| Entity Name: | ALTAMONTE FAMILY WELLNESS MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Jul 2012 (13 years ago) |
| Date of dissolution: | 13 Jul 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Jul 2021 (4 years ago) |
| Document Number: | P12000066116 |
| FEI/EIN Number | 46-0682419 |
| Address: | 334 Vista Oak Dr, Longwood, FL 32779 |
| Mail Address: | 334 Vista Oak Dr, Longwood, FL 32779 |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALTAMONTE FAMILY WELLNESS MEDICAL CENTER, INC. 401(K) & PROFIT SHARING PLAN | 2016 | 460682419 | 2017-09-28 | ALTAMONTE FAMILY WELLNESS MEDICAL CENTER, INC. | 17 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2017-09-28 |
| Name of individual signing | ERIK ROACH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 4076472009 |
| Plan sponsor’s address | 475 MAITLAND AVE., ALTAMONTE SPRINGS, FL, 32701 |
Signature of
| Role | Plan administrator |
| Date | 2016-09-24 |
| Name of individual signing | ERIK ROACH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 4076472009 |
| Plan sponsor’s address | P.O. BOX 947809, MAITLAND, FL, 327947809 |
Signature of
| Role | Plan administrator |
| Date | 2015-10-12 |
| Name of individual signing | RACHEL ROACH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 4076472009 |
| Plan sponsor’s address | P.O. BOX 947809, MAITLAND, FL, 327947809 |
Signature of
| Role | Plan administrator |
| Date | 2014-09-19 |
| Name of individual signing | RACHEL ROACH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ROACH, ERIK | Agent | 334 Vista Oak Dr, Longwood, FL 32779 |
| Name | Role | Address |
|---|---|---|
| ROACH, ERIK | President | 334 Vista Oak Dr, Longwood, FL 32779 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000106972 | ROACH FAMILY WELLNESS INTEGRATIVE MEDICINE | EXPIRED | 2012-11-05 | 2017-12-31 | No data | ROACH FAMILY WELLNESS INTEGRATIVE MEDICI, PO BOX 947809, MAITLAND, FL, 32794 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-07-13 | No data | No data |
| REINSTATEMENT | 2019-10-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-08 | 334 Vista Oak Dr, Longwood, FL 32779 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-08 | 334 Vista Oak Dr, Longwood, FL 32779 | No data |
| CHANGE OF MAILING ADDRESS | 2019-10-08 | 334 Vista Oak Dr, Longwood, FL 32779 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-08 | ROACH, ERIK | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-07-13 |
| ANNUAL REPORT | 2020-02-05 |
| REINSTATEMENT | 2019-10-08 |
| ANNUAL REPORT | 2017-01-09 |
| AMENDED ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-01-26 |
| Domestic Profit | 2012-07-30 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
