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  5. SPECIAL CARE PROVIDER, INC.

SPECIAL CARE PROVIDER, INC.

Company Details

Entity Name: SPECIAL CARE PROVIDER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Sep 2000 (24 years ago)
Date of dissolution: 14 Sep 2007 (17 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 14 Sep 2007 (17 years ago)
Document Number: P00000083477
FEI/EIN Number 651040601
Address: 4701 NORTH MERIDIAN AVENUE, SIX NICHOL, MIAMI BEACH, FL, 33140
Mail Address: 4701 NORTH MERIDIAN AVENUE, SIX NICHOL, MIAMI BEACH, FL, 33140
ZIP code: 33140
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPECIAL CARE PROVIDER, INC 401(K) PLAN 2012 651040601 2013-07-19 SPECIAL CARE PROVIDER, INC 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621399
Sponsor’s telephone number 9548762701
Plan sponsor’s address 201 E SAMPLE ROAD, 7 EAST, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2013-07-19
Name of individual signing ANDREW PAGE
Valid signature Filed with authorized/valid electronic signature
SPECIAL CARE PROVIDER, INC 401(K) PLAN 2011 651040601 2013-05-07 SPECIAL CARE PROVIDER, INC 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621399
Sponsor’s telephone number 9548462701
Plan sponsor’s address 201 E SAMPLE ROAD, 7 EAST, POMPANO BEACH, FL, 33064

Plan administrator’s name and address
Administrator’s EIN 651040601
Plan administrator’s name SPECIAL CARE PROVIDER, INC
Plan administrator’s address 201 E SAMPLE ROAD, 7 EAST, POMPANO BEACH, FL, 33064
Administrator’s telephone number 9548462701

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing ANDREW PAGE
Valid signature Filed with authorized/valid electronic signature
SPECIAL CARE PROVIDER, INC 401(K) PLAN 2011 651040601 2012-06-25 SPECIAL CARE PROVIDER, INC 113
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621399
Sponsor’s telephone number 9548462701
Plan sponsor’s address 201 E SAMPLE ROAD, 7 EAST, POMPANO BEACH, FL, 33064

Plan administrator’s name and address
Administrator’s EIN 651040601
Plan administrator’s name SPECIAL CARE PROVIDER, INC
Plan administrator’s address 201 E SAMPLE ROAD, 7 EAST, POMPANO BEACH, FL, 33064
Administrator’s telephone number 9548462701

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing ANDREW PAGE
Valid signature Filed with authorized/valid electronic signature
SPECIAL CARE PROVIDER, INC 401(K) PLAN 2010 651040601 2011-05-03 SPECIAL CARE PROVIDER, INC 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621399
Sponsor’s telephone number 9547866798
Plan sponsor’s address 201 E. SAMPLE ROAD, 7 EAST, POMPANO BEACH, FL, 33064

Plan administrator’s name and address
Administrator’s EIN 651040601
Plan administrator’s name SPECIAL CARE PROVIDER, INC
Plan administrator’s address 201 E. SAMPLE ROAD, 7 EAST, POMPANO BEACH, FL, 33064
Administrator’s telephone number 9547866798

Signature of
Role Plan administrator
Date 2011-05-03
Name of individual signing ANDREW PAGE
Valid signature Filed with authorized/valid electronic signature
SPECIAL CARE PROVIDER, INC 401(K) PLAN 2010 651040601 2011-05-03 SPECIAL CARE PROVIDER, INC 114
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621399
Sponsor’s telephone number 9547866798
Plan sponsor’s address 201 E. SAMPLE ROAD, 7 EAST, POMPANO BEACH, FL, 33064

Plan administrator’s name and address
Administrator’s EIN 651040601
Plan administrator’s name SPECIAL CARE PROVIDER, INC
Plan administrator’s address 201 E. SAMPLE ROAD, 7 EAST, POMPANO BEACH, FL, 33064
Administrator’s telephone number 9547866798

Signature of
Role Plan administrator
Date 2011-05-03
Name of individual signing ANDREW PAGE
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
COREN RICHARD Agent 3599 HOLLYWOOD OAKS DR, HOLLYWOOD, FL, 33312

President

Name Role Address
COREN RICHARD A President 3599 HOLLYWOOD OAKS DR, HOLLYWOOD, FL, 33312

Director

Name Role Address
COREN RICHARD A Director 3599 HOLLYWOOD OAKS DR, HOLLYWOOD, FL, 33312
PAGE PAUL J Director 11261 S W 25TH COURT, DAVIE, FL, 33325

Secretary

Name Role Address
PAGE PAUL J Secretary 11261 S W 25TH COURT, DAVIE, FL, 33325

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data
CHANGE OF PRINCIPAL ADDRESS 2004-01-12 4701 NORTH MERIDIAN AVENUE, SIX NICHOL, MIAMI BEACH, FL 33140 No data
CHANGE OF MAILING ADDRESS 2004-01-12 4701 NORTH MERIDIAN AVENUE, SIX NICHOL, MIAMI BEACH, FL 33140 No data
REGISTERED AGENT ADDRESS CHANGED 2002-05-17 3599 HOLLYWOOD OAKS DR, HOLLYWOOD, FL 33312 No data

Documents

Name Date
ANNUAL REPORT 2006-01-17
ANNUAL REPORT 2005-02-04
ANNUAL REPORT 2004-01-12
ANNUAL REPORT 2003-01-14
ANNUAL REPORT 2002-05-17
ANNUAL REPORT 2001-02-09
Domestic Profit 2000-09-01

Related by officers

COREN RICHARD A

SPECIAL CARE PROVIDERS OF MIAMI, INC. SPECIAL CARE PROVIDERS OF CALIFORNIA, INC. WAMBI LLC SPECIAL CARE PROVIDERS OF BROWARD, INC. SPECIAL CARE PROVIDERS OF BETHESDA, INC. PRIMARY CARE NURSING, INC. SPECIAL CARE PROVIDERS OF PLANTATION, INC. SOUTHERN ALARM MONITORING, INC. STARLITE EXPRESS, INC.

PAGE PAUL J

PAGE II, LLC PRIMARY CARE NURSING, INC. PAGE V, LLC PAGE VII, LLC SPECIAL CARE PROVIDERS OF PLANTATION, INC. PAGE CONSTRUCTION OF SOUTHWEST FLORIDA, INC. PAGE, LLC PAGE III, LLC

COREN RICHARD

SPECIAL CARE PROVIDERS OF MIAMI, LLC SPECIAL CARE PROVIDERS CORPORATE ENTITY, LLC SPECIAL CARE PROVIDER OF CALIFORNIA, INC. SPECIAL CARE PROVIDERS OF SOUTH SHORE, INC. SOUTHERN ALARM MONITORING, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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