| Entity Name: | SUSAN B. ANTHONY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 Dec 1994 (30 years ago) |
| Date of dissolution: | 13 May 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 May 2020 (5 years ago) |
| Document Number: | N94000006145 |
| FEI/EIN Number | 65-0583089 |
| Address: | 4302 Hollywood Blvd, #1017, Hollywood, FL 33021 |
| Mail Address: | 4302 Hollywood Blvd, 1017, Hollywood, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396115986 | 2015-09-25 | 2015-09-25 | 1633 POINCIANA DR, PEMBROKE PINES, FL, 330254587, US | 8910 MIRAMAR PKWY, SUITE 312, MIRAMAR, FL, 330254100, US | |||||||||||||||||||||||
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| Phone | +1 954-733-6068 |
| Fax | 9547330766 |
Authorized person
| Name | MR. DEAN A. DALBERY |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 9547336068 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 070669802 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN B. ANTHONY CENTER, INC. 401(K) PLAN | 2018 | 650583089 | 2019-07-24 | SUSAN B. ANTHONY CENTER, INC. | 49 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-07-24 |
| Name of individual signing | PAUL FAULK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621420 |
| Sponsor’s telephone number | 9547336068 |
| Plan sponsor’s address | 1633 POINCIANA DR, PEMBROKE PINES, FL, 33025 |
Signature of
| Role | Plan administrator |
| Date | 2018-08-13 |
| Name of individual signing | KELLY REUTENAUER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role |
|---|---|
| SUNSHINE CORPORATE FILINGS LLC | Receiver |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000100058 | SUSAN B. ANTHONY RECOVERY CENTER AUXILIARY | EXPIRED | 2011-10-11 | 2016-12-31 | No data | 1633 POINCIANA DRIVE, PEMBROKE PINES, FL, 33025 |
| G09000141794 | SUSAN B. ANTHONY RECOVERY CENTER | EXPIRED | 2009-08-03 | 2024-12-31 | No data | 1633 POINCIANA DRIVE, PEMBROKE PINES, FL, 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-05-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-23 | 4302 Hollywood Blvd, #1017, Hollywood, FL 33021 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-05-03 | REGISTERED AGENTS INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-05-03 | 7901 4TH N STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-16 | 4302 Hollywood Blvd, #1017, Hollywood, FL 33021 | No data |
| AMENDMENT | 2010-03-09 | No data | No data |
| AMENDMENT | 2009-08-10 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000416281 | ACTIVE | CACE20011915 | 17TH JUDICIAL CIRCUIT -BROWARD | 2022-01-27 | 2027-09-01 | $258,583.27 | FIRST-CITIZENS BANK & TRUST COMPANY, 100 E. TRYON ROAD, DAC36, RALEIGH, NC 27603 |
| J22000063018 | ACTIVE | CACE20011915 | 17TH JUDICIAL CIRCUIT | 2021-02-02 | 2027-02-03 | $331281.99 | CITY OF PEMBROKE PINES, 601 CITY CENTER WAY,, PEMBROKE PINES, FL 33025 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-05-13 |
| ANNUAL REPORT | 2020-01-23 |
| Reg. Agent Change | 2019-05-03 |
| AMENDED ANNUAL REPORT | 2019-04-16 |
| AMENDED ANNUAL REPORT | 2019-03-22 |
| AMENDED ANNUAL REPORT | 2019-03-15 |
| AMENDED ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2019-02-05 |
| AMENDED ANNUAL REPORT | 2018-07-18 |
| AMENDED ANNUAL REPORT | 2018-03-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
