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CUSTOMIZED BILLING, INC.

Company Details

Entity Name: CUSTOMIZED BILLING, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 17 Feb 1994 (31 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: P94000014283
FEI/EIN Number 65-0469111
Address: 840 U.S. HIGHWAY 1, SUITE 210, NORTH PALM BEACH, FL 33408
Mail Address: 840 U.S. HIGHWAY 1, SUITE 210, NORTH PALM BEACH, FL 33408
ZIP code: 33408
County: Palm Beach
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CUSTOMIZED BILLING, INC. 401K PROFIT SHARING PLAN & TRUST 2011 650469111 2012-12-31 CUSTOMIZED BILLING, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 812990
Sponsor’s telephone number 5616264959
Plan sponsor’s address 840 US HWY 1, STE. 210, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address

Administrator’s EIN 650469111
Plan administrator’s name CUSTOMIZED BILLING, INC.
Plan administrator’s address 840 US HWY 1, STE. 210, NORTH PALM BEACH, FL, 33408
Administrator’s telephone number 5616264959

Signature of

Role Plan administrator
Date 2012-12-31
Name of individual signing SHARON MORTENSON
Valid signature Filed with authorized/valid electronic signature
CUSTOMIZED BILLING INC 401(K) PROFIT SHARING PLAN 2011 650469111 2012-03-13 CUSTOMIZED BILLING INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 812990
Sponsor’s telephone number 5616264959
Plan sponsor’s address 840 US HWY 1 STE 210, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address

Administrator’s EIN 650469111
Plan administrator’s name CUSTOMIZED BILLING INC
Plan administrator’s address 840 US HWY 1 STE 210, NORTH PALM BEACH, FL, 33408
Administrator’s telephone number 5616264959

Signature of

Role Plan administrator
Date 2012-03-13
Name of individual signing SHARON MORTENSON
Valid signature Filed with authorized/valid electronic signature
CUSTOMIZED BILLING INC 401(K) PROFIT SHARING PLAN 2010 650469111 2011-06-16 CUSTOMIZED BILLING INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 812990
Sponsor’s telephone number 5616264959
Plan sponsor’s address 840 US HWY 1 STE 210, NORTH PALM BEACH, FL, 33408

Plan administrator’s name and address

Administrator’s EIN 650469111
Plan administrator’s name CUSTOMIZED BILLING INC
Plan administrator’s address 840 US HWY 1 STE 210, NORTH PALM BEACH, FL, 33408
Administrator’s telephone number 5616264959

Signature of

Role Plan administrator
Date 2011-06-16
Name of individual signing SHARON MORTENSON
Valid signature Filed with authorized/valid electronic signature
CUSTOMIZED BILLING INC 2009 650469111 2010-05-20 CUSTOMIZED BILLING INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 561440
Sponsor’s telephone number 5616264959
Plan sponsor’s address 840 US HWY 1 STE 210, NORTH PALM BEACH, FL, 334080000

Plan administrator’s name and address

Administrator’s EIN 650469111
Plan administrator’s name CUSTOMIZED BILLING INC
Plan administrator’s address 840 US HWY 1 STE 210, NORTH PALM BEACH, FL, 334080000
Administrator’s telephone number 5616264959

Signature of

Role Plan administrator
Date 2010-05-20
Name of individual signing CUSTOMIZED BILLING INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LIOCE, DOMENICK R Agent 1645 PALM BEACH LAKES BLVD., SUITE 1200, WEST PALM BEACH, FL 33401

Director

Name Role Address
ROJO, PATRICIA Director 5380 N OCEAN DR APT 18H, SINGER ISLAND, FL 33404
COHEN, BRADLEY MMD Director 16361 VIA FONTANA, DELRAY BEACH, FL 33484

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000002771 METRIX MEDICAL MANAGEMENT, INC EXPIRED 2013-01-08 2018-12-31 No data 13205 US HWY 1, SUITE 555, JUNO BEACH, FL, 33408

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
NAME CHANGE AMENDMENT 1996-05-01 CUSTOMIZED BILLING, INC. No data

Documents

Name Date
ANNUAL REPORT 2015-01-26
ANNUAL REPORT 2014-01-13
ANNUAL REPORT 2013-01-14
ANNUAL REPORT 2012-01-11
ANNUAL REPORT 2011-01-11
ANNUAL REPORT 2010-01-08
ANNUAL REPORT 2009-01-05
ANNUAL REPORT 2008-02-01
ANNUAL REPORT 2007-02-02
ANNUAL REPORT 2006-03-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State