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FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC

Company Details

Entity Name: FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 12 Jul 2007 (18 years ago)
Date of dissolution: 30 Apr 2013 (12 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 30 Apr 2013 (12 years ago)
Document Number: P07000079604
FEI/EIN Number 26-0520485
Address: 1527 SEABREEZE BLVD, FORT LAUDERDALE, FL 33316
Mail Address: 1527 SEABREEZE BLVD, FORT LAUDERDALE, FL 33316
ZIP code: 33316
County: Broward
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC. CASH BALANCE PLAN 2012 260520485 2013-10-09 FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5616204798
Plan sponsor’s address 1527 SEABREEZE BOULEVARD, FT. LAUDERDALE, FL, 33316

Plan administrator’s name and address

Administrator’s EIN 260520485
Plan administrator’s name FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC.
Plan administrator’s address 1527 SEABREEZE BOULEVARD, FT. LAUDERDALE, FL, 33316
Administrator’s telephone number 5616204798

Signature of

Role Plan administrator
Date 2013-10-09
Name of individual signing JEFFREY PERELMAN
Valid signature Filed with authorized/valid electronic signature
FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC. 401(K) PLAN 2012 260520485 2013-07-16 FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5616204798
Plan sponsor’s address 1527 SEABREEZE BOULEVARD, FT. LAUDERDALE, FL, 33316

Plan administrator’s name and address

Administrator’s EIN 260520485
Plan administrator’s name FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC.
Plan administrator’s address 1527 SEABREEZE BOULEVARD, FT. LAUDERDALE, FL, 33316
Administrator’s telephone number 5616204798

Signature of

Role Plan administrator
Date 2013-07-16
Name of individual signing JEFFREY PERELMAN
Valid signature Filed with authorized/valid electronic signature
FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC. CASH BALANCE PLAN 2011 260520485 2012-09-21 FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5616204798
Plan sponsor’s address 1527 SEABREEZE BOULEVARD, FT. LAUDERDALE, FL, 33316

Plan administrator’s name and address

Administrator’s EIN 260520485
Plan administrator’s name FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC.
Plan administrator’s address 1527 SEABREEZE BOULEVARD, FT. LAUDERDALE, FL, 33316
Administrator’s telephone number 5616204798

Signature of

Role Plan administrator
Date 2012-09-21
Name of individual signing JEFFREY PERELMAN
Valid signature Filed with authorized/valid electronic signature
FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC. 401(K) PLAN 2011 260520485 2012-08-07 FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 5616204798
Plan sponsor’s address 1527 SEABREEZE BOULEVARD, FT. LAUDERDALE, FL, 33316

Plan administrator’s name and address

Administrator’s EIN 260520485
Plan administrator’s name FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC.
Plan administrator’s address 1527 SEABREEZE BOULEVARD, FT. LAUDERDALE, FL, 33316
Administrator’s telephone number 5616204798

Signature of

Role Plan administrator
Date 2012-08-07
Name of individual signing JEFFREY PERELMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROGERS, LISA M Agent 1492 E BROWARD BLVD, FORT LAUDERDALE, FL 33301

President

Name Role Address
PERELMAN, JEFFREY R President 1527 SEABREEZE BLVD, FORT LAUDERDALE, FL 33316

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2013-04-30 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-12 1527 SEABREEZE BLVD, FORT LAUDERDALE, FL 33316 No data
CHANGE OF MAILING ADDRESS 2012-04-12 1527 SEABREEZE BLVD, FORT LAUDERDALE, FL 33316 No data
REGISTERED AGENT ADDRESS CHANGED 2012-04-12 1492 E BROWARD BLVD, FORT LAUDERDALE, FL 33301 No data
REGISTERED AGENT NAME CHANGED 2011-11-03 ROGERS, LISA M No data
NAME CHANGE AMENDMENT 2011-10-20 FOUNTAIN BODY AND WELLNESS CENTER OF FORT LAUDERDALE, INC No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2013-04-30
ANNUAL REPORT 2012-04-12
ANNUAL REPORT 2011-11-03
ANNUAL REPORT 2011-11-02
Name Change 2011-10-20
ANNUAL REPORT 2011-10-17
ANNUAL REPORT 2011-04-20
ANNUAL REPORT 2010-03-02
ANNUAL REPORT 2009-03-24
ANNUAL REPORT 2008-03-07

Date of last update: 27 Jan 2025

Sources: Florida Department of State