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FAMILY HEALTH CARE OF DELRAY, INC.

Company Details

Entity Name: FAMILY HEALTH CARE OF DELRAY, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 20 Mar 2006 (19 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: P06000040557
FEI/EIN Number 65-0732159
Address: 1483 S. CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378
Mail Address: 1520 10TH AVENUE NORTH, LAKE WORTH, FL 33445-6378
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518360726 2014-10-01 2014-10-01 7100 S MILITARY TRL, SUITE 7126, LAKE WORTH, FL, 334637812, US 7100 S MILITARY TRL, SUITE 7126, LAKE WORTH, FL, 334637812, US

Contacts

Phone +1 561-822-3167

Authorized person

Name DR. SERGE ALEXANDRE
Role OWNER/PHYSICIAN
Phone 5616135450

Taxonomy

Taxonomy Code 207RA0401X - Addiction Medicine (Internal Medicine) Physician
License Number ME69471
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN 2015 650732159 2016-10-15 FAMILY HEALTH CARE OF DELRAY, INC. 9
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612768444
Plan sponsor’s address 1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445

Signature of

Role Plan administrator
Date 2016-10-15
Name of individual signing CLIFTON H RODRIQUEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-15
Name of individual signing CLIFTON H RODRIQUEZ
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN 2015 650732159 2016-10-15 FAMILY HEALTH CARE OF DELRAY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612768444
Plan sponsor’s address 1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445

Signature of

Role Plan administrator
Date 2016-10-15
Name of individual signing CLIFTON H RODRIQUEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-15
Name of individual signing CLIFTON H RODRIQUEZ
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN 2014 650732159 2015-10-15 FAMILY HEALTH CARE OF DELRAY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612768444
Plan sponsor’s address 1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing SERGE L. ALEXANDRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing SERGE L. ALEXANDRE
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN 2013 650732159 2014-10-15 FAMILY HEALTH CARE OF DELRAY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612768444
Plan sponsor’s address 1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing SERGE L ALEXANDRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing SERGE L. ALEXANDRE
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTHCARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN 2012 650732159 2013-10-15 FAMILY HEALTH CARE OF DELRAY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612768444
Plan sponsor’s address 1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing SERGE L. ALEXANDRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing SERGE L. ALEXANDRE
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN 2011 650732159 2012-09-28 FAMILY HEALTH CARE OF DELRAY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612768444
Plan sponsor’s address 1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445

Plan administrator’s name and address

Administrator’s EIN 650732159
Plan administrator’s name FAMILY HEALTH CARE OF DELRAY, INC.
Plan administrator’s address 1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445
Administrator’s telephone number 5612768444

Signature of

Role Plan administrator
Date 2012-09-28
Name of individual signing SERGE L. ALEXANDRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-28
Name of individual signing SERGE L. ALEXANDRE
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH CARE OF DELRAY, INC. 401(K) PROFIT SHARING PLAN 2010 650732159 2011-07-20 FAMILY HEALTH CARE OF DELRAY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5612768444
Plan sponsor’s address 1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445

Plan administrator’s name and address

Administrator’s EIN 650732159
Plan administrator’s name FAMILY HEALTH CARE OF DELRAY, INC.
Plan administrator’s address 1483 SOUTH CONGRESS AVENUE, DELRAY BEACH, FL, 33445
Administrator’s telephone number 5612768444

Signature of

Role Plan administrator
Date 2011-07-20
Name of individual signing SERGE L. ALEXANDRE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-20
Name of individual signing SERGE L. ALEXANDRE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ALEXANDRE, SERGE L Agent 1483 S CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378

President

Name Role Address
ALEXANDRE, SERGE LMD President 1483 S. CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378

Treasurer

Name Role Address
ALEXANDRE, SERGE LMD Treasurer 1483 S. CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378

Director

Name Role Address
ALEXANDRE, SERGE LMD Director 1483 S. CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378
PAUL, MARIE E Director 1483 S. CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378

Chairman of the Board

Name Role Address
ALEXANDRE, SERGE LMD Chairman of the Board 1483 S. CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378

Chief Executive Officer

Name Role Address
ALEXANDRE, SERGE LMD Chief Executive Officer 1483 S. CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378

Secretary

Name Role Address
PAUL, MARIE E Secretary 1483 S. CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000041147 FAMILY HEALTH CARE SERVICES ACTIVE 2020-04-14 2025-12-31 No data 1483 SO. CONGRESS AVENUE, DELRAY BEACH, FL, 33445
G13000120891 RECOVERY HEALTH SERVICE CENTER EXPIRED 2013-12-11 2018-12-31 No data 1520 10TH AVENUE NORTH, LAKE WORTH, FL, 33460-2069
G13000017002 FAMILY HEALTH CARE SERVICES EXPIRED 2013-02-18 2018-12-31 No data 1483 S. CONGRESS AVENUE, DELRAY BEACH, FL, 33445--638

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
AMENDMENT 2014-04-14 No data No data
CHANGE OF MAILING ADDRESS 2014-04-14 1483 S. CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378 No data
CHANGE OF PRINCIPAL ADDRESS 2014-04-14 1483 S. CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378 No data
AMENDMENT 2013-12-11 No data No data
REGISTERED AGENT NAME CHANGED 2008-01-31 ALEXANDRE, SERGE L No data
REGISTERED AGENT ADDRESS CHANGED 2008-01-31 1483 S CONGRESS AVENUE, DELRAY BEACH, FL 33445-6378 No data
CANCEL ADM DISS/REV 2007-10-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J16000635874 TERMINATED 14-446-D2 LEON 2016-08-10 2021-09-23 $3,971.74 DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228

Documents

Name Date
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-04-17
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-02-03
ANNUAL REPORT 2016-01-29
ANNUAL REPORT 2015-02-16
Amendment 2014-04-14
ANNUAL REPORT 2014-03-20
Amendment 2013-12-11

Date of last update: 28 Jan 2025

Sources: Florida Department of State