Entity Name: | ADVANCED PSYCHIATRIC HEALTH INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 01 Jun 2015 (10 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 01 Feb 2023 (2 years ago) |
Document Number: | P15000048426 |
FEI/EIN Number | 47-4167944 |
Address: | 27716 Cashford Circle, 101, Wesley Chapel, FL 33544 |
Mail Address: | 27716 Cashford Circle, 101, Wesley Chapel, FL 33544 |
ZIP code: | 33544 |
County: | Pasco |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861877144 | 2015-07-28 | 2023-05-02 | 27716 CASHFORD CIR STE 101, WESLEY CHAPEL, FL, 335446962, US | 27716 CASHFORD CIR STE 101, WESLEY CHAPEL, FL, 335446962, US | |||||||||||||||
|
Phone | +1 813-540-1466 |
Fax | 8139900222 |
Authorized person
Name | GHAZANFAR KHAN |
Role | OWNER/ PHYSICIAN |
Phone | 8135401466 |
Taxonomy
Taxonomy Code | 2084P0800X - Psychiatry Physician |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ADVANCED PSYCHIATRIC HEALTH 401(K) PLAN | 2023 | 474167944 | 2024-05-17 | ADVANCED PSYCHIATRIC HEALTH INC | 0 | |||||||||||||||||||||||||||||||
|
Administrator’s EIN | 474474775 |
Plan administrator’s name | GUIDELINE, INC. |
Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number | 8882283491 |
Signature of
Role | Plan administrator |
Date | 2024-05-17 |
Name of individual signing | QIAN LIU |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
KHAN, GHAZANFAR | Agent | 2622 CORDOBA BLVD, LUTZ, FL 33559 |
Name | Role | Address |
---|---|---|
KHAN, GHAZANFAR | President | 2622 CORDOBA BLVD, LUTZ, FL 33559 |
Name | Role | Address |
---|---|---|
MARTIN, JOHN, IV | Vice President | 21 Gilbert Avenue, Clarendon Hills, IL 60514 |
Name | Role | Address |
---|---|---|
WILSON, OSCAR | Secretary | 313 HARTS OAK PLACE, SEFFNER, FL 33584 |
Name | Role | Address |
---|---|---|
JEFFRIES, WILLIAM | Treasurer | 12445 Alameda Trace Circle, APT 331 AUSTIN, TX 78727 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-05-03 | 27716 Cashford Circle, 101, Wesley Chapel, FL 33544 | No data |
CHANGE OF MAILING ADDRESS | 2024-05-03 | 27716 Cashford Circle, 101, Wesley Chapel, FL 33544 | No data |
AMENDMENT | 2023-02-01 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2019-03-04 | 2622 CORDOBA BLVD, LUTZ, FL 33559 | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J23000301762 | TERMINATED | 1000000956916 | HILLSBOROU | 2023-06-20 | 2033-06-28 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-05-03 |
ANNUAL REPORT | 2023-04-12 |
Amendment | 2023-02-01 |
AMENDED ANNUAL REPORT | 2022-11-14 |
ANNUAL REPORT | 2022-04-27 |
ANNUAL REPORT | 2021-04-16 |
ANNUAL REPORT | 2020-06-18 |
ANNUAL REPORT | 2019-03-04 |
ANNUAL REPORT | 2018-04-16 |
ANNUAL REPORT | 2017-04-24 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State