| Entity Name: | INTERNATIONAL ASSOCIATION OF TRAUMA & ADDICTION COUNSELORS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 12 Mar 1996 (29 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 27 Aug 2015 (9 years ago) |
| Document Number: | N96000001452 |
| FEI/EIN Number | 65-0728592 |
| Address: | 1030 S State Road 7, Plantation, FL 33317 |
| Mail Address: | 1030 S State Road 7, Plantation, FL 33317 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528783289 | 2022-10-05 | 2022-10-10 | 4101 S HOSPITAL DR STE 15, PLANTATION, FL, 333172830, US | 4101 S HOSPITAL DR STE 15, PLANTATION, FL, 333172830, US | |||||||||||||||
|
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| Phone | +1 954-999-0818 |
| Fax | 9549990947 |
Authorized person
| Name | SUZANNE LUTZ |
| Role | ADMINISTRATOR |
| Phone | 9549990818 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Lewis, Janina | Agent | 540 N 69th Ter, Hollywood, FL 33024 |
| Name | Role | Address |
|---|---|---|
| Giron, Stephanie | Secretary | 540 N 69th Ter, Hollywood, FL 33024 |
| Name | Role | Address |
|---|---|---|
| Giron, Stephanie | Treasurer | 540 N 69th Ter, Hollywood, FL 33024 |
| Name | Role | Address |
|---|---|---|
| Giron, Stephanie | Director | 540 N 69th Ter, Hollywood, FL 33024 |
| Pean, Pierre, Dr. | Director | 13004 SW 25th Place, Davie, FL 33325 |
| Lewis, Janina | Director | 540 N 69th Ter, Hollywood, FL 33024 |
| Name | Role | Address |
|---|---|---|
| Pean, Pierre, Dr. | Chief Executive Officer | 13004 SW 25th Place, Davie, FL 33325 |
| Name | Role | Address |
|---|---|---|
| Lewis, Janina | Chief Operating Officer | 540 N 69th Ter, Hollywood, FL 33024 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000058615 | IATAC | ACTIVE | 2016-06-14 | 2026-12-31 | No data | 4101 S HOSPITAL DRIVE, SUITE 15, PLANTATION, FL, 33317 |
| G14000012205 | INTERNATIONAL ASSOCIATION OF TRAUMA & ADDICTION COUNSELORS, INC. | EXPIRED | 2014-02-04 | 2019-12-31 | No data | PO BOX 551242, DAVIE, FL, 33355 |
| G11000062845 | OASIS INTERNATIONAL POMPANO BEACH | EXPIRED | 2011-06-22 | 2016-12-31 | No data | 13639 ALLAMANDA CIRCLE, PORT CHARLOTTE, FL, 33981 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-13 | 1030 S State Road 7, Plantation, FL 33317 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-13 | 540 N 69th Ter, Hollywood, FL 33024 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-13 | 1030 S State Road 7, Plantation, FL 33317 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-06-28 | Lewis, Janina | No data |
| AMENDMENT | 2015-08-27 | No data | No data |
| AMENDMENT | 2015-07-02 | No data | No data |
| AMENDMENT | 2015-05-28 | No data | No data |
| AMENDMENT | 2014-05-02 | No data | No data |
| AMENDMENT | 2014-04-22 | No data | No data |
| AMENDMENT | 2014-02-24 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000184905 | ACTIVE | CACE-19-011932 | BROWARD CTY CIR CT | 2022-01-27 | 2027-04-15 | $17,796.65 | TBF FINANCIAL, LLC, 870 SHERIDAN ROAD, HIGHWOOD, ILLINOIS 60040 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-13 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-05-02 |
| AMENDED ANNUAL REPORT | 2021-06-28 |
| AMENDED ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2021-01-13 |
| AMENDED ANNUAL REPORT | 2020-11-13 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
