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CHILDREN'S HARBOR, INC.

Company Details

Entity Name: CHILDREN'S HARBOR, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 15 May 1996 (29 years ago)
Last Event: RESTATED ARTICLES
Event Date Filed: 30 Oct 1996 (28 years ago)
Document Number: N96000002706
FEI/EIN Number 311471766
Address: 19410 SW 58TH PLACE, PEMBROKE PINES, FL, 33332, US
Mail Address: 19410 SW 58TH PLACE, PEMBROKE PINES, FL, 33332, US
ZIP code: 33332
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295805703 2006-11-09 2020-08-22 19425 SW 58TH MNR, FORT LAUDERDALE, FL, 333323338, US 19425 SW 58TH MNR, FORT LAUDERDALE, FL, 333323338, US

Contacts

Phone +1 954-392-5689
Fax 9542527134

Authorized person

Name MS. SUE GLASSCOCK
Role CEO
Phone 9543925689

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHILDREN'S HARBOR 403(B) RETIREMENT PLAN 2023 311471766 2024-10-28 CHILDREN'S HARBOR, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-12-01
Business code 624100
Sponsor’s telephone number 9542523072
Plan sponsor’s address 19425 SW 58TH PLACE, FT LAUDERDALE, FL, 333321300

Signature of

Role Plan administrator
Date 2024-10-28
Name of individual signing ANA GALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-28
Name of individual signing TIFFANI DHOOGE
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S HARBOR 403(B) RETIREMENT PLAN 2022 311471766 2023-10-05 CHILDREN'S HARBOR, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-12-01
Business code 624100
Sponsor’s telephone number 9542523072
Plan sponsor’s address 19425 SW 58TH PLACE, FT LAUDERDALE, FL, 333321300

Signature of

Role Plan administrator
Date 2023-10-05
Name of individual signing ANA GALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-05
Name of individual signing ANA GALL
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S HARBOR 403(B) RETIREMENT PLAN 2021 311471766 2022-07-29 CHILDREN'S HARBOR, INC. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-12-01
Business code 624100
Sponsor’s telephone number 9542523072
Plan sponsor’s address 19425 SW 58TH PLACE, FT LAUDERDALE, FL, 333321300

Signature of

Role Plan administrator
Date 2022-07-29
Name of individual signing ANA GALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-29
Name of individual signing ANA GALL
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S HARBOR 403(B) RETIREMENT PLAN 2020 311471766 2022-07-29 CHILDREN'S HARBOR, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-12-01
Business code 624100
Sponsor’s telephone number 9542523072
Plan sponsor’s address 19425 SW 58TH PLACE, FT LAUDERDALE, FL, 333321300

Signature of

Role Plan administrator
Date 2022-07-29
Name of individual signing ANA GALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-29
Name of individual signing ANA GALL
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S HARBOR 403(B) RETIREMENT PLAN 2019 311471766 2022-07-29 CHILDREN'S HARBOR, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-12-01
Business code 624100
Sponsor’s telephone number 9542523072
Plan sponsor’s address 19425 SW 58TH PLACE, FT LAUDERDALE, FL, 333321300

Signature of

Role Plan administrator
Date 2022-07-29
Name of individual signing ANA GALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-29
Name of individual signing ANA GALL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Dhooge Tiffani Agent 19410 SW 58TH PLACE, PEMBROKE PINES, FL, 33332

Director

Name Role Address
Alexander Martin Director Holland & Knight, Fort Lauderdale, FL, 33301
Lage Debra GBA Director Mercer, Sunrise, FL, 33323
Sorel Troy Director SlateStone Wealth, LLC, Weston, FL, 33331
Mooney Lisa Director Centennial Bank, Jupiter, FL, 33458

Chief Executive Officer

Name Role Address
Dhooge Tiffani Chief Executive Officer 19410 SW 58TH PLACE, PEMBROKE PINES, FL, 33332

Boar

Name Role Address
Parker Stephanie Boar FirstService Residential, Davie, FL, 33004

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-31 19410 SW 58TH PLACE, PEMBROKE PINES, FL 33332 No data
CHANGE OF MAILING ADDRESS 2023-01-31 19410 SW 58TH PLACE, PEMBROKE PINES, FL 33332 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-31 19410 SW 58TH PLACE, PEMBROKE PINES, FL 33332 No data
REGISTERED AGENT NAME CHANGED 2019-01-04 Dhooge, Tiffani No data
RESTATED ARTICLES 1996-10-30 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-29
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-01-19
AMENDED ANNUAL REPORT 2020-07-27
ANNUAL REPORT 2020-01-17
AMENDED ANNUAL REPORT 2019-07-24
ANNUAL REPORT 2019-01-04
AMENDED ANNUAL REPORT 2018-05-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State