Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Broward
    4. ›
  4. 33319
    5. ›
  5. CENTER FOR INDEPENDENT LIVING OF BROWARD, INC.

CENTER FOR INDEPENDENT LIVING OF BROWARD, INC.

Company Details

Entity Name: CENTER FOR INDEPENDENT LIVING OF BROWARD, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 17 Jun 1991 (34 years ago)
Last Event: AMENDMENT
Event Date Filed: 20 Aug 2012 (12 years ago)
Document Number: N43974
FEI/EIN Number 65-0292125
Address: 4800 North State Road 7, Bldg F, Suite 102, Ft Lauderdale, FL 33319
Mail Address: 4800 North State Road 7, Bldg F, Suite 102, Ft. Lauderdale, FL 33319
ZIP code: 33319
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104173350 2012-08-07 2012-08-07 4800 N STATE ROAD 7, SUITE 102, LAUDERDALE LAKES, FL, 333195811, US 4800 N STATE ROAD 7, SUITE 102, LAUDERDALE LAKES, FL, 333195811, US

Contacts
Phone +1 954-722-6400
Fax 9547351958

Authorized person
Name CRAIG LILIENTHAL
Role BOARD OF DIRECTORS PRESIDENT
Phone 9547226400

Taxonomy
Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 002045400
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. RETIREMENT SAVINGS PLAN 2023 650292125 2024-10-08 CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 33
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 9547226400
Plan sponsor’s address 4800 N. STATE ROAD 7 SUITE 102, FORT LAUDERDALE, FL, 33319

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing ANITA DIAZ
Valid signature Filed with authorized/valid electronic signature
CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. RETIREMENT SAVINGS PLAN 2022 650292125 2023-03-17 CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 37
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 9547226400
Plan sponsor’s address 4800 N. STATE ROAD 7 SUITE 102, FORT LAUDERDALE, FL, 33319

Signature of
Role Plan administrator
Date 2023-03-08
Name of individual signing ANITA DIAZ
Valid signature Filed with authorized/valid electronic signature
CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. RETIREMENT SAVINGS PLAN 2021 650292125 2022-06-23 CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 35
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 9547226400
Plan sponsor’s address 4800 N. STATE ROAD 7 SUITE 102, FORT LAUDERDALE, FL, 33319

Signature of
Role Plan administrator
Date 2022-06-23
Name of individual signing ANITA DIAZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-23
Name of individual signing COREY HINDS
Valid signature Filed with authorized/valid electronic signature
CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. RETIREMENT SAVINGS PLAN 2020 650292125 2021-09-22 CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 31
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 9547226400
Plan sponsor’s address 4800 N. STATE ROAD 7 SUITE 102, FORT LAUDERDALE, FL, 33319

Signature of
Role Plan administrator
Date 2021-09-22
Name of individual signing ANITA DIAZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-22
Name of individual signing COREY HINDS
Valid signature Filed with authorized/valid electronic signature
CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. RETIREMENT SAVINGS PLAN 2019 650292125 2020-07-16 CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 9547226400
Plan sponsor’s address 4800 N. STATE ROAD 7 SUITE 102, FORT LAUDERDALE, FL, 33319

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing ANITA DIAZ
Valid signature Filed with authorized/valid electronic signature
CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. RETIREMENT SAVINGS PLAN 2018 650292125 2019-10-07 CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 9547226400
Plan sponsor’s address 4800 N. STATE ROAD 7 SUITE 102, FORT LAUDERDALE, FL, 33319

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing COREY HINDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-07
Name of individual signing COREY HINDS
Valid signature Filed with authorized/valid electronic signature
CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. RETIREMENT SAVINGS PLAN 2017 650292125 2018-05-08 CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 30
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 9547226400
Plan sponsor’s address 4800 N. STATE ROAD 7 SUITE 102, FORT LAUDERDALE, FL, 33319

Signature of
Role Plan administrator
Date 2018-05-08
Name of individual signing COREY HINDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-08
Name of individual signing COREY HINDS
Valid signature Filed with authorized/valid electronic signature
CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. RETIREMENT SAVINGS PLAN 2016 650292125 2017-05-15 CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 39
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 9547226400
Plan sponsor’s address 4800 N. STATE ROAD 7 SUITE 102, FORT LAUDERDALE, FL, 33319

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing COREY HINDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-15
Name of individual signing COREY HINDS
Valid signature Filed with authorized/valid electronic signature
CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2015 650292125 2016-07-11 CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 41
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 9547226400
Plan sponsor’s address 4800 N. STATE ROAD 7, SUITE 102, FORT LAUDERDALE, FL, 33319

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing COREY HINDS
Valid signature Filed with authorized/valid electronic signature
CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2014 650292125 2015-06-02 CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. 47
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 624100
Sponsor’s telephone number 9547226400
Plan sponsor’s address 4800 N. STATE ROAD 7, SUITE 102, FORT LAUDERDALE, FL, 33319

Signature of
Role Plan administrator
Date 2015-06-02
Name of individual signing COREY HINDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HINDS, COREY Agent 4800 N. STATE ROAD 7, SUITE 102, Bldg F, FT. LAUDERDALE, FL 33319

Chief Executive Officer

Name Role Address
HINDS, COREY Chief Executive Officer 4800 North State Road 7, Bldg F Suite 102 Ft. Lauderdale, FL 33319

President

Name Role Address
Daniel, Jeffrey President 4800 North State Road 7, Bldg F Suite 102 Ft Lauderdale, FL 33319

Secretary

Name Role Address
Kerr, Jessica, Esq. Secretary 4800 North State Road 7, Bldg F Suite 102 Ft Lauderdale, FL 33319

Treasurer

Name Role Address
Smith, Shea Treasurer 4800 North State Road 7, Bldg F Suite 102 Ft Lauderdale, FL 33319

Director

Name Role Address
Gelin, Mike Director 4800 North State Road 7, Bldg F Suite 102 Ft Lauderdale, FL 33319
Lilienthal, Craig Director 4800 North State Road 7, Bldg F Suite 102 Ft Lauderdale, FL 33319
Bereolos, Robert Director 4800 North State Road 7, Bldg F Suite 102 Ft Lauderdale, FL 33319
Espana, Claudia Director 4800 North State Road 7, Bldg F Suite 102 Ft Lauderdale, FL 33319

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000084263 CIL BROWARD FOUNDATION ACTIVE 2013-08-23 2028-12-31 No data 4800 N STATE RD 7, BLDG F, STE 102, FORT LAUDERDALE, FL, 33319
G11000118558 CENTER FOR INDEPENDENT LIVING GULF COAST ACTIVE 2011-12-07 2026-12-31 No data 4800 N. STATE RD., BLDG F, STE 102, LAUDERDALE LAKES, FL, 33319

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-16 4800 North State Road 7, Bldg F, Suite 102, Ft Lauderdale, FL 33319 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-16 4800 N. STATE ROAD 7, SUITE 102, Bldg F, FT. LAUDERDALE, FL 33319 No data
CHANGE OF MAILING ADDRESS 2022-02-16 4800 North State Road 7, Bldg F, Suite 102, Ft Lauderdale, FL 33319 No data
AMENDMENT 2012-08-20 No data No data
REGISTERED AGENT NAME CHANGED 2012-08-20 HINDS, COREY No data
NAME CHANGE AMENDMENT 1997-07-16 CENTER FOR INDEPENDENT LIVING OF BROWARD, INC. No data
REINSTATEMENT 1997-06-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1995-08-25 No data No data
AMENDMENT 1992-01-29 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-02-04
ANNUAL REPORT 2019-04-10
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-02-18

Related by officers

Kerr, Jessica, Esq.

ACVP REALTY INVESTMENTS, LLC ALL POINTS BUILDING MANAGEMENT, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated