| Entity Name: | SOUTH FLORIDA WELLNESS NETWORK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 18 Feb 2014 (11 years ago) |
| Document Number: | N14000001610 |
| FEI/EIN Number | 47-1087192 |
| Address: | 5225 NW 33RD Ave, FT. LAUDERDALE, FL, 33309, US |
| Mail Address: | 5225 NW 33RD Ave, FT. LAUDERDALE, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336504786 | 2015-12-29 | 2017-04-13 | 2901 W CYPRESS CREEK RD STE 105, FORT LAUDERDALE, FL, 333091730, US | 2901 W CYPRESS CREEK RD STE 105, FORT LAUDERDALE, FL, 333091730, US | |||||||||||||
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| Phone | +1 954-533-0585 |
Authorized person
| Name | MRS. SUSAN NYAMORA |
| Role | PRESIDENT & CEO |
| Phone | 9546290405 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTH FLORIDA WELLNESS NETWORK, INC. 403(B) PLAN | 2023 | 471087192 | 2024-10-04 | SOUTH FLORIDA WELLNESS NETWORK, INC. | 25 | |||||||||||||||||||||||||||||||
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| SOUTH FLORIDA WELLNESS NETWORK INC. GHT BENEFIT PLAN | 2022 | 471087192 | 2024-01-30 | SOUTH FLORIDA WELLNESS NETWORK INC. | 27 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 851828091 |
| Plan administrator’s name | MARILU RIOS |
| Plan administrator’s address | 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131 |
| Administrator’s telephone number | 3053507700 |
Signature of
| Role | Plan administrator |
| Date | 2024-01-30 |
| Name of individual signing | MARILU RIOS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Merolla Nancy L | Agent | 5225 NW 33RD Ave, FT. LAUDERDALE, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| Merolla Nancy L | Director | 5225 NW 33RD Ave, FT. LAUDERDALE, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| Merolla Nancy L | President | 5225 NW 33RD Ave, FT. LAUDERDALE, FL, 33309 |
| NYAMORA SUSAN | President | 5225 NW 33RD AVE, FT. LAUDERDALE, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| Kaufman Joyce | Boar | 5225 NW 33RD Ave, Fort Lauderdale, FL, 33309 |
| Churchill Jane | Boar | 5225 NW 33RD Ave, FT. LAUDERDALE, FL, 33309 |
| Perry Tim | Boar | 5225 NW 33RD Ave, FT. LAUDERDALE, FL, 33309 |
| Ruza Linda L | Boar | 5225 NW 33RD Ave, FT. LAUDERDALE, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-07 | 5225 NW 33RD Ave, FT. LAUDERDALE, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-08 | 5225 NW 33RD Ave, FT. LAUDERDALE, FL 33309 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-08 | 5225 NW 33RD Ave, FT. LAUDERDALE, FL 33309 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-09-23 | Merolla, Nancy L | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-19 |
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-09 |
| AMENDED ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-04-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
