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WAYNE DENSCH CENTER, INC.

Company Details

Entity Name: WAYNE DENSCH CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 04 Mar 1997 (28 years ago)
Document Number: N97000001223
FEI/EIN Number 311512999
Mail Address: 3740 BEACH BOULEVARD, JACKSONVILLE, FL, 32207, US
Address: 1000 W. KENNEDY BLVD., ORLANDO, FL, 32810, US
ZIP code: 32810
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144495037 2008-04-23 2008-04-23 100 KINGSTON CT APT 102, ORLANDO, FL, 328106186, US 100 KINGSTON CT APT 102, ORLANDO, FL, 328106186, US

Contacts

Phone +1 407-599-3900

Authorized person

Name CAROLE F MASON
Role PRESIDENT
Phone 4075993900

Taxonomy

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WAYNE DENSCH CENTER INC 401 K PROFIT SHARING PLAN TRUST 2023 311512999 2024-07-11 WAYNE DENSCH CENTER, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 531110
Sponsor’s telephone number 4075993900
Plan sponsor’s address 3740 BEACH BLVD., JACKSONVILLE, FL, 32207

Signature of

Role Plan administrator
Date 2024-07-11
Name of individual signing LYNDA TWIST
Valid signature Filed with authorized/valid electronic signature
WAYNE DENSCH CENTER INC 401 K PROFIT SHARING PLAN TRUST 2023 311512999 2024-07-25 WAYNE DENSCH CENTER, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 531110
Sponsor’s telephone number 4075993900
Plan sponsor’s address 3740 BEACH BLVD., JACKSONVILLE, FL, 32207

Signature of

Role Plan administrator
Date 2024-07-25
Name of individual signing LYNDA TWIST
Valid signature Filed with authorized/valid electronic signature
WAYNE DENSCH CENTER INC 401 K PROFIT SHARING PLAN TRUST 2022 311512999 2023-09-08 WAYNE DENSCH CENTER, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 531110
Sponsor’s telephone number 4075993900
Plan sponsor’s address 1000 WEST KENNEDY BLVD, UNIT 513, ORLANDO, FL, 328106186

Signature of

Role Plan administrator
Date 2023-09-08
Name of individual signing MENDY THOMPSON
Valid signature Filed with authorized/valid electronic signature
WAYNE DENSCH CENTER INC 401 K PROFIT SHARING PLAN TRUST 2021 311512999 2022-04-07 WAYNE DENSCH CENTER, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 531110
Sponsor’s telephone number 4075993900
Plan sponsor’s address 1000 WEST KENNEDY BLVD, UNIT 513, ORLANDO, FL, 328106186

Signature of

Role Plan administrator
Date 2022-04-07
Name of individual signing CAROLE MASON
Valid signature Filed with authorized/valid electronic signature
WAYNE DENSCH CENTER INC 401 K PROFIT SHARING PLAN TRUST 2020 311512999 2021-01-20 WAYNE DENSCH CENTER INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 531110
Sponsor’s telephone number 4075993900
Plan sponsor’s address 1000 WEST KENNEDY BLVD, UNIT 513, ORLANDO, FL, 328106186

Signature of

Role Plan administrator
Date 2021-01-20
Name of individual signing CAROLE MASON
Valid signature Filed with authorized/valid electronic signature
WAYNE DENSCH CENTER INC 401 K PROFIT SHARING PLAN TRUST 2019 311512999 2020-01-10 WAYNE DENSCH CENTER INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 531110
Sponsor’s telephone number 4075993900
Plan sponsor’s address 100 KINGSTON CT, SUITE 102, ORLANDO, FL, 328106186

Signature of

Role Plan administrator
Date 2020-01-10
Name of individual signing MELINDA STONE
Valid signature Filed with authorized/valid electronic signature
WAYNE DENSCH CENTER INC 401 K PROFIT SHARING PLAN TRUST 2018 311512999 2019-02-18 WAYNE DENSCH CENTER INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 531110
Sponsor’s telephone number 4075993900
Plan sponsor’s address 100 KINGSTON CT, SUITE 102, ORLANDO, FL, 328106186

Signature of

Role Plan administrator
Date 2019-02-18
Name of individual signing CAROLE MASON
Valid signature Filed with authorized/valid electronic signature
WAYNE DENSCH CENTER INC 401 K PROFIT SHARING PLAN TRUST 2017 311512999 2018-07-11 WAYNE DENSCH CENTER INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 531110
Sponsor’s telephone number 4075993900
Plan sponsor’s address 102 KINGSTON CT STE 102, ORLANDO, FL, 328106186

Signature of

Role Plan administrator
Date 2018-07-11
Name of individual signing CAROLE MASON
Valid signature Filed with authorized/valid electronic signature
WAYNE DENSCH CENTER INC 401 K PROFIT SHARING PLAN TRUST 2016 311512999 2017-04-19 WAYNE DENSCH CENTER INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 531110
Sponsor’s telephone number 4075993900
Plan sponsor’s address 100 KINGSTON CT, SUITE 102, ORLANDO, FL, 328106186

Signature of

Role Plan administrator
Date 2017-04-19
Name of individual signing CAROLE MASON
Valid signature Filed with authorized/valid electronic signature
WAYNE DENSCH CENTER INC 401 K PROFIT SHARING PLAN & TRUST 2015 311512999 2016-02-10 WAYNE DENSCH CENTER INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 813000
Sponsor’s telephone number 4075993900
Plan sponsor’s mailing address 100-102 KINGSTON COURT, ORLANDO, FL, 32810
Plan sponsor’s address 100-102 KINGSTON COURT, ORLANDO, FL, 32810

Number of participants as of the end of the plan year

Active participants 16

Signature of

Role Plan administrator
Date 2016-02-10
Name of individual signing CAROLE MASON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NAZWORTH SHANNON Agent 3740 BEACH BOULEVARD, JACKSONVILLE, FL, 32207

Vice President

Name Role Address
NAZWORTH SHANNON L Vice President 3740 BEACH BOULEVARD, JACKSONVILLE, FL, 32207

Director

Name Role Address
Riley Kran Director 3740 BEACH BOULEVARD, JACKSONVILLE, FL, 32207
Burba Kelli Director 3740 BEACH BOULEVARD, JACKSONVILLE, FL, 32207

President

Name Role Address
MATOVINA GREGORY E President 3740 BEACH BOULEVARD, JACKSONVILLE, FL, 32207

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000153444 WAYNE DENSCH SERVICES ACTIVE 2020-12-03 2025-12-31 No data 100 KINGSTON CT, 140-101, ORLANDO, FL, 32810--618

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2016-07-11 No data No data
REINSTATEMENT 2015-10-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CANCEL ADM DISS/REV 2006-10-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data
AMENDMENT 2002-07-31 No data No data
REINSTATEMENT 1998-10-27 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 No data No data
AMENDMENT AND NAME CHANGE 1997-10-15 WAYNE DENSCH CENTER, INC. No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State