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  5. BENJAMIN CHIROPRACTIC, INC.

BENJAMIN CHIROPRACTIC, INC.

Company Details

Entity Name: BENJAMIN CHIROPRACTIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Feb 1999 (26 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 26 Sep 2005 (19 years ago)
Document Number: P99000009674
FEI/EIN Number 650915982
Address: 601 E. SAMPLE ROAD, SUITE 104, POMPANO BEACH, FL, 33064, US
Mail Address: 601 E. SAMPLE ROAD, SUITE 104, POMPANO BEACH, FL, 33064, US
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528239092 2008-03-12 2008-03-12 100 E SAMPLE RD STE 130, POMPANO BEACH, FL, 330643554, US 100 E SAMPLE RD STE 130, POMPANO BEACH, FL, 330643554, US

Contacts
Phone +1 954-788-8882
Fax 9545829855

Authorized person
Name RODRIGUE BENJAMIN
Role OWNER
Phone 9547888882

Taxonomy
Taxonomy Code 111N00000X - Chiropractor
License Number CH8674
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BENJAMIN CHIROPRACTIC INC. RETIREMENT TRUST 2023 650915982 2024-07-08 BENJAMIN CHIROPRACTIC, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541600
Sponsor’s telephone number 9547888882
Plan sponsor’s address 601 EAST SAMPLE RD, SUITE 104, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing BENJAMIN CHIROPRACTIC INC
Valid signature Filed with authorized/valid electronic signature
BENJAMIN CHIROPRACTIC INC. RETIREMENT TRUST 2022 650915982 2023-07-20 BENJAMIN CHIROPRACTIC, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541600
Sponsor’s telephone number 9547888882
Plan sponsor’s address 601 EAST SAMPLE RD, SUITE 104, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing RODRIGUE BENJAMIN
Valid signature Filed with authorized/valid electronic signature
BENJAMIN CHIROPRACTIC INC. RETIREMENT TRUST 2021 650915982 2022-07-11 BENJAMIN CHIROPRACTIC, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541600
Sponsor’s telephone number 9547888882
Plan sponsor’s address 601 EAST SAMPLE RD, SUITE 104, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2022-07-11
Name of individual signing RODRIGUE BENJAMIN
Valid signature Filed with authorized/valid electronic signature
BENJAMIN CHIROPRACTIC INC. RETIREMENT TRUST 2020 650915982 2021-06-25 BENJAMIN CHIROPRACTIC, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541600
Sponsor’s telephone number 9547888882
Plan sponsor’s address 601 EAST SAMPLE RD, SUITE 104, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2021-06-25
Name of individual signing RODRIGUE BENJAMIN
Valid signature Filed with authorized/valid electronic signature
BENJAMIN CHIROPRACTIC INC. RETIREMENT TRUST 2019 650915982 2020-07-21 BENJAMIN CHIROPRACTIC, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541600
Sponsor’s telephone number 9547888882
Plan sponsor’s address 601 EAST SAMPLE RD, SUITE 104, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing RODRIGUE BENJAMIN
Valid signature Filed with authorized/valid electronic signature
BENJAMIN CHIROPRACTIC INC. RETIREMENT TRUST 2018 650915982 2019-06-25 BENJAMIN CHIROPRACTIC, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541600
Sponsor’s telephone number 9547888882
Plan sponsor’s address 601 EAST SAMPLE RD, SUITE 104, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2019-06-25
Name of individual signing RODRIGUE BENJAMIN
Valid signature Filed with authorized/valid electronic signature
BENJAMIN CHIROPRACTIC INC. RETIREMENT TRUST 2017 650915982 2018-07-16 BENJAMIN CHIROPRACTIC, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541600
Sponsor’s telephone number 9547888882
Plan sponsor’s address 100 EAST SAMPLE RD., SUITE 130, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing BENDC01
Valid signature Filed with authorized/valid electronic signature
BENJAMIN CHIROPRACTIC INC. RETIREMENT TRUST 2016 650915982 2017-07-18 BENJAMIN CHIROPRACTIC, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541600
Sponsor’s telephone number 9547888882
Plan sponsor’s address 100 EAST SAMPLE RD., SUITE 130, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2017-07-18
Name of individual signing BENDC01
Valid signature Filed with authorized/valid electronic signature
BENJAMIN CHIROPRACTIC INC. RETIREMENT TRUST 2015 650915982 2016-07-24 BENJAMIN CHIROPRACTIC, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541600
Sponsor’s telephone number 9547888882
Plan sponsor’s address 100 EAST SAMPLE RD., SUITE 130, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2016-07-24
Name of individual signing RODRIGUE BENJAMIN
Valid signature Filed with authorized/valid electronic signature
BENJAMIN CHIROPRACTIC INC. RETIREMENT TRUST 2014 650915982 2015-07-28 BENJAMIN CHIROPRACTIC, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541600
Sponsor’s telephone number 9547888882
Plan sponsor’s address 100 EAST SAMPLE RD., SUITE 130, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing RODRIGUE BENJAMIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-28
Name of individual signing RODRIGUE BENJAMIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BENJAMIN RODRIGUE Agent 601 E. SAMPLE ROAD, POMPANO BEACH, FL, 33064

President

Name Role Address
BENJAMIN RODRIGUE President 601 E. SAMPLE ROAD, POMPANO BEACH, FL, 33064

Director

Name Role Address
BENJAMIN RODRIGUE Director 601 E. SAMPLE ROAD, POMPANO BEACH, FL, 33064
AMEDEE-BENJAMIN FREDELINE Director 601 E. SAMPLE ROAD, POMPANO BEACH, FL, 33064

Secretary

Name Role Address
AMEDEE-BENJAMIN FREDELINE Secretary 601 E. SAMPLE ROAD, POMPANO BEACH, FL, 33064

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-03-30 601 E. SAMPLE ROAD, SUITE 104, POMPANO BEACH, FL 33064 No data
CHANGE OF MAILING ADDRESS 2017-03-30 601 E. SAMPLE ROAD, SUITE 104, POMPANO BEACH, FL 33064 No data
REGISTERED AGENT ADDRESS CHANGED 2017-03-30 601 E. SAMPLE ROAD, SUITE 104, POMPANO BEACH, FL 33064 No data
REGISTERED AGENT NAME CHANGED 2006-01-06 BENJAMIN, RODRIGUE No data
CANCEL ADM DISS/REV 2005-09-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data
NAME CHANGE AMENDMENT 2005-03-17 BENJAMIN CHIROPRACTIC, INC. No data

Court Cases

Title Case Number Docket Date Status
BENJAMIN CHIROPRACTIC, INC. a/a/o PIERRE RENDEL VS STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY 4D2021-0183 2021-01-11 Closed
Classification NOA Final - County Civil - PIP
Court 4th District Court of Appeal
Originating Court County Court for the Seventeenth Judicial Circuit, Broward County
CONO13-11530 (72)

Circuit Court for the Seventeenth Judicial Circuit, Broward County
CACE 15-20969 (AP)

Parties
Name BENJAMIN CHIROPRACTIC, INC.
Role Appellant
Status Active
Representations Chad Christensen, Marlene Reiss, Michael R. Prince
Name Pierre Rendel
Role Appellant
Status Active
Name STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
Role Appellee
Status Active
Representations Nancy A. Copperthwaite, Michael Poldosky, Miriam Toledo
Name Clerk - Broward
Role Lower Tribunal Clerk
Status Active

Docket Entries
Docket Date 2021-12-14
Type Disposition
Subtype Dismissed
Description Dismissed - Order by Clerk
Docket Date 2021-12-14
Type Disposition by Order
Subtype Dismissed
Description Order Granting Voluntary Dismissal ~ Pursuant to the December 10, 2021 notice of voluntary dismissal, this case is dismissed.
Docket Date 2021-12-10
Type Motions Other
Subtype Motion/Notice Voluntary Dismissal
Description Notice of Voluntary Dismissal
On Behalf Of Benjamin Chiropractic, Inc.
Docket Date 2021-01-28
Type Notice
Subtype Notice of Related Case or Issue
Description Notice of Similar Case Pending
On Behalf Of State Farm Mutual Automobile Insurance Company
Docket Date 2021-01-13
Type Misc. Events
Subtype Status Report
Description Status Report
On Behalf Of Benjamin Chiropractic, Inc.
Docket Date 2021-01-13
Type Notice
Subtype Notice of Related Case or Issue
Description Notice of Similar Case Pending
On Behalf Of Benjamin Chiropractic, Inc.
Docket Date 2021-01-12
Type Letter
Subtype Acknowledgment Letter
Description Acknowledgment Letter
Docket Date 2021-01-11
Type Misc. Events
Subtype Fee Status
Description NF:Not Required
Docket Date 2021-01-11
Type Notice
Subtype Circuit Court Appeal Documents
Description Circuit Court Appeal Documents
On Behalf Of Benjamin Chiropractic, Inc.
Docket Date 2021-01-11
Type Record
Subtype Record on Appeal
Description Received Records

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-03-30
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-02-17
ANNUAL REPORT 2015-02-23

Related by officers

BENJAMIN RODRIGUE

BENDC INVESTMENT GROUP, LLC 2708 NE 1 TER. L.L.C. 107 NE 5 STREET LLC 4318 N.W. 6 AVE L.L.C. 3731 NE 18 TER LLC 113 NE 5 STREET L.L.C. 412 NE 44 STREET LLC 11342 ROYAL PALM BLVD LLC. REDEMPTION HOPE CENTER, INC.

AMEDEE-BENJAMIN FREDELINE

BENDC INVESTMENT GROUP, LLC B.A.T.I SCHOOL INC. 113 NE 5 STREET L.L.C. 11342 ROYAL PALM BLVD LLC.

Related by address

601 E. SAMPLE ROAD, SUITE 104, POMPANO BEACH, FL, 33064, US

412 NE 44 STREET LLC

601 E. SAMPLE ROAD, SUITE 104, POMPANO BEACH, FL, 33064, US

412 NE 44 STREET LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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