| Entity Name: | FLORIDA SENIOR LIVING ASSOCIATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 22 May 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 23 Dec 2020 (4 years ago) |
| Document Number: | N17000005480 |
| FEI/EIN Number | 821642297 |
| Address: | 2292 WEDNESDAY ST, SUITE 1, TALLAHASSEE, FL, 32308, US |
| Mail Address: | 2292 WEDNESDAY ST, SUITE 1, TALLAHASSEE, FL, 32308, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA SENIOR LIVING ASSOCIATION 401(K) PLAN & TRUST | 2022 | 821642297 | 2023-04-19 | FLORIDA SENIOR LIVING ASSOCIATION | 6 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2023-04-19 |
| Name of individual signing | GAIL MATILLO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-10-01 |
| Business code | 624200 |
| Sponsor’s telephone number | 8504962562 |
| Plan sponsor’s address | 2292 WEDNESDAY STREET, SUITE 1, TALLAHASSEE, FL, 32308 |
Signature of
| Role | Plan administrator |
| Date | 2023-02-14 |
| Name of individual signing | GAIL MATILLO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Hand Jason M | Agent | 2292 WEDNESDAY ST, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| Jedlowski Joe | Chairman | 2292 WEDNESDAY ST, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| Matillo Gail | President | 2292 WEDNESDAY ST, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| Hand Jason M | Vice President | 2292 Wednesday Street, Ste.1, Tallahassee, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-12-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-12-23 | Hand, Jason M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-02-03 |
| REINSTATEMENT | 2020-12-23 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-01-17 |
| Domestic Non-Profit | 2017-05-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
