| Entity Name: | TRI-COUNTY LIFE CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 May 2002 (23 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 31 Dec 2003 (21 years ago) |
| Document Number: | P02000057446 |
| FEI/EIN Number | 020611784 |
| Address: | 5625 S UNIVERSITY DRIVE, DAVIE, FL, 33328, US |
| Mail Address: | 5625 S UNIVERSITY DRIVE, DAVIE, FL, 33328, US |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639444219 | 2012-03-15 | 2012-03-15 | 7050 W PALMETTO PARK RD, 154, BOCA RATON, FL, 334333426, US | 7050 W PALMETTO PARK RD, 154, BOCA RATON, FL, 334333426, US | |||||||||||||||||||
|
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| Phone | +1 954-893-9499 |
| Fax | 9548939455 |
Authorized person
| Name | PAULINE JONES |
| Role | ADMINISTRATOR |
| Phone | 9548939499 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 232342 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRI-COUNTY LIFE CARE 401(K) PLAN | 2023 | 020611784 | 2024-05-30 | TRI-COUNTY LIFE CARE INC | 21 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-05-30 |
| Name of individual signing | PAULINE JONES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 9548939499 |
| Plan sponsor’s address | 5625 SOUTH UNIVERSITY DRIVE, DAVIE, FL, 33328 |
Signature of
| Role | Plan administrator |
| Date | 2023-11-20 |
| Name of individual signing | PAULINE JONES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 9548939499 |
| Plan sponsor’s address | 5625 SOUTH UNIVERSITY DRIVE, DAVIE, FL, 33328 |
Signature of
| Role | Plan administrator |
| Date | 2023-11-20 |
| Name of individual signing | PAULINE JONES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 9548939499 |
| Plan sponsor’s address | 5625 SOUTH UNIVERSITY DRIVE, DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| JONES PAULINE | Agent | 5625 S UNIVERSITY DRIVE, DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| JONES PAULINE J | President | 3889 OLD DUNN RD, APOPKA, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| JONES PAULINE J | Director | 3889 OLD DUNN RD, APOPKA, FL, 32712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-27 | 5625 S UNIVERSITY DRIVE, DAVIE, FL 33328 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-27 | 5625 S UNIVERSITY DRIVE, DAVIE, FL 33328 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-03-27 | JONES, PAULINE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-27 | 5625 S UNIVERSITY DRIVE, DAVIE, FL 33328 | No data |
| CANCEL ADM DISS/REV | 2003-12-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000366328 | ACTIVE | COCE23008463 | BROWARD COUNTY COURT CLERK | 2023-07-12 | 2028-08-08 | $16,073.68 | MATRIXCARE, INC. A DELAWARE CORPORATION, 2345 RICE STREET, SUITE 230, ROSEVILLE, MN, 55113 |
| J13000729377 | TERMINATED | 1000000327417 | BROWARD | 2013-04-08 | 2023-04-17 | $ 3,340.50 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
