| Entity Name: | LEGACY HOME HEALTH CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Jul 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Oct 2022 (2 years ago) |
| Document Number: | P17000063340 |
| FEI/EIN Number | 82-2305038 |
| Address: | 7384 State Road 21, KEYSTONE HEIGHTS, FL 32656 |
| Mail Address: | 7384 State Road 21, KEYSTONE HEIGHTS, FL 32656 |
| ZIP code: | 32656 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568234433 | 2023-10-24 | 2023-11-20 | 815 S MOODY RD, PALATKA, FL, 321778322, US | 815 S MOODY RD STE 1, PALATKA, FL, 321778322, US | |||||||||||||||||
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| Phone | +1 386-312-7411 |
| Fax | 8664941511 |
| Fax | 8665301994 |
Authorized person
| Name | ELIZABETH MURPHY |
| Role | ADMINISTRATOR |
| Phone | 3524787030 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN | 2023 | 822305038 | 2024-06-11 | LEGACY HOME HEALTH CARE, INC. | 91 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 262312094 |
| Plan administrator’s name | TPC QUALIFIED PLANS LLC |
| Plan administrator’s address | 11215 N COMMUNITY HOUSE RD #800, CHARLOTTE, NC, 28277 |
| Administrator’s telephone number | 8885054484 |
Signature of
| Role | Plan administrator |
| Date | 2024-06-11 |
| Name of individual signing | MELISSA VERSNIK |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 020 |
| Effective date of plan | 2022-02-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 3524787030 |
| Plan sponsor’s address | 445 S. LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 32656 |
Plan administrator’s name and address
| Administrator’s EIN | 262312094 |
| Plan administrator’s name | TPC QUALIFIED PLANS LLC |
| Plan administrator’s address | 2355 JFK ROAD, DUBUQUE, IA, 52004 |
| Administrator’s telephone number | 8885054484 |
| File | View Page |
| Three-digit plan number (PN) | 020 |
| Effective date of plan | 2022-02-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 3524787030 |
| Plan sponsor’s address | 445 S. LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 32656 |
Plan administrator’s name and address
| Administrator’s EIN | 262312094 |
| Plan administrator’s name | TPC QUALIFIED PLANS LLC |
| Plan administrator’s address | 2355 JFK ROAD, DUBUQUE, IA, 52004 |
| Administrator’s telephone number | 8885054484 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-29 |
| Name of individual signing | MELISSA VERSNIK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MURPHY, ELIZABETH P | Agent | 7384 State Road 21, Keystone Heights, FL 32656 |
| Name | Role | Address |
|---|---|---|
| MURPHY, CHRISTOPHER A | Chief Financial Officer | 7384 State Road 21, Keystone Heights, FL 32656 |
| Name | Role | Address |
|---|---|---|
| MURPHY, ELIZABETH P | President | 7384 State Road 21, Keystone Heights, FL 32656 |
| Name | Role | Address |
|---|---|---|
| MURPHY, CHRISTOPHER A | Vice President | 7384 State Road 21, Keystone Heights, FL 32656 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000128319 | LEGACY HOME HEALTH CARE OF PUTNAM COUNTY | ACTIVE | 2023-10-17 | 2028-12-31 | No data | 815 SOUTH MOODY ROAD, SUITE 1, PALATKA, FL, 32666 |
| G21000107614 | LEGACY HOME HEALTH CARE OF MARION COUNTY | ACTIVE | 2021-08-18 | 2026-12-31 | No data | 445 S. LAWRENCE BLVD, KEYSTONE HEIGHTS, FL, 32656 |
| G19000079637 | LEGACY HOME HEALTH CARE OF BRADFORD COUNTY | ACTIVE | 2019-07-25 | 2029-12-31 | No data | 603 E CALL STREET, STARKE, FL, 32091 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-10-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-07 | 7384 State Road 21, KEYSTONE HEIGHTS, FL 32656 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-07 | 7384 State Road 21, KEYSTONE HEIGHTS, FL 32656 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-07 | MURPHY, ELIZABETH P | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-07 | 7384 State Road 21, Keystone Heights, FL 32656 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-05-04 |
| REINSTATEMENT | 2022-10-07 |
| ANNUAL REPORT | 2021-06-18 |
| ANNUAL REPORT | 2020-07-07 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-01-17 |
| Domestic Profit | 2017-07-26 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
