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  5. ACCIDENT INJURY AND FAMILY HEALTH CARE, INC.

ACCIDENT INJURY AND FAMILY HEALTH CARE, INC.

Company Details

Entity Name: ACCIDENT INJURY AND FAMILY HEALTH CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 04 Jun 2002 (23 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: P02000061799
FEI/EIN Number 04-3691393
Address: 17230 W DIXIE HWY, N. MIAMI BCH, FL 33160
Mail Address: 17230 W DIXIE HWY, N. MIAMI BCH, FL 33160
ZIP code: 33160
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ACCIDENT INJURY RETIREMENT PLAN 2015 043691393 2016-10-13 ACCIDENT INJURY AND FAMILY HEALTH CARE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3059489777
Plan sponsor’s address 17230 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 331604816
ACCIDENT INJURY RETIREMENT PLAN 2014 043691393 2015-07-24 ACCIDENT INJURY AND FAMILY HEALTH CARE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3059489777
Plan sponsor’s address 17230 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 331604816

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing EILEEN DVORKIN
Valid signature Filed with authorized/valid electronic signature
ACCIDENT INJURY RETIREMENT PLAN 2013 043691393 2014-07-16 ACCIDENT INJURY AND FAMILY HEALTH CARE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3059489777
Plan sponsor’s address 17230 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 331604816

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing EILEEN DVORKIN
Valid signature Filed with authorized/valid electronic signature
ACCIDENT INJURY RETIREMENT PLAN 2012 043691393 2013-06-04 ACCIDENT INJURY AND FAMILY HEALTH CARE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3059489777
Plan sponsor’s address 17230 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 331604816

Signature of
Role Plan administrator
Date 2013-06-04
Name of individual signing EILEEN DVORKIN
Valid signature Filed with authorized/valid electronic signature
ACCIDENT INJURY RETIREMENT PLAN 2011 043691393 2012-09-28 ACCIDENT INJURY AND FAMILY HEALTH CARE, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3059489777
Plan sponsor’s address 17230 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 331604816

Plan administrator’s name and address
Administrator’s EIN 043691393
Plan administrator’s name ACCIDENT INJURY AND FAMILY HEALTH CARE, INC.
Plan administrator’s address 17230 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 331604816
Administrator’s telephone number 3059489777

Signature of
Role Plan administrator
Date 2012-09-28
Name of individual signing EILEEN DVORKIN
Valid signature Filed with authorized/valid electronic signature
ACCIDENT INJURY RETIREMENT PLAN 2010 043691393 2011-09-27 ACCIDENT INJURY AND FAMILY HEALTH CARE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3059489777
Plan sponsor’s address 17230 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 331604816

Plan administrator’s name and address
Administrator’s EIN 043691393
Plan administrator’s name ACCIDENT INJURY AND FAMILY HEALTH CARE, INC.
Plan administrator’s address 17230 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 331604816
Administrator’s telephone number 3059489777

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing EILEEN DVORKIN
Valid signature Filed with authorized/valid electronic signature
ACCIDENT INJURY RETIREMENT PLAN 2009 043691393 2010-09-02 ACCIDENT INJURY AND FAMILY HEALTH CARE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3059489777
Plan sponsor’s address 17230 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 331604816

Plan administrator’s name and address
Administrator’s EIN 043691393
Plan administrator’s name ACCIDENT INJURY AND FAMILY HEALTH CARE, INC.
Plan administrator’s address 17230 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 331604816
Administrator’s telephone number 3059489777

Signature of
Role Plan administrator
Date 2010-09-02
Name of individual signing EILEEN DVORKIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DVORKIN, EILEEN Agent 17230 W DIXIE HWY, N. MIAMI BCH, FL 33160

Director

Name Role Address
DVORKIN, EILEEN Director 17230 W DIXIE HWY, N. MIAMI BCH, FL 33160

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REINSTATEMENT 2011-10-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
CHANGE OF MAILING ADDRESS 2003-11-13 17230 W DIXIE HWY, N. MIAMI BCH, FL 33160 No data
REGISTERED AGENT ADDRESS CHANGED 2003-11-13 17230 W DIXIE HWY, N. MIAMI BCH, FL 33160 No data
REINSTATEMENT 2003-11-13 No data No data
CHANGE OF PRINCIPAL ADDRESS 2003-11-13 17230 W DIXIE HWY, N. MIAMI BCH, FL 33160 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 No data No data

Documents

Name Date
ANNUAL REPORT 2017-03-23
ANNUAL REPORT 2016-04-16
ANNUAL REPORT 2015-03-02
ANNUAL REPORT 2014-02-05
ANNUAL REPORT 2013-01-29
ANNUAL REPORT 2012-03-16
REINSTATEMENT 2011-10-11
ANNUAL REPORT 2010-04-15
ANNUAL REPORT 2009-04-27
ANNUAL REPORT 2008-04-28

Related by officers

DVORKIN, EILEEN

EZD HOLDINGS INC PRIME HEALTH CENTER, INC.

Related by address

No related companies by address

Date of last update: 31 Jan 2025

Sources: Florida Department of State

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