| Entity Name: | PANHANDLE BEHAVIORAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 13 Nov 2023 (a year ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 13 Nov 2023 (a year ago) |
| Document Number: | N23000014029 |
| Address: | 1229 AIRPORT RD, PANAMA CITY, FL, 32405, US |
| Mail Address: | 1229 AIRPORT RD, PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PANHANDLE BEHAVIORAL SERVICES 401(K) PLAN | 2023 | 934742803 | 2024-05-15 | PANHANDLE BEHAVIORAL SERVICES, INC | 17 | |||||||||||||||||||||||||||||||
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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 | 2024-05-15 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MARTIN CHARLES BRENT | Agent | 198 ESCANABA AVE, PANAMA CITY BEACH, FL, 32413 |
| Name | Role | Address |
|---|---|---|
| MARTIN CHARLES BRENT | President | 198 ESCANABA AVE, PANAMA CITY BEACH, FL, 32413 |
| Name | Role | Address |
|---|---|---|
| MARTIN CHARLES BRENT | Chief Executive Officer | 198 ESCANABA AVE, PANAMA CITY BEACH, FL, 32413 |
| Name | Role | Address |
|---|---|---|
| CONDE KERRY | CBRD | 21 WOODLAND ST, LAKE KONKONKOMA, NY, 11779 |
| Name | Role | Address |
|---|---|---|
| ELLIS CLAIRE | Secretary | 4828 HARBOR OAKS WAY, VIRGINIA BEACH, VA, 23455 |
| Name | Role | Address |
|---|---|---|
| WING ANN | Treasurer | 1311 NEW YORK AVE, LYNN HAVEN, FL, 32444 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2023-11-13 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L15000134727. CONVERSION NUMBER 500000246675 |
| Name | Date |
|---|---|
| Domestic Non-Profit | 2023-11-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
