Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Palm Beach
    4. ›
  4. 33461
    5. ›
  5. GENESIS HOUSE RECOVERY RESIDENCE, INC.

GENESIS HOUSE RECOVERY RESIDENCE, INC. - Florida Company Profile

Company Details

Entity Name: GENESIS HOUSE RECOVERY RESIDENCE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

GENESIS HOUSE RECOVERY RESIDENCE, 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: 03 Sep 1993 (32 years ago)
Document Number: P93000062440
FEI/EIN Number 650456525

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4865 40TH WAY S, LAKE WORTH, FL, 33461
Mail Address: 4865 40TH WAY S, LAKE WORTH, FL, 33461
ZIP code: 33461
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245383447 2007-01-19 2020-08-22 4865 40TH WAY S, LAKE WORTH, FL, 334615301, US 4865 40TH WAY S, LAKE WORTH, FL, 334615301, US

Contacts
Phone +1 561-439-4070
Fax 5614394864

Authorized person
Name MR. JAMES ANTHONY DODGE
Role EXEUTIVE DIRECTOR
Phone 5614394070

Taxonomy
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
License Number 0950AD652501
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GENESIS HOUSE RECOVERY RESIDENCE, INC. PROFIT SHARING PLAN 2021 650456525 2022-12-01 GENESIS HOUSE RECOVERY RESIDENCE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621420
Sponsor’s telephone number 8007370933
Plan sponsor’s address 4865 40TH WAY SOUTH, LAKE WORTH, FL, 33461

Signature of
Role Plan administrator
Date 2022-12-01
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-12-01
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
GENESIS HOUSE RECOVERY RESIDENCE, INC. PROFIT SHARING PLAN 2021 650456525 2022-05-05 GENESIS HOUSE RECOVERY RESIDENCE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621420
Sponsor’s telephone number 8007370933
Plan sponsor’s address 4865 40TH WAY SOUTH, LAKE WORTH, FL, 33461

Signature of
Role Plan administrator
Date 2022-05-05
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-05
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
GENESIS HOUSE RECOVERY RESIDENCE, INC. PROFIT SHARING PLAN 2020 650456525 2021-04-26 GENESIS HOUSE RECOVERY RESIDENCE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621420
Sponsor’s telephone number 8007370933
Plan sponsor’s address 4865 40TH WAY SOUTH, LAKE WORTH, FL, 33461

Signature of
Role Plan administrator
Date 2021-04-26
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-26
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
GENESIS HOUSE RECOVERY RESIDENCE, INC. PROFIT SHARING PLAN 2019 650456525 2020-04-20 GENESIS HOUSE RECOVERY RESIDENCE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621420
Sponsor’s telephone number 8007370933
Plan sponsor’s address 4865 40TH WAY SOUTH, LAKE WORTH, FL, 33461

Signature of
Role Plan administrator
Date 2020-04-20
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
GENESIS HOUSE RECOVERY RESIDENCE, INC. PROFIT SHARING PLAN 2018 650456525 2019-04-15 GENESIS HOUSE RECOVERY RESIDENCE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621420
Sponsor’s telephone number 8007370933
Plan sponsor’s address 4865 40TH WAY SOUTH, LAKE WORTH, FL, 33461

Signature of
Role Plan administrator
Date 2019-04-15
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-15
Name of individual signing TAYLOR DODGE
Valid signature Filed with incorrect/unrecognized electronic signature
GENESIS HOUSE RECOVERY RESIDENCE, INC. PROFIT SHARING PLAN 2017 650456525 2018-05-01 GENESIS HOUSE RECOVERY RESIDENCE, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621420
Sponsor’s telephone number 8007370933
Plan sponsor’s address 4865 40TH WAY SOUTH, LAKE WORTH, FL, 33461

Signature of
Role Plan administrator
Date 2018-05-01
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-01
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
GENESIS HOUSE RECOVERY RESIDENCE, INC. PROFIT SHARING PLAN 2016 650456525 2017-07-14 GENESIS HOUSE RECOVERY RESIDENCE, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621420
Sponsor’s telephone number 8007370933
Plan sponsor’s address 4865 40TH WAY SOUTH, LAKE WORTH, FL, 33461

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-14
Name of individual signing TAYLOR DODGE
Valid signature Filed with authorized/valid electronic signature
GENESIS HOUSE RECOVERY RESIDENCE, INC. PROFIT SHARING PLAN 2015 650456525 2016-07-20 GENESIS HOUSE RECOVERY RESIDENCE, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621420
Sponsor’s telephone number 8007370933
Plan sponsor’s address 4865 40TH WAY SOUTH, LAKE WORTH, FL, 33461

Signature of
Role Plan administrator
Date 2016-07-20
Name of individual signing JAMES A DODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-20
Name of individual signing JAMES A DODGE
Valid signature Filed with authorized/valid electronic signature
GENESIS HOUSE RECOVERY RESIDENCE, INC. PROFIT SHARING PLAN 2014 650456525 2015-05-05 GENESIS HOUSE RECOVERY RESIDENCE, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621420
Sponsor’s telephone number 8007370933
Plan sponsor’s address 4865 40TH WAY SOUTH, LAKE WORTH, FL, 33461

Signature of
Role Plan administrator
Date 2015-05-05
Name of individual signing JAMES A DODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-05
Name of individual signing JAMES A DODGE
Valid signature Filed with authorized/valid electronic signature
GENESIS HOUSE RECOVERY RESIDENCE, INC. PROFIT SHARING PLAN 2013 650456525 2014-06-19 GENESIS HOUSE RECOVERY RESIDENCE, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621420
Sponsor’s telephone number 8007370933
Plan sponsor’s address 4865 40TH WAY SOUTH, LAKE WORTH, FL, 33461

Signature of
Role Plan administrator
Date 2014-06-19
Name of individual signing JAMES DODGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-19
Name of individual signing JAMES DODGE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
HOWARD DODGE STEPHANIE Vice President 1207 HAMMOND RD, DELRAY BEACH, FL, 33483
DODGE TAYLOR President 4865 40TH WAY SOUTH, Lake Worth, FL, 33461
Advantage Accounting & Tax Agent 2700 North Military Trail, Boca Raton, FL, 33431

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-01-19 Advantage Accounting & Tax -
REGISTERED AGENT ADDRESS CHANGED 2021-01-19 2700 North Military Trail, Suite 200, Boca Raton, FL 33431 -

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-07
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-02-03
ANNUAL REPORT 2019-03-14
ANNUAL REPORT 2018-01-03
AMENDED ANNUAL REPORT 2017-12-01
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-03-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2089048410 2021-02-03 0455 PPS 4865 40th Way S, Lake Worth, FL, 33461-5301
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 329502
Loan Approval Amount (current) 329502
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Lake Worth, PALM BEACH, FL, 33461-5301
Project Congressional District FL-22
Number of Employees 24
NAICS code 622210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 331822.06
Forgiveness Paid Date 2021-10-20
6210627706 2020-05-01 0455 PPP 4865 40TH WAY S, LAKE WORTH, FL, 33461-5301
Loan Status Date 2021-06-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 329502
Loan Approval Amount (current) 329502
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address LAKE WORTH, PALM BEACH, FL, 33461-5301
Project Congressional District FL-22
Number of Employees 25
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 332896.32
Forgiveness Paid Date 2021-05-20

Companies related by officers

HOWARD DODGE STEPHANIE

BLUE STONE THOROUGHBRED LLC - Inactive
Florida Limited Liability Co. (2008 - 2019)
AABACO BEHAVIORAL HEALTH TREATMENT CENTER INC - Active
Domestic Profit (2008 )
CORINTHIAN DOCTORS GROUP INC - Active
Domestic Profit (2010 )

DODGE TAYLOR

BLUE STONE THOROUGHBRED LLC - Inactive
Florida Limited Liability Co. (2008 - 2019)
AABACO BEHAVIORAL HEALTH TREATMENT CENTER INC - Active
Domestic Profit (2008 )
FRIENDS IN RECOVERY ENTERPRISES INC. - Inactive
Domestic Non-Profit (2022 - 2023)
DODGEMERICA LLC - Inactive
Florida Limited Liability Co. (2014 - 2020)
CORINTHIAN DOCTORS GROUP INC - Active
Domestic Profit (2010 )

Advantage Accounting & Tax

CORINTHIAN DOCTORS GROUP INC - Active
Domestic Profit (2010 )
PALM BEACH ELECTRIC INC - Active
Domestic Profit (2004 )
ADEPT DESIGN INC - Active
Domestic Profit (2004 )
ASSOCIATES OF INTERNAL MEDICINE, P.A. - Active
Domestic Profit (2003 )
RAZAN CONSULTING INC - Inactive
Domestic Profit (2017 - 2023)
MOBILE SOUND LLC - Active
Florida Limited Liability Co. (2016 )
QUIN FAMILY INTERNATIONAL, LLC - Active
Florida Limited Liability Co. (2014 )
AABACO BEHAVIORAL HEALTH TREATMENT CENTER INC - Active
Domestic Profit (2008 )
FUTURA PRINTING, INC. - Active
Domestic Profit (1978 )
4704 MELALECUA LANE, LLC - Active
Florida Limited Liability Co. (2020 )

Companies related by address

4865 40TH WAY S, LAKE WORTH, FL, 33461

FRIENDS IN RECOVERY ENTERPRISES INC.

4865 40TH WAY S, LAKE WORTH, FL, 33461

FRIENDS IN RECOVERY ENTERPRISES INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated