARD BEHAVIORAL HEALTH COALITION, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 624100
Sponsor’s telephone number 9546228121
Plan sponsor’s address 3521 W. BROWARD BLVD., STE. 206, LAUDERHILL, FL, 33312

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing STEVE ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF BROWARD BEHAVIORAL HEALTH COALITION, INC. 2017 453675836 2018-10-12 BROWARD BEHAVIORAL HEALTH COALITION INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 624100
Sponsor’s telephone number 9546228121
Plan sponsor’s address 1715 SE 4TH AVE, FT LAUDERDALE, FL, 33316

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-12
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF BROWARD BEHAVIORAL HEALTH COALITION, INC. 2016 453675836 2017-06-29 BROWARD BEHAVIORAL HEALTH COALITION , INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 624100
Sponsor’s telephone number 9546228121
Plan sponsor’s address 1715 SE 4TH AVE, FT LAUDERDALE, FL, 33316

Signature of

Role Plan administrator
Date 2017-06-29
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-29
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF BROWARD BEHAVIORAL HEALTH COALITION, INC. 2015 453675836 2016-07-13 BROWARD BEHAVIORAL HEALTH COALITION , INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 624100
Sponsor’s telephone number 9546228121
Plan sponsor’s address 1715 SE 4TH AVE, FT LAUDERDALE, FL, 33316

Signature of

Role Plan administrator
Date 2016-07-13
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-13
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF BROWARD BEHAVIORAL HEALTH COALITION, INC. 2014 453675836 2015-07-27 BROWARD BEHAVIORAL HEALTH COALITION , INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 624100
Sponsor’s telephone number 9546228121
Plan sponsor’s address 1715 SE 4TH AVE, FT LAUDERDALE, FL, 33316

Signature of

Role Plan administrator
Date 2015-07-27
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF BROWARD BEHAVIORAL HEALTH COALITION, INC. 2013 453675836 2014-07-31 BROWARD BEHAVIORAL HEALTH COALITION , INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-06-01
Business code 624100
Sponsor’s telephone number 9546228121
Plan sponsor’s address 1715 SE 4TH AVE, FT LAUDERDALE, FL, 33316

Signature of

Role Plan administrator
Date 2014-07-31
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-31
Name of individual signing STEPHEN ZUCKERMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KLAHR JULIE F Agent GOREN CHEROF DOODY & EZROL, P.A., FORT LAUDERDALE, FL, 33308

Director

Name Role Address
McGarry Neal Director 1104 Mango Isle, Fort Lauderdale, FL, 333151330
Gottlieb Michael Director 1311 SE 2nd Avenue, Fort Lauderdale, FL, 33316
Africk Pamela Director 15 Southeast 9 Ave., Fort Lauderdale, FL, 33301
Akiti Melida Director 14966 SW 33rd St., Davie, FL, 33331

Secretary

Name Role Address
Valladares Ana Secretary 16731 Harbor Ct., Weston, FL, 33326

Treasurer

Name Role Address
Rein Larry Treasurer 313 North State Road 7, Broward, FL, 33317

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-04-30 3521 West Broward Boulevard, Suite 206, Lauderhill, FL 33312 No data
CHANGE OF MAILING ADDRESS 2018-04-30 3521 West Broward Boulevard, Suite 206, Lauderhill, FL 33312 No data
REGISTERED AGENT NAME CHANGED 2013-02-08 KLAHR, JULIE F. No data
REGISTERED AGENT ADDRESS CHANGED 2013-02-08 GOREN CHEROF DOODY & EZROL, P.A., 3099 E. COMMERCIAL BLVD.,, SUITE 200, FORT LAUDERDALE, FL 33308 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J19000412427 TERMINATED 1000000829454 BROWARD 2019-06-10 2029-06-12 $ 474.73 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-06
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-02-18
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State