| Entity Name: | PROJECT RESPONSE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Mar 1990 (35 years ago) |
| Last Event: | RESTATED ARTICLES |
| Event Date Filed: | 04 May 1994 (31 years ago) |
| Document Number: | N36919 |
| FEI/EIN Number | 59-3036563 |
| Address: | 378 N BABCOCK ST STE B, MELBOURNE, FL 32935 |
| Mail Address: | 378 N BABCOCK ST STE B, MELBOURNE, FL 32935 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487188058 | 2017-04-20 | 2018-03-28 | 745 S. APOLLO BOULEVARD, MELBOURNE, FL, 32901, US | 747 S. APOLLO BOULEVARD, MELBOURNE, FL, 32901, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 321-724-1177 |
| Fax | 3217242255 |
| Phone | +1 321-372-5003 |
| Fax | 3213455671 |
Authorized person
| Name | MRS. CHRISTINE ANN HACKFORD |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3217241177 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROJECT RESPONSE 403(B) PLAN | 2023 | 593036563 | 2024-02-27 | PROJECT RESPONSE, INC. | 24 | |||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-02-27 |
| Name of individual signing | ERIK HENDRICKSON-CRUZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-02-27 |
| Name of individual signing | ERIK HENDRICKSON-CRUZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-07-01 |
| Business code | 621410 |
| Sponsor’s telephone number | 3217241177 |
| Plan sponsor’s address | 745 SOUTH APOLLO BOULEVARD, MELBOURNE, FL, 329011457 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-05 |
| Name of individual signing | CHRISTINE HACKFORD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-04-05 |
| Name of individual signing | CHRISTINE HACKFORD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-07-01 |
| Business code | 621410 |
| Sponsor’s telephone number | 3217241177 |
| Plan sponsor’s address | 745 SOUTH APOLLO BOULEVARD, MELBOURNE, FL, 329011457 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-13 |
| Name of individual signing | VALERIE BOHREN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HENDRICKSON CRUZ, ERIK | Agent | 465 MARK ST, SEBASTIAN, FL 32958 |
| Name | Role | Address |
|---|---|---|
| DISALVIO, HARRY | Director | 130 ROOSEVELT AVE APT 104, SATELLITE BEACH, FL 32937 |
| CREAGER, ADRIENNE | Director | 745 S APOLLO BLVD, MELBOURNE, FL 32901 |
| Name | Role | Address |
|---|---|---|
| Tracy, John | Secretary | 229 Ellwood Avenue, Satellite Beach, FL 32937 |
| Name | Role | Address |
|---|---|---|
| ALLEN, BRIAN | Vice President | 233 SHORE LANE, INDIAN HARBOUR BEACH, FL 32937 |
| Name | Role | Address |
|---|---|---|
| HAWKES, ANDREW | DIRECTOR | 710 OAK PARK CIRCLE, MERRITT ISLAND, FL 32953 |
| MONDELLO, CHRIS | DIRECTOR | 1911 THESY DRIVE, MELBOURNE, FL 32940 |
| Name | Role | Address |
|---|---|---|
| PECKO, MICHAEL | PRESIDENT | 8767 COCOA COURT, CAPE CANAVERAL, FL 32930 |
| Name | Role | Address |
|---|---|---|
| HENDRICKSON CRUZ, ERIK | EXECUTIVE DIRECTOR | 465 MARK ST, SEBASTIAN, FL 32958 |
| Name | Role | Address |
|---|---|---|
| BROYHILL, WILLIAM | TREASURER | 106 REGATTA STREET, MELBOURNE BEACH, FL 32951 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000096174 | PROJECT RESPONSE TESTING AND TREATMENT CENTER | ACTIVE | 2017-08-25 | 2027-12-31 | No data | 747 SOUTH APOLLO BOULEVARD, MELBOURNE, FL, 32901 |
| G14000027645 | EFA SERVICES | ACTIVE | 2014-03-18 | 2029-12-31 | No data | 378 N BABCOCK ST STE 101, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-10 | 378 N BABCOCK ST STE B, MELBOURNE, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-10 | 378 N BABCOCK ST STE B, MELBOURNE, FL 32935 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-04 | HENDRICKSON CRUZ, ERIK | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-04 | 465 MARK ST, SEBASTIAN, FL 32958 | No data |
| RESTATED ARTICLES | 1994-05-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-20 |
| AMENDED ANNUAL REPORT | 2022-07-07 |
| AMENDED ANNUAL REPORT | 2022-07-05 |
| ANNUAL REPORT | 2022-01-27 |
| AMENDED ANNUAL REPORT | 2021-12-16 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-05-21 |
| ANNUAL REPORT | 2018-01-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
