| Entity Name: | ADVANCE HEALTH SERVICES III, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Oct 1998 (26 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Oct 2014 (10 years ago) |
| Document Number: | P98000086514 |
| FEI/EIN Number | 650870605 |
| Address: | 9425 SUNSET DRIVE, SUITE 130, MIAMI, FL, 33173, US |
| Mail Address: | 9425 Sunset Drive #130, Miami, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184894370 | 2008-03-04 | 2023-02-23 | 9425 SUNSET DR STE 130, MIAMI, FL, 331733295, US | 9425 SUNSET DR STE 130, MIAMI, FL, 331733295, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-216-1964 |
| Fax | 3056700054 |
Authorized person
| Name | CHRIS GOETZ |
| Role | DIRECTOR |
| Phone | 3056700055 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCE HEALTH SERVICES III 401(K) PROFIT SHARING PLAN | 2009 | 650870605 | 2012-07-18 | ADVANCE HEALTH SERVICES III, INC | 1 | |||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650870605 |
| Plan administrator’s name | ADVANCE HEALTH SERVICES III, INC |
| Plan administrator’s address | 7000 SW 97TH AVE STE 120, MIAMI, FL, 33173 |
| Administrator’s telephone number | 3056700055 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-18 |
| Name of individual signing | CHRIS GOETZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GOETZ CHRISTOPHER | Agent | 9425 Sunset Drive Suite 130, Miami, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| Goetz Chris | President | 9425 Sunset Drive Suite 130, Miami, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| Goetz Vickie | Vice President | 9425 Sunset Drive Suite 130, Miami, FL, 33173 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000112278 | STRETCH ZONE | EXPIRED | 2014-11-06 | 2019-12-31 | No data | 7000 SW 97TH AVE, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 9425 SUNSET DRIVE, SUITE 130, MIAMI, FL 33173 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 9425 Sunset Drive Suite 130, Miami, FL 33173 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-20 | 9425 SUNSET DRIVE, SUITE 130, MIAMI, FL 33173 | No data |
| AMENDMENT | 2014-10-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2000-04-20 | GOETZ, CHRISTOPHER | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000191437 | TERMINATED | 1000000781734 | DADE | 2018-05-08 | 2028-05-16 | $ 1,583.16 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J17000375578 | TERMINATED | 1000000748023 | DADE | 2017-06-22 | 2027-06-28 | $ 1,171.67 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J16000239925 | TERMINATED | 1000000709994 | DADE | 2016-04-04 | 2026-04-06 | $ 1,262.21 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J15000489092 | TERMINATED | 1000000672999 | DADE | 2015-04-13 | 2025-04-17 | $ 2,773.85 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J14000176940 | TERMINATED | 1000000578599 | MIAMI-DADE | 2014-01-29 | 2024-02-07 | $ 474.35 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J08900002974 | LAPSED | 00-11488 SP 25 | CTY CRT FOR MIAMI-DADE CTY FL | 2005-04-13 | 2013-02-25 | $20173.65 | U.S. SECURITY INSURANCE COMPANY, 3155 NW 77TH AVENUE, MIAMI, FL 33122 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
