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  5. HUMAN SERVICES ASSOCIATES, INC

HUMAN SERVICES ASSOCIATES, INC

Company Details

Entity Name: HUMAN SERVICES ASSOCIATES, INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 04 Oct 2017 (7 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: P17000079914
FEI/EIN Number 32-0557441
Address: 50 N LAURA ST, SUITE 2500, JACKSONVILLE, FL 32207
Mail Address: 50 N LAURA ST, SUITE 2500, JACKSONVILLE, FL 32207
ZIP code: 32207
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HUMAN SERVICES ASSOCIATES, INC. WELFARE BENEFIT PLAN 2012 593174674 2013-09-10 HUMAN SERVICES ASSOCIATES, INC. 160
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2004-04-01
Business code 624100
Sponsor’s telephone number 4074220880
Plan sponsor’s mailing address 1801 LEE ROAD, SUITE 170, WINTER PARK, FL, 32789
Plan sponsor’s address 1801 LEE ROAD, SUITE 170, WINTER PARK, FL, 32789

Number of participants as of the end of the plan year
Other retired or separated participants entitled to future benefits 140

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing LORI TOMLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-10
Name of individual signing LORI TOMLIN
Valid signature Filed with authorized/valid electronic signature
HUMAN SERVICES ASSOCIATES WELFARE BENEFIT PLAN 2010 593174674 2012-02-04 HUMAN SERVICES ASSOCIATES, INC. 0
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2004-04-01
Business code 624100
Sponsor’s telephone number 4074220880
Plan sponsor’s mailing address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789
Plan sponsor’s address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789

Plan administrator’s name and address
Administrator’s EIN 593174674
Plan administrator’s name HUMAN SERVICES ASSOCIATES, INC.
Plan administrator’s address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789
Administrator’s telephone number 4074220880

Number of participants as of the end of the plan year
Active participants 324

Signature of
Role Plan administrator
Date 2012-01-30
Name of individual signing STACY BROOKS
Valid signature Filed with authorized/valid electronic signature
HUMAN SERVICES ASSOCIATES WELFARE BENEFIT PLAN 2010 593174674 2012-02-04 HUMAN SERVICES ASSOCIATES, INC. 324
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2004-04-01
Business code 624100
Sponsor’s telephone number 4074220880
Plan sponsor’s mailing address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789
Plan sponsor’s address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789

Plan administrator’s name and address
Administrator’s EIN 593174674
Plan administrator’s name HUMAN SERVICES ASSOCIATES, INC.
Plan administrator’s address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789
Administrator’s telephone number 4074220880

Number of participants as of the end of the plan year
Active participants 262

Signature of
Role Plan administrator
Date 2012-01-30
Name of individual signing STACY BROOKS
Valid signature Filed with authorized/valid electronic signature
HUMAN SERVICES ASSOCIATES WELFARE BENEFIT PLAN 2010 593174674 2012-02-04 HUMAN SERVICES ASSOCIATES, INC. 262
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2004-04-01
Business code 624100
Sponsor’s telephone number 4074220880
Plan sponsor’s mailing address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789
Plan sponsor’s address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789

Plan administrator’s name and address
Administrator’s EIN 593174674
Plan administrator’s name HUMAN SERVICES ASSOCIATES, INC.
Plan administrator’s address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789
Administrator’s telephone number 4074220880

Number of participants as of the end of the plan year
Active participants 275

Signature of
Role Plan administrator
Date 2012-01-30
Name of individual signing STACY BROOKS
Valid signature Filed with authorized/valid electronic signature
HUMAN SERVICES ASSOCIATES WELFARE BENEFIT PLAN 2010 593174674 2012-02-04 HUMAN SERVICES ASSOCIATES, INC. 275
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2004-04-01
Business code 624100
Sponsor’s telephone number 4074220880
Plan sponsor’s mailing address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789
Plan sponsor’s address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789

Plan administrator’s name and address
Administrator’s EIN 593174674
Plan administrator’s name HUMAN SERVICES ASSOCIATES, INC.
Plan administrator’s address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789
Administrator’s telephone number 4074220880

Number of participants as of the end of the plan year
Active participants 265

Signature of
Role Plan administrator
Date 2012-01-30
Name of individual signing STACY BROOKS
Valid signature Filed with authorized/valid electronic signature
HUMAN SERVICES ASSOCIATES WELFARE BENEFIT PLAN 2010 593174674 2012-02-04 HUMAN SERVICES ASSOCIATES, INC. 265
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2004-04-01
Business code 624100
Sponsor’s telephone number 4074220880
Plan sponsor’s mailing address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789
Plan sponsor’s address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789

Plan administrator’s name and address
Administrator’s EIN 593174674
Plan administrator’s name HUMAN SERVICES ASSOCIATES, INC.
Plan administrator’s address 1801 LEE ROAD, STE 170, WINTER PARK, FL, 32789
Administrator’s telephone number 4074220880

Number of participants as of the end of the plan year
Active participants 236

Signature of
Role Plan administrator
Date 2012-01-30
Name of individual signing STACY BROOKS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CRAWFORD, KESLEY Agent 50 N LAURA ST, SUITE 2500, JACKSONVILLE, FL 32207

President

Name Role Address
CRAWFORD, KESLEY President 50 N LAURA ST, SUITE 2500 JACKSONVILLE, FL 32207

Vice President

Name Role Address
SMITH, CORETHA Vice President 50 N LAURA ST, SUITE 2500 JACKSONVILLE, FL 32207

Secretary

Name Role Address
CRAWFORD, AMANDA Secretary 50 N LAURA ST, SUITE 2500 JACKSONVILLE, FL 32207

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
AMENDMENT AND NAME CHANGE 2018-03-05 HUMAN SERVICES ASSOCIATES, INC No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-05 50 N LAURA ST, SUITE 2500, JACKSONVILLE, FL 32207 No data
CHANGE OF MAILING ADDRESS 2018-03-05 50 N LAURA ST, SUITE 2500, JACKSONVILLE, FL 32207 No data
REGISTERED AGENT NAME CHANGED 2018-03-05 CRAWFORD, KESLEY No data

Documents

Name Date
Amendment and Name Change 2018-03-05
Domestic Profit 2017-10-04

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Related by address

No related companies by address

Date of last update: 18 Jan 2025

Sources: Florida Department of State

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