| Entity Name: | COMMUNITY CARE RESOURCES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Mar 2020 (5 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 19 Oct 2020 (4 years ago) |
| Document Number: | N20000002770 |
| FEI/EIN Number | 84-5135219 |
| Address: | 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL 33027 |
| Mail Address: | 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL 33027 |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336973429 | 2024-08-29 | 2024-10-11 | 15800 PINES BLVD STE 332330, PEMBROKE PINES, FL, 330271212, US | 280 PATTERSON RD STE 3, HAINES CITY, FL, 338446261, US | |||||||||||||||||
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| Phone | +1 863-877-4489 |
Authorized person
| Name | VICTORIA BARNHART |
| Role | DIRECTOR |
| Phone | 8772872520 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY CARE RESOURCES 401(K) PLAN | 2023 | 845135219 | 2024-05-09 | COMMUNITY CARE RESOURCES INC | 19 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-09 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 7542102735 |
| Plan sponsor’s address | 15800 PINES BOULEVARD,, SUITE 330, PEMBROKE PINES, FL, 33027 |
Signature of
| Role | Plan administrator |
| Date | 2024-10-12 |
| Name of individual signing | VICTORIA BARNHART |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7542102735 |
| Plan sponsor’s address | 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL, 33027 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-11-29 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9543625432 |
| Plan sponsor’s address | 15800 PINES BLVD SUITE 332, PEMBROKE PINES, FL, 33027 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-18 |
| Name of individual signing | VICTORIA BARNHART |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| VHB MEDICAL MANAGEMENTS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BARNHART, VICTORIA | Chief Executive Officer | 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL 33027 |
| Name | Role | Address |
|---|---|---|
| BARNHART, VICTORIA | President | 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL 33027 |
| Name | Role | Address |
|---|---|---|
| BARNHART, VICTORIA | Director | 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL 33027 |
| Wilson-Greene, Harriette | Director | 1852 N.W. 47 Terrace, Miami, FL 33142 |
| Memon, Zahid | Director | 2725 Crane Trace Circle, Orlando, FL 32837 |
| Bennett, Trenise | Director | 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL 33027 |
| Name | Role | Address |
|---|---|---|
| Wilson-Greene, Harriette | Vice President | 1852 N.W. 47 Terrace, Miami, FL 33142 |
| Name | Role | Address |
|---|---|---|
| Wilson-Greene, Harriette | Treasurer | 1852 N.W. 47 Terrace, Miami, FL 33142 |
| Name | Role | Address |
|---|---|---|
| Garcia, Nikkisha | Secretary | 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL 33027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000006875 | COMMUNITY CARE RESOURCES PHARMACY | ACTIVE | 2025-01-15 | 2030-12-31 | No data | 280 PATTERSON ROAD, SUITE 3, HAINES CITY, FL, 33844 |
| G22000034896 | CCRSFL-ALTAMONTE | ACTIVE | 2022-03-16 | 2027-12-31 | No data | 15800 PINES BOULEVARD, SUITE 332, PEMBROKE PINES, FL, 33027 |
| G20000083365 | COMMUNITY CARE RESOURCES OF FLORIDA | ACTIVE | 2020-07-16 | 2025-12-31 | No data | 15800 PINES BOULEVARD, SUITE 332, PEMBROKE PINES, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-03-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-22 | 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-22 | 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-09-22 | 15800 PINES BOULEVARD, SUITE 330, PEMBROKE PINES, FL 33027 | No data |
| AMENDMENT | 2020-10-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-05 |
| AMENDED ANNUAL REPORT | 2021-09-22 |
| ANNUAL REPORT | 2021-02-11 |
| Amendment | 2020-10-19 |
| Domestic Non-Profit | 2020-03-05 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
