BROWARD PARTNERSHIP FOR THE HOMELESS, INC, FL

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1811238397

2013-03-08

2017-04-27

920 NW 7TH AVE, FORT LAUDERDALE, FL, 333117229, US

Contacts

Phone	+1 954-779-3990
Fax	9547797349

Authorized person

Name	MS. FRANCES M. ESPOSITO
Role	CHIEF EXECUTIVE OFFICER
Phone	9547791693

Taxonomy

Taxonomy Code	324500000X - Substance Abuse Rehabilitation Facility
License Number	1006AD703301
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

BROWARD PARTNERSHIP FOR THE HOMELESS, INC RETIREMENT PLAN

2019

650777033

2021-04-16

BROWARD PARTNERSHIP FOR THE HOMELESS, INC.

83

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-10-01
Business code	624200
Sponsor’s telephone number	9547793900
Plan sponsor’s mailing address	920 NW 7TH AVE, FORT LAUDERDALE, FL, 333117229
Plan sponsor’s address	920 NW 7TH AVE, FORT LAUDERDALE, FL, 333117229

Number of participants as of the end of the plan year

Active participants	88
Other retired or separated participants entitled to future benefits	51
Number of participants with account balances as of the end of the plan year	139

Signature of

Role	Plan administrator
Date	2021-04-16
Name of individual signing	LEISHA AUSTIN
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2021-04-16
Name of individual signing	LEISHA AUSTIN
Valid signature	Filed with authorized/valid electronic signature

BROWARD PARTNERSHIP FOR THE HOMELESS, INC RETIREMENT PLAN

2018

650777033

2020-04-28

BROWARD PARTNERSHIP FOR THE HOMELESS, INC.

56

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-10-01
Business code	624200
Sponsor’s telephone number	9547793900
Plan sponsor’s mailing address	920 NW 7TH AVE, FORT LAUDERDALE, FL, 333117229
Plan sponsor’s address	920 NW 7TH AVE, FORT LAUDERDALE, FL, 333117229

Number of participants as of the end of the plan year

Active participants	68
Other retired or separated participants entitled to future benefits	15
Number of participants with account balances as of the end of the plan year	83

Signature of

Role	Plan administrator
Date	2020-04-27
Name of individual signing	LEISHA AUSTIN
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2020-04-27
Name of individual signing	LEISHA AUSTIN
Valid signature	Filed with authorized/valid electronic signature

BROWARD PARTNERSHIP FOR THE HOMELESS, INC RETIREMENT PLAN

2017

650777033

2019-04-16

BROWARD PARTNERSHIP FOR THE HOMELESS, INC.

75

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-10-01
Business code	624200
Sponsor’s telephone number	9547793900
Plan sponsor’s mailing address	920 NW 7TH AVE, FORT LAUDERDALE, FL, 333117229
Plan sponsor’s address	920 NW 7TH AVE, FORT LAUDERDALE, FL, 333117229

Number of participants as of the end of the plan year

Active participants	40
Other retired or separated participants entitled to future benefits	16
Number of participants with account balances as of the end of the plan year	51

Signature of

Role	Plan administrator
Date	2019-04-16
Name of individual signing	LEISHA AUSTIN
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2019-04-16
Name of individual signing	LEISHA AUSTIN
Valid signature	Filed with authorized/valid electronic signature

BROWARD PARTNERSHIP FOR THE HOMELESS, INC RETIREMENT PLAN

2016

650777033

2018-01-26

BROWARD PARTNERSHIP FOR THE HOMELESS, INC.

68

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-10-01
Business code	624200
Sponsor’s telephone number	9547793900
Plan sponsor’s mailing address	920 NW 7TH AVE, FORT LAUDERDALE, FL, 333117229
Plan sponsor’s address	920 NW 7TH AVE, FORT LAUDERDALE, FL, 333117229

Number of participants as of the end of the plan year

Active participants	75
Other retired or separated participants entitled to future benefits	8
Number of participants with account balances as of the end of the plan year	78

Signature of

Role	Plan administrator
Date	2018-01-25
Name of individual signing	LEISHA AUSTIN
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2018-01-25
Name of individual signing	LEISHA AUSTIN
Valid signature	Filed with authorized/valid electronic signature

BROWARD PARTNERSHIP FOR THE HOMELESS, INC RETIREMENT PLAN

2015

650777033

2017-04-07

BROWARD PARTNERSHIP FOR THE HOMELESS, INC.

65

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-10-01
Business code	624200
Sponsor’s telephone number	9547793900
Plan sponsor’s mailing address	920 NW 7TH AVE, FORT LAUDERDALE, FL, 333117229
Plan sponsor’s address	920 NW 7TH AVE, FORT LAUDERDALE, FL, 333117229

Number of participants as of the end of the plan year

Active participants	68
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	6
Number of participants with account balances as of the end of the plan year	68
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	1

Signature of

Role	Plan administrator
Date	2017-04-06
Name of individual signing	LEISHA AUSTIN
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2017-04-06
Name of individual signing	LEISHA AUSTIN
Valid signature	Filed with authorized/valid electronic signature

BROWARD PARTNERSHIP FOR THE HOMELESS, INC RETIREMENT PLAN

2014

650777033

2016-03-30

BROWARD PARTNERSHIP FOR THE HOMELESS, INC

69

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-10-01
Business code	624200
Sponsor’s telephone number	9547793990
Plan sponsor’s mailing address	920 N.W. 7TH AVE, FORT LAUDERDALE, FL, 33311
Plan sponsor’s address	920 N.W. 7TH AVE, FORT LAUDERDALE, FL, 33311

Number of participants as of the end of the plan year

Active participants	65
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	65
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	1

Signature of

Role	Plan administrator
Date	2016-03-30
Name of individual signing	STEVEN HENRIQUEZ
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2016-03-30
Name of individual signing	STEVEN HENRIQUEZ
Valid signature	Filed with authorized/valid electronic signature

BROWARD PARTNERSHIP FOR THE HOMELESS, INC. RETIREMENT PLAN

2013

650777033

2015-07-15

BROWARD PARTNERSHIP FOR THE HOMELESS, INC.

99

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-10-01
Business code	624200
Sponsor’s telephone number	9547793990
Plan sponsor’s address	920 N.W. 7TH AVE., FORT LAUDERDALE, FL, 333117229

Signature of

Role	Plan administrator
Date	2015-07-15
Name of individual signing	SUE ELLEN BOATRIGHT
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2015-07-15
Name of individual signing	SUE ELLEN BOATRIGHT
Valid signature	Filed with authorized/valid electronic signature

BROWARD PARTNERSHIP FOR THE HOMELESS, INC. RETIREMENT PLAN

2012

650777033

2014-07-14

BROWARD PARTNERSHIP FOR THE HOMELESS, INC.

99

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-10-01
Business code	624200
Sponsor’s telephone number	9547793990
Plan sponsor’s address	920 N.W. 7TH AVE., FORT LAUDERDALE, FL, 333117229

Signature of

Role	Plan administrator
Date	2014-07-14
Name of individual signing	SUE ELLEN BOATRIGHT
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2014-07-14
Name of individual signing	SUE ELLEN BOATRIGHT
Valid signature	Filed with authorized/valid electronic signature

BROWARD PARTNERSHIP FOR THE HOMELESS, INC. RETIREMENT PLAN

2011

650777033

2013-04-25

BROWARD PARTNERSHIP FOR THE HOMELESS, INC.

90

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-10-01
Business code	624200
Sponsor’s telephone number	9547793990
Plan sponsor’s address	920 N.W. 7TH AVE., FORT LAUDERDALE, FL, 333117229

Plan administrator’s name and address

Administrator’s EIN	650777033
Plan administrator’s name	BROWARD PARTNERSHIP FOR THE HOMELESS, INC.
Plan administrator’s address	920 N.W. 7TH AVE., FORT LAUDERDALE, FL, 333117229
Administrator’s telephone number	9547793990

Signature of

Role	Plan administrator
Date	2013-04-25
Name of individual signing	SUE ELLEN BOATRIGHT
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-04-25
Name of individual signing	SUE ELLEN BOATRIGHT
Valid signature	Filed with authorized/valid electronic signature

BROWARD PARTNERSHIP FOR THE HOMELESS, INC. RETIREMENT PLAN

2010

650777033

2012-03-27

BROWARD PARTNERSHIP FOR THE HOMELESS, INC.

99

Three-digit plan number (PN)	001
Effective date of plan	1998-10-01
Business code	624200
Sponsor’s telephone number	9547793990
Plan sponsor’s address	920 N.W. 7TH AVE., FORT LAUDERDALE, FL, 333117229

Plan administrator’s name and address

Administrator’s EIN	650777033
Plan administrator’s name	BROWARD PARTNERSHIP FOR THE HOMELESS, INC.
Plan administrator’s address	920 N.W. 7TH AVE., FORT LAUDERDALE, FL, 333117229
Administrator’s telephone number	9547793990

Signature of

Role	Plan administrator
Date	2012-03-27
Name of individual signing	SUE ELLEN BOATRIGHT
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2012-03-27
Name of individual signing	SUE ELLEN BOATRIGHT
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Address
CAMPBELL TOM	Agent	920 N.W. 7 AVENUE, FT LAUDERDALE, FL, 333117229

Chairman

Name	Role	Address
Simmons Stephen JEsq.	Chairman	920 N.W. 7 AVENUE, FT LAUDERDALE, FL, 333117229

Director

Name	Role	Address
Simmons Stephen JEsq.	Director	920 N.W. 7 AVENUE, FT LAUDERDALE, FL, 333117229
Gutierrez Jeremiah	Director	920 N.W. 7 AVENUE, FT LAUDERDALE, FL, 333117229
PENA FRANK ACPA	Director	920 N.W. 7 AVENUE, FT LAUDERDALE, FL, 333117229

Vice Chairman

Name	Role	Address
Gutierrez Jeremiah	Vice Chairman	920 N.W. 7 AVENUE, FT LAUDERDALE, FL, 333117229

Secretary

Name	Role	Address
PENA FRANK ACPA	Secretary	920 N.W. 7 AVENUE, FT LAUDERDALE, FL, 333117229

LOD

Name	Role	Address
STUTIN CATHY Esq.	LOD	920 N.W. 7 AVENUE, FT LAUDERDALE, FL, 333117229

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G14000005312	BROWARD PARTNERSHIP	EXPIRED	2014-01-15	2024-12-31	No data	920 N.W. 7TH AVENUE, FORT LAUDERDALE, FL, 33311
G14000005320	THE BROWARD PARTNERSHIP	EXPIRED	2014-01-15	2024-12-31	No data	920 N.W. 7TH AVENUE, FORT LAUDERDALE, FL, 33311

Events

Event Type	Filed Date	Value	Description
AMENDMENT	2018-08-27	No data	No data
NAME CHANGE AMENDMENT	1999-05-20	BROWARD PARTNERSHIP FOR THE HOMELESS, INC.	No data
AMENDMENT	1998-05-20	No data	No data

Entity Name:	BROWARD PARTNERSHIP FOR THE HOMELESS, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Non-Profit
Status:	Active
Date Filed:	02 Jul 1997 (28 years ago)
Document Number:	N97000003780
FEI/EIN Number	650777033
Address:	920 N.W. 7 AVENUE, FT LAUDERDALE, FL, 33311-7229, US
Mail Address:	920 N.W. 7 AVENUE, FT LAUDERDALE, FL, 33311-7229, US
Place of Formation:	FLORIDA

BROWARD PARTNERSHIP FOR THE HOMELESS, INC.

Company Details

National Provider Identifier

form 5500

Agent

Chairman

Director

Vice Chairman

Secretary

LOD

Fictitious Names

Events

Related by officers

Related by address