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COMMUNITY SUPPORTS, INC.

Company Details

Entity Name: COMMUNITY SUPPORTS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 15 Apr 1998 (27 years ago)
Document Number: N98000002174
FEI/EIN Number 593507238
Address: 1890 STATE RD 436, STE 300, WINTER PARK, FL, 32792-2285, US
Mail Address: 1890 STATE RD 436, STE 300, WINTER PARK, FL, 32792-2285, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003302993 2018-07-03 2018-07-03 1890 STATE ROAD 436 SUITE 300, WINTER PARK, FL, 32792, US 110 LODGE TERRACE DRIVE, ALTOONA, FL, 32702, US

Contacts

Phone +1 407-645-3211
Fax 4076282853
Phone +1 352-669-2133
Fax 3526690238

Authorized person

Name MR. KENNETH H SCHULTZ
Role PRESIDENT
Phone 4076453211

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY SUPPORTS, INC. 401(K) PERFORMANCE SHARING PLAN AND TRUST 2023 593507238 2024-09-19 COMMUNITY SUPPORTS, INC. 182
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 623000
Sponsor’s telephone number 4076453211
Plan sponsor’s address 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792

Signature of

Role Plan administrator
Date 2024-09-19
Name of individual signing KENNETH SCHULTZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY SUPPORTS, INC. WELFARE BENEFIT PLAN 2010 592480813 2011-08-29 COMMUNITY SUPPORTS, INC 390
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1995-01-01
Business code 541600
Sponsor’s telephone number 4076453211
Plan sponsor’s mailing address 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792
Plan sponsor’s address 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792

Plan administrator’s name and address

Administrator’s EIN 592480813
Plan administrator’s name COMMUNITY SUPPORTS, INC
Plan administrator’s address 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792
Administrator’s telephone number 4076453211

Number of participants as of the end of the plan year

Active participants 437
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-08-29
Name of individual signing KENNETH SCHULTZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SCHULTZ KENNETH Agent 1890 STATE ROAD 436, STE 300, WINTER PARK, FL, 327922285

Director

Name Role Address
STERBA CATHERINE Director 1890 STATE RD 436, STE 300, WINTER PARK, FL, 327922285
Hamrick Jonathan Director 1890 STATE RD 436, STE 300, WINTER PARK, FL, 327922285
Koromilas Shannon Director 1890 STATE RD 436, STE 300, WINTER PARK, FL, 327922285
Seay Raleigh Jr. Director 1890 STATE RD 436, STE 300, WINTER PARK, FL, 327922285
Bangs Terry Director 1890 STATE RD 436, STE 300, WINTER PARK, FL, 327922285

President

Name Role Address
Schultz Kenneth President 1890 STATE RD 436, STE 300, WINTER PARK, FL, 327922285

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000154020 LAKEVIEW TERRACE ACTIVE 2022-12-14 2027-12-31 No data 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792
G18000065302 LAKEVIEW TERRACE REHABILITATION AND HEALTH CARE CENTER ACTIVE 2018-06-05 2028-12-31 No data 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792
G18000026827 LAKEVIEW TERRACE HEALTH CARE CENTER EXPIRED 2018-02-23 2023-12-31 No data 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792
G17000118740 LAKEVIEW TERRACE ASSISTED LIVING FACILITY ACTIVE 2017-10-27 2027-12-31 No data 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792
G16000108502 REHABILITATION AND HEALTH CARE CENTER EXPIRED 2016-10-04 2021-12-31 No data 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792
G16000099555 LAKEVIEW TERRACE SKILLED NURSING FACILITY ACTIVE 2016-09-12 2026-12-31 No data 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792
G12000096724 LAKEVIEW TERRACE RETIREMENT SERVICES ACTIVE 2012-10-03 2027-12-31 No data 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792
G12000094589 LAKEVIEW TERRACE RETIREMENT COMMUNITY ACTIVE 2012-09-27 2027-12-31 No data 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792
G11000004081 LAKEVIEW TERRACE EXPIRED 2011-01-07 2016-12-31 No data 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL, 32792

Events

Event Type Filed Date Value Description
AMENDMENT 2022-10-31 No data No data
MERGER 2017-12-21 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000176977
MERGER 2012-09-27 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 2. MERGER NUMBER 900000125619
AMENDED AND RESTATEDARTICLES 2004-12-28 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State