| Entity Name: | GOOD TIMES GROUP HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Feb 2006 (19 years ago) |
| Document Number: | P06000027640 |
| FEI/EIN Number | 204442156 |
| Address: | 11020 SW 153 STREET, MIAMI, FL, 33157 |
| Mail Address: | 11020 SW 153 STREET, MIAMI, FL, 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700027406 | 2009-03-10 | 2009-03-10 | 11020 SW 153RD ST, MIAMI, FL, 331571239, US | 11020 SW 153RD ST, MIAMI, FL, 331571239, US | |||||||||||||||||
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| Phone | +1 305-971-0045 |
Authorized person
| Name | JASON MENDOZA |
| Role | PRESIDENT |
| Phone | 3059710045 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | 691761596 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GOOD TIMES GROUP HOME INC. GHT BENEFIT PLAN | 2022 | 204442156 | 2024-01-30 | GOOD TIMES GROUP HOME INC. | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 851828091 |
| Plan administrator’s name | MARILU RIOS |
| Plan administrator’s address | 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131 |
| Administrator’s telephone number | 3053507700 |
Signature of
| Role | Plan administrator |
| Date | 2024-01-30 |
| Name of individual signing | MARILU RIOS |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2022-02-01 |
| Business code | 624310 |
| Sponsor’s telephone number | 3055103924 |
| Plan sponsor’s address | 11020 SW 153RD ST, MIAMI, FL, 331571239 |
Plan administrator’s name and address
| Administrator’s EIN | 851828091 |
| Plan administrator’s name | MARILU RIOS |
| Plan administrator’s address | 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131 |
| Administrator’s telephone number | 3053507700 |
Signature of
| Role | Plan administrator |
| Date | 2022-12-30 |
| Name of individual signing | MARILU RIOS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MENDOZA JASON P | Agent | 11020 SW 153 STREET, MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| MENDOZA JASON | President | 9521 PALMETTO CLUB LANE EAST, MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| Mendoza Chanelle A | Vice President | 9521 palmetto club lane e, miami, FL, 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-02 | 11020 SW 153 STREET, MIAMI, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-02 | 11020 SW 153 STREET, MIAMI, FL 33157 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-03-02 | MENDOZA, JASON PSD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-02 | 11020 SW 153 STREET, MIAMI, FL 33157 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-06-11 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-02-01 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-06-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
