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CITRUS CHIROPRACTIC GROUP INC.

Company Details

Entity Name: CITRUS CHIROPRACTIC GROUP INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Nov 2007 (17 years ago)
Date of dissolution: 06 Jun 2019 (6 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 06 Jun 2019 (6 years ago)
Document Number: P07000121593
FEI/EIN Number 261395792
Address: 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 34428
Mail Address: 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 34428
ZIP code: 34428
County: Citrus
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316121056 2007-12-18 2009-06-25 2320 N SUNSHINE PATH, CRYSTAL RIVER, FL, 34428, US 2320 N SUNSHINE PATH, CRYSTAL RIVER, FL, 34428, US

Contacts

Phone +1 352-795-5350
Fax 3527957487

Authorized person

Name DR. ANDREW J JONES
Role PRESIDENT
Phone 3527955350

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH7327
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN 2014 261395792 2015-06-29 CITRUS CHIROPRACTIC GROUP, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527955350
Plan sponsor’s address 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 34428

Plan administrator’s name and address

Administrator’s EIN 462023154
Plan administrator’s name FIRST PARTY ADMINISTRATOR, LLC
Plan administrator’s address 5352 PEACHTREE ROAD, ATLANTA, GA, 30341
Administrator’s telephone number 8004872040

Signature of

Role Plan administrator
Date 2015-05-04
Name of individual signing JOHN A. STARR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-29
Name of individual signing SHERRI HOFFMAN
Valid signature Filed with authorized/valid electronic signature
CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN 2013 261395792 2014-07-10 CITRUS CHIROPRACTIC GROUP, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527955350
Plan sponsor’s address 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810

Signature of

Role Plan administrator
Date 2014-07-10
Name of individual signing SHERRI HOFFMAN
Valid signature Filed with authorized/valid electronic signature
CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN 2012 261395792 2013-04-22 CITRUS CHIROPRACTIC GROUP, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527955350
Plan sponsor’s address 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810

Plan administrator’s name and address

Administrator’s EIN 261395792
Plan administrator’s name CITRUS CHIROPRACTIC GROUP, INC.
Plan administrator’s address 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810
Administrator’s telephone number 3527955350

Signature of

Role Plan administrator
Date 2013-04-22
Name of individual signing SHERRI HOFFMAN
Valid signature Filed with authorized/valid electronic signature
CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN 2011 261395792 2012-07-17 CITRUS CHIROPRACTIC GROUP, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527955350
Plan sponsor’s address 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810

Plan administrator’s name and address

Administrator’s EIN 261395792
Plan administrator’s name CITRUS CHIROPRACTIC GROUP, INC.
Plan administrator’s address 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810
Administrator’s telephone number 3527955350

Signature of

Role Plan administrator
Date 2012-07-17
Name of individual signing SHERRI HOFFMAN
Valid signature Filed with authorized/valid electronic signature
CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN 2010 261395792 2011-07-07 CITRUS CHIROPRACTIC GROUP, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527955350
Plan sponsor’s address 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810

Plan administrator’s name and address

Administrator’s EIN 261395792
Plan administrator’s name CITRUS CHIROPRACTIC GROUP, INC.
Plan administrator’s address 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810
Administrator’s telephone number 3527955350

Signature of

Role Plan administrator
Date 2011-07-07
Name of individual signing SHERRI HOFFMAN
Valid signature Filed with authorized/valid electronic signature
CITRUS CHIROPRACTIC GROUP EMPLOYEE 401(K) PLAN 2009 261395792 2010-05-11 CITRUS CHIROPRACTIC GROUP, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 3527955350
Plan sponsor’s address 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810

Plan administrator’s name and address

Administrator’s EIN 261395792
Plan administrator’s name CITRUS CHIROPRACTIC GROUP, INC.
Plan administrator’s address 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 344285810
Administrator’s telephone number 3527955350

Signature of

Role Plan administrator
Date 2010-05-11
Name of individual signing KELLY BECKETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-11
Name of individual signing KELLY BECKETT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DUMBADSE ROSS T Agent 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 34428

Vice President

Name Role Address
DUMBADSE ROSS T Vice President 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 34428

President

Name Role Address
JONES ANDREW J President 2320 N. SUNSHINE PATH, CRYSTAL RIVER, FL, 34428

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000045732 HEALTH ATLAST CITRUS MEDICAL AND CHIROPRACTIC GROUP EXPIRED 2014-05-07 2019-12-31 No data 2320 NORTH SUNSHINE PATH & HWY 44, CRYSTAL RIVER, FL, 34428
G11000087884 INVERNESS CHIROPRACTIC CLINIC EXPIRED 2011-09-06 2016-12-31 No data 2202 HWY 44 W, INVERNESS, FL, 34453

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2019-06-06 No data No data
REINSTATEMENT 2017-11-02 No data No data
REGISTERED AGENT NAME CHANGED 2017-11-02 DUMBADSE, ROSS T No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
NAME CHANGE AMENDMENT 2009-04-29 CITRUS CHIROPRACTIC GROUP INC. No data

Documents

Name Date
Voluntary Dissolution 2019-06-06
ANNUAL REPORT 2018-01-16
REINSTATEMENT 2017-11-02
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-02-19
ANNUAL REPORT 2014-04-07
ANNUAL REPORT 2013-03-04
ANNUAL REPORT 2012-01-11
ANNUAL REPORT 2011-01-06
ANNUAL REPORT 2010-01-08

Date of last update: 01 Feb 2025

Sources: Florida Department of State