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INTEGRITY CARE, INC

Company Details

Entity Name: INTEGRITY CARE, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Dec 2009 (15 years ago)
Last Event: AMENDMENT
Event Date Filed: 27 Jul 2017 (8 years ago)
Document Number: P09000098026
FEI/EIN Number 010935723
Mail Address: PO BOX 1388, AUBURNDALE, FL, 33823, US
Address: 223 E. Lake Ave, Auburndale, FL, 33823, US
ZIP code: 33823
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235480823 2012-09-24 2012-09-24 432 E DERBY AVE, AUBURNDALE, FL, 338234616, US 432 E DERBY AVE, AUBURNDALE, FL, 338234616, US

Contacts

Phone +1 863-595-6153

Authorized person

Name MRS. DONISHIA CHAVONDA MILLER
Role PRESIDENT
Phone 8635956153

Taxonomy

Taxonomy Code 305S00000X - Point of Service
License Number 100025378
State FL
Is Primary Yes
Taxonomy Code 305S00000X - Point of Service
License Number 100024564
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTEGRITY CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2022 010935723 2023-07-03 INTEGRITY CARE INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 8635956153
Plan sponsor’s address 223 E. LAKE AVE., AUBURNDALE, FL, 33823

Signature of

Role Plan administrator
Date 2023-07-03
Name of individual signing JUDITH HENDERSON
Valid signature Filed with authorized/valid electronic signature
INTEGRITY CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2021 010935723 2022-08-03 INTEGRITY CARE INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 8635956153
Plan sponsor’s address 223 E. LAKE AVE., AUBURNDALE, FL, 33823

Signature of

Role Plan administrator
Date 2022-08-03
Name of individual signing DONISHIA YARDE
Valid signature Filed with authorized/valid electronic signature
INTEGRITY CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2020 010935723 2021-07-02 INTEGRITY CARE INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 8635956153
Plan sponsor’s address 223 E. LAKE AVE., AUBURNDALE, FL, 33823

Signature of

Role Plan administrator
Date 2021-07-02
Name of individual signing DONISHIA YARDE
Valid signature Filed with authorized/valid electronic signature
INTEGRITY CARE INC 401(K) PROFIT SHARING PLAN & TRUST 2019 010935723 2020-07-14 INTEGRITY CARE INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 8635956153
Plan sponsor’s address 223 E. LAKE AVE., AUBURNDALE, FL, 33823

Signature of

Role Plan administrator
Date 2020-07-14
Name of individual signing DONISHIA YARDE
Valid signature Filed with authorized/valid electronic signature
INTEGRITY CARE, INC 401 K PROFIT SHARING PLAN TRUST 2018 010935723 2019-07-15 INTEGRITY CARE INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 8635956153
Plan sponsor’s address 223 E. LAKE AVE., AUBURNDALE, FL, 33823

Signature of

Role Plan administrator
Date 2019-07-15
Name of individual signing JUDITH N SHULL
Valid signature Filed with authorized/valid electronic signature
INTEGRITY CARE, INC 401 K PROFIT SHARING PLAN TRUST 2017 010935723 2018-07-26 INTEGRITY CARE INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541990
Sponsor’s telephone number 8635956153
Plan sponsor’s address 223 E. LAKE AVE., AUBURNDALE, FL, 33823

Signature of

Role Plan administrator
Date 2018-07-26
Name of individual signing DONISHIA MILLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Yarde DONISHIA C Agent 223 East Lake Ave, AUBURNDALE, FL, 33823

Chief Executive Officer

Name Role Address
Yarde DONISHIA Chief Executive Officer PO BOX 1388, AUBURNDALE, FL, 33823

Chief Operating Officer

Name Role Address
JILES MELODY Chief Operating Officer P.O. BOX 1388, AUBURNDALE, FL, 33823

Director

Name Role Address
NELSON DOROTHY Director PO BOX 1388, AUBURNDALE, FL, 33823

Secretary

Name Role Address
Davis Sequoya Secretary 223 E. Lake Ave, Auburndale, FL, 33823

Treasurer

Name Role Address
Jiles Jocquet Treasurer PO BOX 1388, AUBURNDALE, FL, 33823

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000067368 INTEGRITY YOUTH RANCH OF LAKE COUNTY ACTIVE 2020-06-15 2025-12-31 No data PO BOX 1388, AUBURNDALE, FL, 33823
G20000067376 INTEGRITY YOUTH RANCH OF POLK COUNTY ACTIVE 2020-06-15 2025-12-31 No data PO BOX 1388, AUBURNDALE, FL, 33823
G11000032487 INTEGRITY CARE RESIDENTIAL GROUP HOME EXPIRED 2011-04-01 2016-12-31 No data P.O.BOX 91749, LAKELAND, FL, 33804

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-01-12 223 East Lake Ave, AUBURNDALE, FL 33823 No data
REGISTERED AGENT NAME CHANGED 2019-01-08 Yarde, DONISHIA C No data
AMENDMENT 2017-07-27 No data No data
AMENDMENT 2015-01-26 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-01-03 223 E. Lake Ave, Auburndale, FL 33823 No data
CHANGE OF MAILING ADDRESS 2011-09-07 223 E. Lake Ave, Auburndale, FL 33823 No data
AMENDMENT 2010-06-24 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-12
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-05-01
ANNUAL REPORT 2019-01-08
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-02-15
ANNUAL REPORT 2016-02-23

Date of last update: 02 Feb 2025

Sources: Florida Department of State