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  5. LIFETIME OF AVENTURA, INC.

LIFETIME OF AVENTURA, INC.

Company Details

Entity Name: LIFETIME OF AVENTURA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 02 Nov 1994 (30 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P94000080624
FEI/EIN Number 65-0530635
Address: 21150 BISCAYNE BLVD., STE. 302, AVETURA, FL 33180
Mail Address: 21150 BISCAYNE BLVD., STE. 302, AVETURA, FL 33180
ZIP code: 33180
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225050180 2006-07-23 2020-08-22 21150 BISCAYNE BLVD, SUITE 302, AVENTURA, FL, 331801226, US 21150 BISCAYNE BLVD, SUITE 302, AVENTURA, FL, 331801226, US

Contacts
Phone +1 305-931-0504
Fax 3059319606

Authorized person
Name MR. DANIEL COHEN
Role VICE PRESIDENT
Phone 3059310504

Taxonomy
Taxonomy Code 261Q00000X - Clinic/Center
License Number HCC5753
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFETIME OF AVENTURA, INC. EMPLOYEE RETIREMENT PLAN 2016 650530635 2017-12-01 LIFETIME OF AVENTURA, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055026461
Plan sponsor’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 650530635
Plan administrator’s name LIFETIME OF AVENTURA, INC.
Plan administrator’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160
Administrator’s telephone number 3055026461

Signature of
Role Plan administrator
Date 2017-12-01
Name of individual signing GERMAN FRAYND
Valid signature Filed with authorized/valid electronic signature
LIFETIME OF AVENTURA, INC. EMPLOYEE RETIREMENT PLAN 2015 650530635 2016-09-27 LIFETIME OF AVENTURA, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055026461
Plan sponsor’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 650530635
Plan administrator’s name LIFETIME OF AVENTURA, INC.
Plan administrator’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160
Administrator’s telephone number 3055026461

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing GERMAN FRAYND
Valid signature Filed with authorized/valid electronic signature
LIFETIME OF AVENTURA, INC. EMPLOYEE RETIREMENT PLAN 2014 650530635 2015-10-08 LIFETIME OF AVENTURA, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055026461
Plan sponsor’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 650530635
Plan administrator’s name LIFETIME OF AVENTURA, INC.
Plan administrator’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160
Administrator’s telephone number 3055026461

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing GERMAN FRAYND
Valid signature Filed with authorized/valid electronic signature
LIFETIME OF AVENTURA, INC. EMPLOYEE RETIREMENT PLAN 2013 650530635 2014-10-08 LIFETIME OF AVENTURA, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055026461
Plan sponsor’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 650530635
Plan administrator’s name LIFETIME OF AVENTURA, INC.
Plan administrator’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160
Administrator’s telephone number 3055026461

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing GERMAN FRAYND
Valid signature Filed with authorized/valid electronic signature
LIFETIME OF AVENTURA, INC. EMPLOYEE RETIREMENT PLAN 2012 650530635 2013-09-30 LIFETIME OF AVENTURA, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055026461
Plan sponsor’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 650530635
Plan administrator’s name LIFETIME OF AVENTURA, INC.
Plan administrator’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160
Administrator’s telephone number 3055026461

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing GERMAN FRAYND
Valid signature Filed with authorized/valid electronic signature
LIFETIME OF AVENTURA, INC. EMPLOYEE RETIREMENT PLAN 2011 650530635 2012-09-27 LIFETIME OF AVENTURA, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3055026461
Plan sponsor’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160

Plan administrator’s name and address
Administrator’s EIN 650530635
Plan administrator’s name LIFETIME OF AVENTURA, INC.
Plan administrator’s address 16051 COLLINS AVENUE, APT. 2301, SUNNY ISLES, FL, 33160
Administrator’s telephone number 3055026461

Signature of
Role Plan administrator
Date 2012-09-27
Name of individual signing GERMAN FRAYND
Valid signature Filed with authorized/valid electronic signature
LIFETIME OF AVENTURA, INC. EMPLOYEE RETIREMENT PLAN 2009 650530635 2012-04-11 LIFETIME OF AVENTURA, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3059310504
Plan sponsor’s address 21150 BISCAYNE BLVD., SUITE 302, AVENTURA, FL, 33180

Plan administrator’s name and address
Administrator’s EIN 650530635
Plan administrator’s name LIFETIME OF AVENTURA, INC.
Plan administrator’s address 21150 BISCAYNE BLVD., SUITE 302, AVENTURA, FL, 33180
Administrator’s telephone number 3059310504

Signature of
Role Plan administrator
Date 2012-04-11
Name of individual signing CAMERON KELLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
COHEN, DANIEL Agent 21150 BISCAYNE BLVD., STE. 302, AVENTURA, FL 33180

President

Name Role Address
FRAYND, GERMAN MD President 21150 BISCAYNE BLVD., STE. 302, AVENTURA, FL

Treasurer

Name Role Address
FRAYND, GERMAN MD Treasurer 21150 BISCAYNE BLVD., STE. 302, AVENTURA, FL

Vice President

Name Role Address
COHEN, DANIEL Vice President 21150 BISCAYNE BLVD.,STE. 302, AVENTURA, FL

Secretary

Name Role Address
COHEN, DANIEL Secretary 21150 BISCAYNE BLVD.,STE. 302, AVENTURA, FL

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF MAILING ADDRESS 2008-01-16 21150 BISCAYNE BLVD., STE. 302, AVETURA, FL 33180 No data
CHANGE OF PRINCIPAL ADDRESS 1997-05-23 21150 BISCAYNE BLVD., STE. 302, AVETURA, FL 33180 No data
REGISTERED AGENT ADDRESS CHANGED 1997-05-23 21150 BISCAYNE BLVD., STE. 302, AVENTURA, FL 33180 No data
REGISTERED AGENT NAME CHANGED 1996-05-01 COHEN, DANIEL No data
AMENDMENT 1996-01-26 No data No data
CORPORATE MERGER 1995-12-26 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 300000008803

Documents

Name Date
ANNUAL REPORT 2014-02-27
ANNUAL REPORT 2013-05-01
ANNUAL REPORT 2012-01-31
ANNUAL REPORT 2011-02-18
ANNUAL REPORT 2010-04-01
ANNUAL REPORT 2009-03-24
ANNUAL REPORT 2008-01-16
ANNUAL REPORT 2007-01-17
ANNUAL REPORT 2006-01-12
ANNUAL REPORT 2005-05-02

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FRAYND, GERMAN MD

LIFETIME HEALTHCARE, INC. JERIS WORLDWIDE INC. LIFETIME OF POMPANO, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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