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MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC.

Company Details

Entity Name: MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 22 Sep 2016 (8 years ago)
Document Number: N16000009379
FEI/EIN Number 81-3960111
Address: 2345 14th Ave., VERO BEACH, FL, 32960, US
Mail Address: 2345 14th Ave., VERO BEACH, FL, 32960, US
ZIP code: 32960
County: Indian River
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC. 401(K) PLAN 2022 813960111 2023-10-04 MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 624100
Sponsor’s telephone number 7722173663
Plan sponsor’s address 2345 14TH AVENUE, SUITE 5, VERO BEACH, FL, 32960
MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC. 401(K) PLAN 2021 813960111 2022-10-03 MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 624100
Sponsor’s telephone number 7722173663
Plan sponsor’s address 2345 14TH AVENUE, SUITE 5, VERO BEACH, FL, 32960

Signature of

Role Plan administrator
Date 2022-10-03
Name of individual signing BRETT HALL
Valid signature Filed with authorized/valid electronic signature
MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC. 401(K) PLAN 2020 813960111 2021-04-01 MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 624100
Sponsor’s telephone number 7722173663
Plan sponsor’s address 2345 14TH AVENUE, SUITE 5, VERO BEACH, FL, 32960

Signature of

Role Plan administrator
Date 2021-04-01
Name of individual signing BRETT HALL
Valid signature Filed with authorized/valid electronic signature
SPIN-OFF TERMINATION PLAN FOR MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC 2020 813960111 2021-10-14 MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-07-10
Business code 541214
Sponsor’s telephone number 7722173663
Plan sponsor’s address 2345 14TH AVENUE,, SUITE 5, VERO BEACH, FL, 32960

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing SHERYL SOUTHWICK
Valid signature Filed with authorized/valid electronic signature
SPIN-OFF TERMINATION PLAN FOR MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC 2020 813960111 2021-07-25 MENTAL HEALTH COLLABORATIVE OF INDIAN RIVER COUNTY, INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-07-10
Business code 541214
Sponsor’s telephone number 7722173663
Plan sponsor’s address 2345 14TH AVENUE,, SUITE 5, VERO BEACH, FL, 32960

Signature of

Role Plan administrator
Date 2021-07-25
Name of individual signing SHERYL SOUTHWICK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Samons Wes F Agent 2345 14th Ave., VERO BEACH, FL, 32960

Exec

Name Role Address
Samons Wes F Exec 2345 14th Avenue, Suite 4, Vero Beach, FL, 32960

Boar

Name Role Address
Egan Meredith Boar 2345 14th Ave., VERO BEACH, FL, 32960

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-09-20 Samons, Wes F No data
CHANGE OF PRINCIPAL ADDRESS 2017-03-30 2345 14th Ave., Suite #5, VERO BEACH, FL 32960 No data
CHANGE OF MAILING ADDRESS 2017-03-30 2345 14th Ave., Suite #5, VERO BEACH, FL 32960 No data
REGISTERED AGENT ADDRESS CHANGED 2017-03-30 2345 14th Ave., Suite #5, VERO BEACH, FL 32960 No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-09-20
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-18
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-03-30
Domestic Non-Profit 2016-09-22

Date of last update: 03 Feb 2025

Sources: Florida Department of State