Entity Name: | OLIVE BAPTIST CHURCH, INCORPORATED |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Active |
Date Filed: | 18 Apr 1963 (62 years ago) |
Document Number: | 705489 |
FEI/EIN Number | 590991187 |
Address: | 1836 OLIVE RD, PENSACOLA, FL, 32514, US |
Mail Address: | 1836 OLIVE RD, PENSACOLA, FL, 32514, US |
ZIP code: | 32514 |
County: | Escambia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1588233787 | 2021-06-22 | 2021-06-22 | 1830 E OLIVE RD, PENSACOLA, FL, 325147582, US | 1830 E OLIVE RD, PENSACOLA, FL, 325147582, US | |||||||||||||||||||
|
Phone | +1 850-473-4461 |
Fax | 8504730428 |
Authorized person
Name | MRS. RACHAEL D CROLEY |
Role | CLINICAL DIRECTOR |
Phone | 8504734461 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 1041C0700X - Clinical Social Worker |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PORTMANN JEREMY | Agent | 1836 E. OLIVE ROAD, PENSACOLA, FL, 32514 |
Name | Role | Address |
---|---|---|
NEWTON JOHNNY | Trustee | 3224 SOUTHFORK DR, PACE, FL, 32571 |
ODOM CRAWFORD | Trustee | 4180 MARCUS CT, PACE, FL, 32571 |
LANGFORD JAN | Trustee | 9154 WOODRUN RD, PENSACOLA, FL, 32514 |
SWENSON WAYNE | Trustee | 5105 CONNER CT, PACE, FL, 32571 |
Name | Role | Address |
---|---|---|
MURPHY JOSEPH | Treasurer | 10100 HILLVIEW DR, PENSACOLA, FL, 32514 |
Name | Role | Address |
---|---|---|
HOYT, SR DAVID | President | 2305 ARRIVISTE WAY, PENSACOLA, FL, 32504 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
MERGER | 2017-03-29 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 100000169981 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State