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GORDON FAMILY CHIROPRACTIC, INC

Company Details

Entity Name: GORDON FAMILY CHIROPRACTIC, INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 09 Jan 2017 (8 years ago)
Document Number: P17000003049
FEI/EIN Number 81-4949317
Address: 228 PONTE VEDRA PARK DR., 800, PONTE VEDRA BEACH, FL 32082
Mail Address: 228 PONTE VEDRA PARK DR., 800, PONTE VEDRA BEACH, FL 32082
ZIP code: 32082
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508304783 2017-02-07 2017-02-07 228 PONTE VEDRA PARK DR, SUITE 800, PONTE VEDRA, FL, 320826613, US 228 PONTE VEDRA PARK DR, SUITE 800, PONTE VEDRA, FL, 320826613, US

Contacts

Phone +1 904-418-3937

Authorized person

Name DR. WAYNE GORDON
Role MANAGER
Phone 9044183937

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH9576
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GORDON FAMILY CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2023 814949317 2024-10-14 GORDON FAMILY CHIROPRACTIC, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9044183937
Plan sponsor’s address 228 PONTE VEDRA PARK DRIVE, SUITE 800, PONTE VEDRA BEACH, FL, 32082

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing WAYNE GORDON
Valid signature Filed with authorized/valid electronic signature
GORDON FAMILY CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2022 814949317 2023-10-13 GORDON FAMILY CHIROPRACTIC, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9044183937
Plan sponsor’s address 228 PONTE VEDRA PARK DRIVE, SUITE 800, PONTE VEDRA BEACH, FL, 32082

Signature of

Role Plan administrator
Date 2023-10-13
Name of individual signing WAYNE GORDON
Valid signature Filed with authorized/valid electronic signature
GORDON FAMILY CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2021 814949317 2022-10-17 GORDON FAMILY CHIROPRACTIC, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9044183937
Plan sponsor’s address 228 PONTE VEDRA PARK DRIVE, SUITE 800, PONTE VEDRA BEACH, FL, 32082
GORDON FAMILY CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2020 814949317 2021-10-14 GORDON FAMILY CHIROPRACTIC, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9044183937
Plan sponsor’s address 228 PONTE VEDRA PARK DRIVE, SUITE 800, PONTE VEDRA BEACH, FL, 32082

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing WAYNE GORDON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing WAYNE GORDON
Valid signature Filed with authorized/valid electronic signature
GORDON FAMILY CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2019 814949317 2020-10-15 GORDON FAMILY CHIROPRACTIC, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9044183937
Plan sponsor’s address 228 PONTE VEDRA PARK DRIVE, SUITE 800, PONTE VEDRA BEACH, FL, 32082

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing WAYNE GORDON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing WAYNE GORDON
Valid signature Filed with authorized/valid electronic signature
GORDON FAMILY CHIROPRACTIC, INC. 401(K) PROFIT SHARING PLAN 2018 814949317 2019-10-11 GORDON FAMILY CHIROPRACTIC, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621310
Sponsor’s telephone number 9044183937
Plan sponsor’s address 228 PONTE VEDRA PARK DRIVE, SUITE 800, PONTE VEDRA BEACH, FL, 32082

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing WAYNE GORDON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing WAYNE GORDON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GORDON, WAYNE Agent 228 PONTE VEDRA PARK DR., 800, PONTE VEDRA BEACH, FL 32082

Manager

Name Role Address
GORDON, WAYNE Manager 228 PONTE VEDRA PARK DR., PONTE VEDRA BEACH, FL 32082

AttRMGR

Name Role Address
Gordon, Lesley AttRMGR 228 PONTE VEDRA PARK DR., 800 PONTE VEDRA BEACH, FL 32082

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-05-01
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-01-23
Domestic Profit 2017-01-09

Date of last update: 19 Jan 2025

Sources: Florida Department of State