| Entity Name: | IMPACT HEALTHCARE SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Oct 1990 (34 years ago) |
| Date of dissolution: | 31 Dec 2012 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 31 Dec 2012 (12 years ago) |
| Document Number: | S09037 |
| FEI/EIN Number | 59-3034109 |
| Address: | 341 N. MAITLAND AVENUE, SUITE 210, MAITLAND, FL 32751 |
| Mail Address: | P.O. BOX 940759, MAITLAND, FL 32794-0759 |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | IMPACT HEALTHCARE SERVICES, INC., MISSISSIPPI | 859962 | MISSISSIPPI |
| Headquarter of | IMPACT HEALTHCARE SERVICES, INC., ALABAMA | 000-928-225 | ALABAMA |
| Headquarter of | IMPACT HEALTHCARE SERVICES, INC., ILLINOIS | CORP_63778052 | ILLINOIS |
| Headquarter of | IMPACT HEALTHCARE SERVICES, INC., ILLINOIS | CORP_99024917 | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IMPACT HEALTHCARE SERVICES INC. 401K PLAN | 2012 | 593034109 | 2013-07-30 | IMPACT HEALTHCARE SERVICES INC. | 38 | |||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-07-30 |
| Name of individual signing | PAMELA NOELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 4076445224 |
| Plan sponsor’s address | 341 N MAITLAND AVE, SUITE 210, MAITLAND, FL, 32751 |
Plan administrator’s name and address
| Administrator’s EIN | 593034109 |
| Plan administrator’s name | IMPACT HEALTHCARE SERVICES INC. |
| Plan administrator’s address | 341 N MAITLAND AVE, SUITE 210, MAITLAND, FL, 32751 |
| Administrator’s telephone number | 4076445224 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-13 |
| Name of individual signing | PAMELA NOELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 4076445224 |
| Plan sponsor’s address | 341 N MAITLAND AVE, SUITE 210, MAITLAND, FL, 32751 |
Plan administrator’s name and address
| Administrator’s EIN | 593034109 |
| Plan administrator’s name | IMPACT HEALTHCARE SERVICES INC. |
| Plan administrator’s address | 341 N MAITLAND AVE, SUITE 210, MAITLAND, FL, 32751 |
| Administrator’s telephone number | 4076445224 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-15 |
| Name of individual signing | PAMELA NOELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KELLY, DARWIN PJR | Agent | IMPACT HEALTHCARE SERVICES INC, 341 N. MAITLAND AVENUE SUITE 210, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| KELLY, DARWIN PJR | President | 341 N MAITLAND AVENUE #210, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| KELLY, DARWIN PJR | Secretary | 341 N MAITLAND AVENUE #210, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| KELLY, DARWIN PJR | Chairman | 341 N MAITLAND AVENUE #210, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| NOELL, PAMELA G | Chief Operating Officer | 341 N MAITLAND AVENUE #210, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| BLACKADAR, DONALD | Director | 1436 N RONALD REAGAN BLVD, LONGWOOD, FL 32750 |
| CUTHILL, R WJR | Director | 341 N MAITLAND AVENUE #210, MAITLAND, FL 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-12-31 | No data | No data |
| AMENDMENT | 2010-02-01 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-03-28 | IMPACT HEALTHCARE SERVICES INC, 341 N. MAITLAND AVENUE SUITE 210, MAITLAND, FL 32751 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-28 | 341 N. MAITLAND AVENUE, SUITE 210, MAITLAND, FL 32751 | No data |
| AMENDMENT | 2003-05-02 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2002-04-02 | 341 N. MAITLAND AVENUE, SUITE 210, MAITLAND, FL 32751 | No data |
| REGISTERED AGENT NAME CHANGED | 1996-05-01 | KELLY, DARWIN PJR | No data |
| NAME CHANGE AMENDMENT | 1996-04-17 | IMPACT HEALTHCARE SERVICES, INC. | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2012-12-31 |
| ANNUAL REPORT | 2012-03-20 |
| ANNUAL REPORT | 2011-03-22 |
| ANNUAL REPORT | 2010-03-17 |
| Amendment | 2010-02-01 |
| ANNUAL REPORT | 2009-03-30 |
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-03-28 |
| ANNUAL REPORT | 2006-04-04 |
| ANNUAL REPORT | 2005-03-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
