| Entity Name: | CHILDRENS HEALTH CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Feb 2001 (24 years ago) |
| Document Number: | P01000015625 |
| FEI/EIN Number | 593698701 |
| Address: | 11464 N. 53RD STREET, TAMPA, FL, 33617 |
| Mail Address: | 11464 N. 53RD STREET, TAMPA, FL, 33617 |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467857268 | 2014-10-23 | 2023-01-06 | 11464 N 53RD ST, TAMPA, FL, 336172216, US | 11464 N 53RD ST, TAMPA, FL, 336172216, US | |||||||||||||
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| Phone | +1 813-914-7772 |
Authorized person
| Name | DR. ELIZABETH YAKUBU |
| Role | M.D |
| Phone | 8139147772 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HEALTH CENTER 401(K) PLAN | 2023 | 593698701 | 2024-07-23 | CHILDRENS HEALTH CENTER INC | 6 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 621874769 |
| Plan administrator’s name | ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | TARA EVANS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8139147772 |
| Plan sponsor’s address | 11464 N 53RD STREET, TAMPA, FL, 33617 |
Plan administrator’s name and address
| Administrator’s EIN | 621874769 |
| Plan administrator’s name | ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-20 |
| Name of individual signing | TARA EVANS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8139147772 |
| Plan sponsor’s address | 11464 N 53RD STREET, TAMPA, FL, 33617 |
Plan administrator’s name and address
| Administrator’s EIN | 621874769 |
| Plan administrator’s name | TAG RESOURCES LLC |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-25 |
| Name of individual signing | TARA EVANS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8139147772 |
| Plan sponsor’s address | 11464 N 53RD STREET, TAMPA, FL, 33617 |
Plan administrator’s name and address
| Administrator’s EIN | 621874769 |
| Plan administrator’s name | TAG RESOURCES LLC |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-09 |
| Name of individual signing | PHIL TISUE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| YAKUBU ELIZABETH | Agent | 11464 N. 53RD STREET, TAMPA, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| YAKUBU ELIZABETH | President | 5016 LONDONBERRY DR., TAMPA, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| YAKUBU ELIZABETH | Secretary | 5016 LONDONBERRY DR., TAMPA, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| YAKUBU ELIZABETH | Treasurer | 5016 LONDONBERRY DR., TAMPA, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| YAKUBU ELIZABETH | Director | 5016 LONDONBERRY DR., TAMPA, FL, 33637 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-27 | 11464 N. 53RD STREET, TAMPA, FL 33617 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-27 | 11464 N. 53RD STREET, TAMPA, FL 33617 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-27 | 11464 N. 53RD STREET, TAMPA, FL 33617 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-04-29 | YAKUBU, ELIZABETH | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-02-24 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-02-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
