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  5. PATRICK MANOR INCORPORATED

PATRICK MANOR INCORPORATED

Company Details

Entity Name: PATRICK MANOR INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Sep 1995 (29 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 15 Dec 1995 (29 years ago)
Document Number: P95000075019
FEI/EIN Number 593358669
Address: 896 73RD AVE NORTH, SAINT PETERSBURG, FL, 33702
Mail Address: 896 73RD AVE NORTH, SAINT PETERSBURG, FL, 33702
ZIP code: 33702
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578992392 2013-11-02 2013-11-02 896 73RD AVE N, ST PETERSBURG, FL, 337025220, US 896 73RD AVE N, ST PETERSBURG, FL, 337025220, US

Contacts
Phone +1 727-521-1843
Fax 7275211100

Authorized person
Name THERESA PUTNAM
Role OWNER
Phone 7275211843

Taxonomy
Taxonomy Code 310400000X - Assisted Living Facility
License Number AL10248
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PATRICK MANOR INCORPORATED 401(K) PROFIT SHARING PLAN & TRUST 2023 593358669 2024-07-31 PATRICK MANOR INCORPORATED 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 7275211843
Plan sponsor’s address 896 73RD AVENUE NORTH, ST PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
PATRICK MANOR INCORPORATED 401(K) PROFIT SHARING PLAN & TRUST 2022 593358669 2023-06-20 PATRICK MANOR INCORPORATED 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 7275211843
Plan sponsor’s address 896 73RD AVENUE NORTH, ST PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2023-06-20
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
PATRICK MANOR INCORPORATED 401(K) PROFIT SHARING PLAN & TRUST 2021 593358669 2022-08-24 PATRICK MANOR INCORPORATED 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 7275211843
Plan sponsor’s address 896 73RD AVENUE NORTH, ST PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2022-08-24
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
PATRICK MANOR INCORPORATED 401(K) PROFIT SHARING PLAN & TRUST 2020 593358669 2021-07-16 PATRICK MANOR INCORPORATED 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 7275211843
Plan sponsor’s address 896 73RD AVENUE NORTH, ST PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
PATRICK MANOR INCORPORATED 401(K) PROFIT SHARING PLAN & TRUST 2019 593358669 2020-07-29 PATRICK MANOR INCORPORATED 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 7275211843
Plan sponsor’s address 896 73RD AVENUE NORTH, ST PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2020-07-29
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
PATRICK MANOR INCORPORATED 401 K PROFIT SHARING PLAN TRUST 2018 593358669 2019-06-13 PATRICK MANOR INCORPORATED 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 7275211843
Plan sponsor’s address 896 73RD AVENUE NORTH, ST PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2019-06-13
Name of individual signing THERESA PUTNAM
Valid signature Filed with authorized/valid electronic signature
PATRICK MANOR INCORPORATED 401 K PROFIT SHARING PLAN TRUST 2017 593358669 2018-06-06 PATRICK MANOR INCORPORATED 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 7275211843
Plan sponsor’s address 896 73RD AVENUE NORTH, ST PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2018-06-06
Name of individual signing PUTNAM
Valid signature Filed with authorized/valid electronic signature
PATRICK MANOR INCORPORATED 401 K PROFIT SHARING PLAN TRUST 2016 593358669 2017-06-08 PATRICK MANOR INCORPORATED 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 7275211843
Plan sponsor’s address 896 73RD AVENUE NORTH, ST PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing THERESA PUTNAM
Valid signature Filed with authorized/valid electronic signature
PATRICK MANOR INCORPORATED 401 K PROFIT SHARING PLAN TRUST 2015 593358669 2016-05-27 PATRICK MANOR INCORPORATED 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 7275211843
Plan sponsor’s address 896 73RD AVENUE NORTH, ST PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2016-05-27
Name of individual signing THERESA L PUTNAM
Valid signature Filed with authorized/valid electronic signature
PATRICK MANOR INCORPORATED 401 K PROFIT SHARING PLAN TRUST 2014 593358669 2015-06-23 PATRICK MANOR INCORPORATED 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 7275211843
Plan sponsor’s address 896 73RD AVENUE NORTH, ST PETERSBURG, FL, 33702

Signature of
Role Plan administrator
Date 2015-06-23
Name of individual signing THERESA PUTNAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PUTNAM THERESA L Agent 896 73RD AVE NORTH, SAINT PETERSBURG, FL, 33702

President

Name Role Address
PUTNAM THERESA L President 896 73RD AVE NO, SAINT PETERSBURG, FL, 33702

Vice President

Name Role Address
Putnam John P Vice President 15896 SE 179th Lane, Weirsdale, FL, 32195

Secretary

Name Role Address
Putnam Barbara L Secretary 15896 SE 179th Lane, Weirsdale, FL

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2007-03-19 PUTNAM, THERESA L No data
CHANGE OF PRINCIPAL ADDRESS 2004-02-02 896 73RD AVE NORTH, SAINT PETERSBURG, FL 33702 No data
CHANGE OF MAILING ADDRESS 2004-02-02 896 73RD AVE NORTH, SAINT PETERSBURG, FL 33702 No data
REGISTERED AGENT ADDRESS CHANGED 2004-02-02 896 73RD AVE NORTH, SAINT PETERSBURG, FL 33702 No data
NAME CHANGE AMENDMENT 1995-12-15 PATRICK MANOR INCORPORATED No data

Documents

Name Date
ANNUAL REPORT 2025-01-29
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-01-16
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-15
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-14
ANNUAL REPORT 2018-01-31
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-02-10

Related by officers

PUTNAM THERESA L

TWO LABS INC.

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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