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  5. KEYSTONE CHIROPRACTIC INC.

KEYSTONE CHIROPRACTIC INC.

Company Details

Entity Name: KEYSTONE CHIROPRACTIC INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 13 Jul 2007 (18 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Feb 2024 (a year ago)
Document Number: P07000079970
FEI/EIN Number 260597032
Address: 7408 state road 21, KEYSTONE HEIGHTS, FL, 32656, US
Mail Address: 7408 state road 21, KEYSTONE HEIGHTS, FL, 32656, US
ZIP code: 32656
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720228539 2009-03-06 2009-03-06 330A S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 326569219, US 330A S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 326569219, US

Contacts
Phone +1 352-473-9777
Fax 3524739777

Authorized person
Name DR. JINNIFER MELISSA STEPHAN
Role PHYSICIAN/OWNER
Phone 3524739777

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number CH9215
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KEYSTONE CHIROPRACTIC INC 401(K) PROFIT SHARING PLAN & TRUST 2023 260597032 2024-05-15 KEYSTONE CHIROPRACTIC INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 3863167772
Plan sponsor’s address 7408 STATE ROAD 21, KEYSTONE HEIGHTS, FL, 326567840

Signature of
Role Plan administrator
Date 2024-05-15
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
KEYSTONE CHIROPRACTIC INC 401(K) PROFIT SHARING PLAN & TRUST 2022 260597032 2023-03-29 KEYSTONE CHIROPRACTIC INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 3863167772
Plan sponsor’s address 7408 STATE ROAD 21, KEYSTONE HEIGHTS, FL, 326567840

Signature of
Role Plan administrator
Date 2023-03-29
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
KEYSTONE CHIROPRACTIC INC 401(K) PROFIT SHARING PLAN & TRUST 2021 260597032 2022-04-22 KEYSTONE CHIROPRACTIC INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 3863167772
Plan sponsor’s address 7408 STATE ROAD 21, KEYSTONE HEIGHTS, FL, 326567840

Signature of
Role Plan administrator
Date 2022-04-22
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
KEYSTONE CHIROPRACTIC INC 401(K) PROFIT SHARING PLAN & TRUST 2020 260597032 2021-04-15 KEYSTONE CHIROPRACTIC INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 3863167772
Plan sponsor’s address 330A SOUTH LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 32656

Signature of
Role Plan administrator
Date 2021-04-15
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
KEYSTONE CHIROPRACTIC INC 401(K) PROFIT SHARING PLAN & TRUST 2019 260597032 2020-06-02 KEYSTONE CHIROPRACTIC INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 3863167772
Plan sponsor’s address 330A SOUTH LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 32656

Signature of
Role Plan administrator
Date 2020-06-02
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
KEYSTONE CHIROPRACTIC INC. 401 K PROFIT SHARING PLAN TRUST 2018 260597032 2019-04-25 KEYSTONE CHIROPRACTIC INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 3863167772
Plan sponsor’s address 330A SOUTH LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 32656

Plan administrator’s name and address
Administrator’s EIN 264477125
Plan administrator’s name 401K GENERATION
Plan administrator’s address 195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746
Administrator’s telephone number 8669985879

Signature of
Role Plan administrator
Date 2019-04-25
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
KEYSTONE CHIROPRACTIC INC. 401 K PROFIT SHARING PLAN TRUST 2017 260597032 2018-05-01 KEYSTONE CHIROPRACTIC INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 3863167772
Plan sponsor’s address 330A SOUTH LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 32656

Signature of
Role Plan administrator
Date 2018-05-01
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
KEYSTONE CHIROPRACTIC INC. 401 K PROFIT SHARING PLAN TRUST 2016 260597032 2017-06-01 KEYSTONE CHIROPRACTIC INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621310
Sponsor’s telephone number 3863167772
Plan sponsor’s address 330A SOUTH LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 32656

Signature of
Role Plan administrator
Date 2017-06-01
Name of individual signing JINNIFER STEPHAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHAN JINNIFER M Agent 2208 Wide Reach Drive, Fleming Island, FL, 320038655

President

Name Role Address
STEPHAN JINNIFER M President 2208 Wide Reach Drive, Fleming Island, FL, 320038655

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-02-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REINSTATEMENT 2022-10-12 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF MAILING ADDRESS 2021-11-05 7408 state road 21, KEYSTONE HEIGHTS, FL 32656 No data
REINSTATEMENT 2021-11-05 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-11-05 7408 state road 21, KEYSTONE HEIGHTS, FL 32656 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
REINSTATEMENT 2018-05-10 No data No data
REGISTERED AGENT NAME CHANGED 2018-05-10 STEPHAN, JINNIFER M No data

Documents

Name Date
REINSTATEMENT 2024-02-07
REINSTATEMENT 2022-10-12
REINSTATEMENT 2021-11-05
ANNUAL REPORT 2020-04-05
ANNUAL REPORT 2019-02-26
REINSTATEMENT 2018-05-10
ANNUAL REPORT 2016-03-12
ANNUAL REPORT 2015-04-29
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-04-29

Related by officers

STEPHAN JINNIFER M

ALLIANCE REHABILITATION & CHIROPRACTIC LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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