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EMPOWER "U", INC.

Company Details

Entity Name: EMPOWER "U", INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 22 Feb 1999 (26 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Aug 2001 (23 years ago)
Document Number: N99000001192
FEI/EIN Number 650899207
Address: 7900 NW 27TH AVE STE E-12, MIAMI, FL, 33147-4909, US
Mail Address: 7900 NW 27TH AVE STE E-12, MIAMI, FL, 33147-4909, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083473151 2024-03-18 2024-03-18 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909, US 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909, US

Contacts
Phone +1 786-318-2337
Fax 7865138217

Authorized person
Name ANTHONY ARON SEUTE
Role MANAGED CARE/CREDENTIALING SPECIALI
Phone 7863182337

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 112934300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPOWER U, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2023 650899207 2024-07-11 EMPOWER U, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVENUE, SUITE E-12, MIAMI, FL, 33147

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing TERRI-ANN BETHUNE
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 650899207 2023-10-10 EMPOWER U, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVENUE, SUITE E-12, MIAMI, FL, 33147

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing TERRI-ANN BETHUNE
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 650899207 2022-09-09 EMPOWER U, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVENUE, SUITE E-12, MIAMI, FL, 33147

Signature of
Role Plan administrator
Date 2022-09-09
Name of individual signing TERRI-ANN BETHUNE
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 650899207 2021-07-13 EMPOWER U, INC 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVENUE, SUITE E-12, MIAMI, FL, 33147
EMPOWER U, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 650899207 2020-10-09 EMPOWER U, INC 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVENUE, SUITE E-12, MIAMI, FL, 33147

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing TERRI-ANN BETHUNE
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401 K PROFIT SHARING PLAN TRUST 2018 650899207 2019-07-23 EMPOWER U INC 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVE, MIAMI, FL, 331474909

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing TERRI-ANN BETHUNE
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401 K PROFIT SHARING PLAN TRUST 2017 650899207 2018-07-26 EMPOWER U INC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVE, SUITE E-12, MIAMI, FL, 331474909

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing CHRISTINE STROY-MARTIN
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401 K PROFIT SHARING PLAN TRUST 2016 650899207 2017-07-25 EMPOWER U INC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVE, SUITE E-12, MIAMI, FL, 331474909

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing YVONNE CHRISTINE STROY-MARTIN
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401 K PROFIT SHARING PLAN TRUST 2015 650899207 2016-07-31 EMPOWER U INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVE, MIAMI, FL, 331474909

Signature of
Role Plan administrator
Date 2016-07-31
Name of individual signing CHRISTINE STROY-MARTIN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF EMPOWER U, INC. 2014 650899207 2015-08-31 EMPOWER U, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 624100
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVE STE 234B, MIAMI, FL, 33147

Signature of
Role Plan administrator
Date 2015-08-31
Name of individual signing CHRISTINE STROY MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Bethune Terri-Ann L Agent 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909

Chairman

Name Role Address
Revere Yelena Dr. Chairman 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909

Vice Chairman

Name Role Address
Mims Fred Vice Chairman 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909

Secretary

Name Role Address
HILL JAMES Secretary 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909

Chief Executive Officer

Name Role Address
Williams Diane Dr. Chief Executive Officer 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909

Officer

Name Role Address
Bethune Terri-Ann L Officer 7900 NW 27TH AVE STE E-12, Miami, FL, 33147

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000134580 EMPOWER U COMMUNITY HEALTH CENTER ACTIVE 2021-10-06 2026-12-31 No data 7900 NW 27TH AVE STE E-12, MIAMI, FL, 33147

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-01-20 7900 NW 27TH AVE STE E-12, MIAMI, FL 33147-4909 No data
CHANGE OF PRINCIPAL ADDRESS 2021-12-23 7900 NW 27TH AVE STE E-12, MIAMI, FL 33147-4909 No data
CHANGE OF MAILING ADDRESS 2021-12-23 7900 NW 27TH AVE STE E-12, MIAMI, FL 33147-4909 No data
REGISTERED AGENT NAME CHANGED 2021-01-28 Bethune, Terri-Ann Leslene No data
REINSTATEMENT 2001-08-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-17
AMENDED ANNUAL REPORT 2024-09-13
AMENDED ANNUAL REPORT 2024-05-13
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-01-20
AMENDED ANNUAL REPORT 2021-12-23
AMENDED ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-06-12

Related by officers

Mims Fred

ROYAL BLUE SERVICE CORPORATION OF SOUTH FLORIDA, INC.

HILL JAMES

TRACKS MEDIA INTERNATIONAL (T.M.I.), LLC. DOGMA PET RESCUE, INC. REACHING FOR THE STARS CULTURAL OUTREACH, INC. NV5, INC. JACLART INC. HILL BUISNESS SCANS LLC POPPAS MAINTENANCE LLC RTS FEDERAL BUREAU OF INSTITUTE INC J.H. CONSTRUCTION CONSULTANT LLC COMMUNITY HOSPITAL CONSULTING, 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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