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AT HOME SENIOR SERVICES, INC

Company Details

Entity Name: AT HOME SENIOR SERVICES, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 22 May 2013 (12 years ago)
Date of dissolution: 09 Dec 2014 (10 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 09 Dec 2014 (10 years ago)
Document Number: P13000045346
FEI/EIN Number 37-1568483
Address: 1648 DOVE VIEW CIRCLE, AUBURNDALE, FL, 33823
Mail Address: P.O. BOX 1043, AUBURNDALE, FL, 33823
ZIP code: 33823
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AT-HOME SENIOR SERVICES, INC. AT HOME SENIOR SERVICES, INC. 2011 262536366 2012-07-18 AT-HOME SENIOR SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-09-01
Business code 621610
Sponsor’s telephone number 8632681220
Plan sponsor’s address 1648 DOVES VIEW CIRCLE, AUBURNDALE, FL, 33823

Plan administrator’s name and address

Administrator’s EIN 262536366
Plan administrator’s name AT-HOME SENIOR SERVICES, INC.
Plan administrator’s address 1648 DOVES VIEW CIRCLE, AUBURNDALE, FL, 33823
Administrator’s telephone number 8632681220

Signature of

Role Plan administrator
Date 2012-07-18
Name of individual signing JAMES CLOUSE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CLOUSE JAMES D Agent 1648 DOVE VIEW CIRCLE, AUBURNDALE, FL, 33823

President

Name Role Address
CLOUSE JAMES D President 1648 DOVES VIEW CIRCLE, AUBURNDALE, FL, 33823

Vice President

Name Role Address
CLOUSE CYNTHIA L Vice President 1648 DOVES VIEW CIRCLE, AUBURNDALE, FL, 33823

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2014-12-09 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2014-12-09
ANNUAL REPORT 2014-02-07
Domestic Profit 2013-05-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State