| Entity Name: | SPROUT BEHAVIORAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SPROUT BEHAVIORAL SERVICES, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Jul 2016 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 29 Aug 2016 (9 years ago) |
| Document Number: | P16000061241 |
| FEI/EIN Number |
81-3451121
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11011 SHERIDAN ST., HOLLYWOOD, FL, 33026, US |
| Mail Address: | 11011 SHERIDAN ST., HOLLYWOOD, FL, 33026, US |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649727090 | 2016-09-01 | 2016-09-01 | 1548 NE 37TH ST, OAKLAND PARK, FL, 333344623, US | 1548 NE 37TH ST, OAKLAND PARK, FL, 333344623, US | |||||||||||||
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| Phone | +1 954-552-6668 |
Authorized person
| Name | KELSEY ELISE BALLEW |
| Role | PRESIDENT |
| Phone | 2562835727 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPROUT BEHAVIORAL SERVICES, INC. 401(K) PLAN | 2023 | 813451121 | 2024-10-01 | SPROUT BEHAVIORAL SERVICES, INC. | 26 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-01 |
| Name of individual signing | MICHAEL VANDERFORD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 9545526668 |
| Plan sponsor’s address | 11011 SHERIDAN STREET, SUITE 210, COOPER CITY, FL, 33026 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-11 |
| Name of individual signing | MICHAEL VANDERFORD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 9545526668 |
| Plan sponsor’s address | 11011 SHERIDAN STREET, SUITE 210, COOPER CITY, FL, 33026 |
Signature of
| Role | Plan administrator |
| Date | 2022-08-19 |
| Name of individual signing | JENNA BACHMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 9545526668 |
| Plan sponsor’s address | 11011 SHERIDAN STREET, SUITE 210, COOPER CITY, FL, 33026 |
Signature of
| Role | Plan administrator |
| Date | 2021-09-23 |
| Name of individual signing | JENNA BACHMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Peck KELSEY B | President | 417 NE 9th Ave., Ft. Lauderdale, FL, 33301 |
| Peck KELSEY B | Treasurer | 417 NE 9th Ave., Ft. Lauderdale, FL, 33301 |
| Peck KELSEY B | Secretary | 417 NE 9th Ave., Ft. Lauderdale, FL, 33301 |
| BACHMAN JENNA | President | 1260 SE 1st Avenue, Pompano Beach, FL, 33060 |
| BACHMAN JENNA | Secretary | 1260 SE 1st Avenue, Pompano Beach, FL, 33060 |
| BACHMAN JENNA | Director | 1260 SE 1st Avenue, Pompano Beach, FL, 33060 |
| REPUBLIC REGISTERED AGENT LLC | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000079212 | SPROUT | ACTIVE | 2020-07-07 | 2025-12-31 | - | 11011 SHERIDAN ST. SUITE 210, HOLLYWOOD, FL, 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-08-17 | REPUBLIC REGISTERED AGENT LLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-17 | 1150 Nw 72nd Ave Tower I Ste 455, Miami, FL 33126 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-16 | 11011 SHERIDAN ST., SUITE 210, HOLLYWOOD, FL 33026 | - |
| CHANGE OF MAILING ADDRESS | 2018-07-16 | 11011 SHERIDAN ST., SUITE 210, HOLLYWOOD, FL 33026 | - |
| AMENDMENT | 2016-08-29 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-12 |
| ANNUAL REPORT | 2024-04-15 |
| AMENDED ANNUAL REPORT | 2023-08-17 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-03-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5224777701 | 2020-05-01 | 0455 | PPP | 11011 SHERIDAN ST STE 210, HOLLYWOOD, FL, 33026-1531 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
