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  5. CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC.

CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC.

Company Details

Entity Name: CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 26 Aug 1997 (27 years ago)
Last Event: AMENDMENT
Event Date Filed: 14 Apr 1998 (27 years ago)
Document Number: N97000004863
FEI/EIN Number 593467610
Address: 719 US HIGHWAY 301 SOUTH, TAMPA, FL, 33619
Mail Address: 719 US HIGHWAY 301 SOUTH, TAMPA, FL, 33619
ZIP code: 33619
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336194257 2006-05-23 2020-08-22 719 S US HIGHWAY 301, TAMPA, FL, 336194349, US 719 S US HIGHWAY 301, TAMPA, FL, 336194349, US

Contacts
Phone +1 813-740-4811
Fax 8137404821

Authorized person
Name MS. LINDA MCKINNON
Role CHIEF EXECUTIVE OFFICER
Phone 8137404811

Taxonomy
Taxonomy Code 302F00000X - Exclusive Provider Organization
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CFBHN 401(K) PLAN 2023 593467610 2024-06-12 CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 624100
Sponsor’s telephone number 8137404811
Plan sponsor’s address 719 US HIGHWAY 301, SOUTH, TAMPA, FL, 33619
CFBHN 401(K) PLAN 2022 593467610 2023-09-27 CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 624100
Sponsor’s telephone number 8137404811
Plan sponsor’s address 719 US HIGHWAY 301, SOUTH, TAMPA, FL, 33619
CFBHN 401(K) PLAN 2021 593467610 2022-10-17 CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 624100
Sponsor’s telephone number 8137404811
Plan sponsor’s address 719 US HIGHWAY 301, SOUTH, TAMPA, FL, 33619
CFBHN 401(K) PLAN 2020 593467610 2021-09-29 CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 624100
Sponsor’s telephone number 8137404811
Plan sponsor’s address 719 US HIGHWAY 301, SOUTH, TAMPA, FL, 33619

Signature of
Role Plan administrator
Date 2021-09-29
Name of individual signing LINDA J. MCKINNON
Valid signature Filed with authorized/valid electronic signature
CFBHN 401(K) PLAN 2019 593467610 2020-09-22 CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 624100
Sponsor’s telephone number 8137404811
Plan sponsor’s address 719 US HIGHWAY 301, SOUTH, TAMPA, FL, 33619
CFBHN 401(K) PLAN 2018 593467610 2019-09-09 CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 624100
Sponsor’s telephone number 8137404811
Plan sponsor’s address 719 US HIGHWAY 301, SOUTH, TAMPA, FL, 33619

Signature of
Role Plan administrator
Date 2019-09-09
Name of individual signing LINDA J. MCKINNON
Valid signature Filed with authorized/valid electronic signature
CFBHN 401(K) PLAN 2017 593467610 2018-09-04 CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC. 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 624100
Sponsor’s telephone number 8137404811
Plan sponsor’s address 719 US HIGHWAY 301, SOUTH, TAMPA, FL, 33619

Signature of
Role Plan administrator
Date 2018-09-04
Name of individual signing LINDA J. MCKINNON
Valid signature Filed with authorized/valid electronic signature
CFBHN 401(K) PLAN 2016 593467610 2017-06-12 CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 624100
Sponsor’s telephone number 8137404811
Plan sponsor’s address 719 US HIGHWAY 301, SOUTH, TAMPA, FL, 33619

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing LINDA J. MCKINNON
Valid signature Filed with authorized/valid electronic signature
CFBHN 401(K) PLAN 2015 593467610 2016-04-19 CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 624100
Sponsor’s telephone number 8137404811
Plan sponsor’s address 719 US HIGHWAY 301, SOUTH, TAMPA, FL, 33619

Signature of
Role Plan administrator
Date 2016-04-19
Name of individual signing LINDA J. MCKINNON
Valid signature Filed with authorized/valid electronic signature
CFBHN 401(K) PLAN 2014 593467610 2015-06-17 CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-07-01
Business code 624100
Sponsor’s telephone number 8137404811
Plan sponsor’s address 719 US HIGHWAY 301, SOUTH, TAMPA, FL, 33619

Signature of
Role Plan administrator
Date 2015-06-17
Name of individual signing LINDA J. MCKINNON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Davidson Alan Agent 719 US HIGHWAY 301 SOUTH, TAMPA, FL, 33619

Treasurer

Name Role Address
Dillinger Josh Treasurer 7416 Monika Manor Drive, Tampa, FL, 33625

Secretary

Name Role Address
Avila Victor Secretary 100 N. Tampa St. Ste. 3400, Tampa, FL, 33602

Vice Chairman

Name Role Address
Johnson Ayesha Dr. Vice Chairman 719 S US Highway 301, Tampa, FL, 33619

Chairman

Name Role Address
Latimer Craig Chairman 601 E. Kennedy Blvd., Tampa, FL, 33602

President

Name Role Address
Davidson Alan President 719 S. US Highway 301, Tampa, FL, 33619

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-10-30 Davidson, Alan No data
REGISTERED AGENT ADDRESS CHANGED 2009-06-12 719 US HIGHWAY 301 SOUTH, TAMPA, FL 33619 No data
CHANGE OF PRINCIPAL ADDRESS 2004-04-28 719 US HIGHWAY 301 SOUTH, TAMPA, FL 33619 No data
CHANGE OF MAILING ADDRESS 2004-04-28 719 US HIGHWAY 301 SOUTH, TAMPA, FL 33619 No data
AMENDMENT 1998-04-14 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-09
AMENDED ANNUAL REPORT 2023-10-30
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-19
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-01-18
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-04-15

Related by officers

Latimer Craig

INNOVATIVE SOLUTIONS FOR HEALTHCARE, INC.

Davidson Alan

K9 PARTNERS FOR PATRIOTS, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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