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  5. PARTNERS IN HEALTH PALM BEACH, INC.

PARTNERS IN HEALTH PALM BEACH, INC.

Company Details

Entity Name: PARTNERS IN HEALTH PALM BEACH, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Apr 2004 (21 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: P04000063907
FEI/EIN Number 680583926
Address: 3069 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406
Mail Address: 3069 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406
ZIP code: 33406
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARTNERS IN HEALTH PALM BEACH INC. RETIREMENT TRUST 2017 680583926 2018-04-13 PARTNERS IN HEALTH PALM BEACH, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 5616836638
Plan sponsor’s address 3069 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2018-04-13
Name of individual signing FREDELINE AMEDEE-BENJAMIN
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN HEALTH PALM BEACH, INC. RETIREMENT TRUST 2016 680583926 2017-07-08 PARTNERS IN HEALTH PALM BEACH, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 5616836638
Plan sponsor’s address 3069 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2017-07-08
Name of individual signing RODRIGUE BENJAMIN
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN HEALTH PALM BEACH, INC. RETIREMENT TRUST 2015 680583926 2016-07-24 PARTNERS IN HEALTH PALM BEACH, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 5616836638
Plan sponsor’s address 3069 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2016-07-24
Name of individual signing FREDELINE AMEDEE-BENJAMIN
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN HEALTH PALM BEACH, INC. RETIREMENT TRUST 2014 680583926 2015-08-05 PARTNERS IN HEALTH PALM BEACH, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 5616836638
Plan sponsor’s address 3069 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2015-08-05
Name of individual signing FREDELINE AMEDEE BENJAMIN
Valid signature Filed with authorized/valid electronic signature
PARTNERS IN HEALTH PALM BEACH, INC. RETIREMENT TRUST 2013 680583926 2014-07-30 PARTNERS IN HEALTH PALM BEACH, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621310
Sponsor’s telephone number 5616836638
Plan sponsor’s address 3069 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing FREDELINE AMEDEE BENJAMIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing FREDELINE AMEDEE BENJAMIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
AMEDEE-BENJAMIN FREDELINE D Agent 3069 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406

President

Name Role Address
AMEDEE-BENJAMIN FREDELINE D President 3069 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406

Vice President

Name Role Address
RODRIGUE BENJAMIN Vice President 100 EAST SAMPLE RD, POMPANO BEACH, FL, 33064

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08274900084 PARTNERS IN HEALTH CHIROPRACTIC CENTER EXPIRED 2008-09-26 2013-12-31 No data 5335 N. MILITARY TRAIL #44, WEST PALM BEACH, FL, 33407

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-29 3069 FOREST HILL BLVD, WEST PALM BEACH, FL 33406 No data
CHANGE OF PRINCIPAL ADDRESS 2010-09-17 3069 FOREST HILL BLVD., WEST PALM BEACH, FL 33406 No data
CHANGE OF MAILING ADDRESS 2010-09-17 3069 FOREST HILL BLVD., WEST PALM BEACH, FL 33406 No data
REGISTERED AGENT NAME CHANGED 2005-01-14 AMEDEE-BENJAMIN, FREDELINE D No data

Documents

Name Date
ANNUAL REPORT 2016-03-14
ANNUAL REPORT 2015-02-25
ANNUAL REPORT 2014-02-28
ANNUAL REPORT 2013-02-08
ANNUAL REPORT 2012-02-03
ANNUAL REPORT 2011-04-29
ADDRESS CHANGE 2010-09-17
ANNUAL REPORT 2010-02-19
ANNUAL REPORT 2009-04-10
ANNUAL REPORT 2008-04-11

Related by officers

AMEDEE-BENJAMIN FREDELINE D

B.A.T.I SCHOOL INC. D&B CHIROPRACTIC 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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