| Entity Name: | ORLANDO BEHAVIORAL HEALTHCARE CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Sep 2004 (20 years ago) |
| Last Event: | AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 16 Apr 2020 (5 years ago) |
| Document Number: | P04000132869 |
| FEI/EIN Number | 20-1662142 |
| Address: | 4800 N. Scottsdale Rd, Suite 6000, Scottsdale, AZ 85251 |
| Mail Address: | 4800 N. Scottsdale Rd, Suite 6000, Scottsdale, AZ 85251 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396161121 | 2014-03-18 | 2014-03-18 | 260 LOOKOUT PL, 202, MAITLAND, FL, 327514485, US | 10967 LAKE UNDERHILL RD, SUITE 113, ORLANDO, FL, 328254457, US | |||||||||||||||||||
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| Phone | +1 407-647-1781 |
| Fax | 4076474628 |
Authorized person
| Name | DENISE ROSE MARIE EUBANKS |
| Role | OFFICE MANAGER |
| Phone | 4076471781 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| License Number | MH3392 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPIN-OFF TERMINATION PLAN FOR ORLANDO BEHAVIORAL HEALTHCARE | 2020 | 201662142 | 2021-07-29 | ORLANDO BEHAVIORAL HEALTHCARE | 1 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-07-29 |
| Name of individual signing | SHERYL SOUTHWICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-06-25 |
| Business code | 541214 |
| Sponsor’s telephone number | 4076471781 |
| Plan sponsor’s address | 260 LOOKOUT PLACE, SUITE 202, MAITLAND, FL, 32751 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-30 |
| Name of individual signing | SHERYL SOUTHWICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Burdick, Kenneth | President | 4800 N. Scottsdale Rd, Suite 6000 Scottsdale, AZ 85251 |
| Name | Role | Address |
|---|---|---|
| Burdick, Kenneth | Director | 4800 N. Scottsdale Rd, Suite 6000 Scottsdale, AZ 85251 |
| Name | Role | Address |
|---|---|---|
| Pardo, Ryan | Secretary | 4800 N. Scottsdale Rd, Suite 6000 Scottsdale, AZ 85251 |
| Name | Role | Address |
|---|---|---|
| Gouk, Warren | Treasurer | 4800 N. Scottsdale Rd, Suite 6000 Scottsdale, AZ 85251 |
| Name | Role | Address |
|---|---|---|
| Gouk, Warren | Vice President | 4800 N. Scottsdale Rd, Suite 6000 Scottsdale, AZ 85251 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-19 | 4800 N. Scottsdale Rd, Suite 6000, Scottsdale, AZ 85251 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-19 | 4800 N. Scottsdale Rd, Suite 6000, Scottsdale, AZ 85251 | No data |
| AMENDED AND RESTATEDARTICLES | 2020-04-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-16 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-16 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-04 |
| Amended and Restated Articles | 2020-04-16 |
| ANNUAL REPORT | 2020-03-16 |
| Reg. Agent Change | 2020-03-16 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-02-17 |
| ANNUAL REPORT | 2017-02-11 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
