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BOCA GRANDE HEALTH CLINIC, INC. - Florida Company Profile

Company Details

Entity Name: BOCA GRANDE HEALTH CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 30 Dec 1963 (61 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 10 Mar 2022 (3 years ago)
Document Number: 706625
FEI/EIN Number 590966089

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 320 PARK AVENUE, BOCA GRANDE, FL, 33921, US
Mail Address: PO BOX 517, BOCA GRANDE, FL, 33921, US
ZIP code: 33921
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972683910 2006-10-16 2021-06-30 PO BOX 517, BOCA GRANDE, FL, 33921, US 320 PARK AVENUE, BOCA GRANDE, FL, 33921, US

Contacts

Phone +1 941-964-2276
Fax 9419640158

Authorized person

Name MR. JONNA FOOS
Role OPERATIONS COORDINATOR
Phone 9419642276

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOCA GRANDE HEALTH CLINIC 401(K) PLAN 2023 590966089 2025-02-26 BOCA GRANDE HEALTH CLINIC, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 621498
Sponsor’s telephone number 9419642276
Plan sponsor’s address PO BOX 517, BOCA GRANDE, FL, 33921
BOCA GRANDE HEALTH CLINIC 401(K) PLAN 2022 590966089 2024-01-04 BOCA GRANDE HEALTH CLINIC, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 621498
Sponsor’s telephone number 9419642276
Plan sponsor’s address PO BOX 517, BOCA GRANDE, FL, 33921
BOCA GRANDE HEALTH CLINIC 401(K) PLAN 2021 590966089 2023-02-06 BOCA GRANDE HEALTH CLINIC, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 621498
Sponsor’s telephone number 9419642276
Plan sponsor’s address PO BOX 517, BOCA GRANDE, FL, 33921
BOCA GRANDE HEALTH CLINIC 401(K) PLAN 2020 590966089 2022-07-12 BOCA GRANDE HEALTH CLINIC, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 621498
Sponsor’s telephone number 9419642276
Plan sponsor’s address PO BOX 517, BOCA GRANDE, FL, 33921
BOCA GRANDE HEALTH CLINIC RETIREMENT PLAN 2019 590966089 2020-11-18 BOCA GRANDE HEALTH CLINIC. INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-10-01
Business code 621498
Sponsor’s telephone number 9419642276
Plan sponsor’s address P.O. BOX 517, BOCA GRANDE, FL, 33921
BOCA GRANDE HEALTH CLINIC, INC. RETIREMENT PLAN 2018 590966089 2019-12-11 BOCA GRANDE HEALTH CLINIC, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-10-01
Business code 621498
Sponsor’s telephone number 9419642276
Plan sponsor’s address P.O. BOX 517, BOCA GRANDE, FL, 33921
BOCA GRANDE HEALTH CLINIC, INC. RETIREMENT PLAN 2017 590966089 2018-12-19 BOCA GRANDE HEALTH CLINIC, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-10-01
Business code 621498
Sponsor’s telephone number 9419642276
Plan sponsor’s address P.O. BOX 517, BOCA GRANDE, FL, 33921
BOCA GRANDE HEALTH CLINIC, INC. RETIREMENT PLAN 2016 590966089 2018-01-29 BOCA GRANDE HEALTH CLINIC, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-10-01
Business code 621498
Sponsor’s telephone number 9419642276
Plan sponsor’s address P.O. BOX 517, BOCA GRANDE, FL, 33921
BOCA GRANDE HEALTH CLINIC, INC. RETIREMENT PLAN 2015 590966089 2017-01-04 BOCA GRANDE HEALTH CLINIC, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-10-01
Business code 621498
Sponsor’s telephone number 9419642276
Plan sponsor’s address P.O. BOX 517, BOCA GRANDE, FL, 33921

Signature of

Role Plan administrator
Date 2017-01-04
Name of individual signing HILJA BILODEAU
Valid signature Filed with authorized/valid electronic signature
BOCA GRANDE HEALTH CLINIC, INC. RETIREMENT PLAN 2014 590966089 2016-02-02 BOCA GRANDE HEALTH CLINIC, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-10-01
Business code 621498
Sponsor’s telephone number 9419642276
Plan sponsor’s address P.O. BOX 517, BOCA GRANDE, FL, 33921

Signature of

Role Plan administrator
Date 2016-02-02
Name of individual signing JOHN SIELERT
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Bowers Thomas Vice Chairman 320 PARK AVENUE, BOCA GRANDE, FL, 33921
May James Director PO BOX 517, BOCA GRANDE, FL, 33921
Ambrosius Mark Director 320 PARK AVENUE, BOCA GRANDE, FL, 33921
O'Bannon Mary Director 320 PARK AVENUE, BOCA GRANDE, FL, 33921
Skinner Mary Director 320 PARK AVENUE, BOCA GRANDE, FL, 33921
Cowan Holly Director 320 PARK AVENUE, BOCA GRANDE, FL, 33921
JENNINGS todd AESQ. Agent 625 COURT STREET, CLEARWATER, FL, 33756

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2022-03-10 - -
REGISTERED AGENT ADDRESS CHANGED 2022-03-10 625 COURT STREET, SUITE 200, CLEARWATER, FL 33756 -
REGISTERED AGENT NAME CHANGED 2022-03-10 JENNINGS, todd A., ESQ. -
CHANGE OF MAILING ADDRESS 2020-05-04 320 PARK AVENUE, BOCA GRANDE, FL 33921 -
AMENDMENT 2010-02-15 - -
CHANGE OF PRINCIPAL ADDRESS 2009-04-03 320 PARK AVENUE, BOCA GRANDE, FL 33921 -
AMENDMENT 1993-08-04 - -
RESTATED ARTICLES 1993-08-04 - -
AMENDMENT 1991-06-28 - -
AMENDMENT 1991-06-25 - -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-03
Amended and Restated Articles 2022-03-10
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-05-04
ANNUAL REPORT 2019-03-19
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-03-20

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-0966089 Corporation Unconditional Exemption 320 PARK AVE, BOCA GRANDE, FL, 33921-1000 1951-10
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-09
Asset 1,000,000 to 4,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 3972860
Income Amount 4210434
Form 990 Revenue Amount 4184646
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name BOCA GRANDE HEALTH CLINIC INC
EIN 59-0966089
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name BOCA GRANDE HEALTH CLINIC INC
EIN 59-0966089
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name BOCA GRANDE HEALTH CLINIC INC
EIN 59-0966089
Tax Period 202009
Filing Type E
Return Type 990
File View File
Organization Name BOCA GRANDE HEALTH CLINIC INC
EIN 59-0966089
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name BOCA GRANDE HEALTH CLINIC INC
EIN 59-0966089
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name BOCA GRANDE HEALTH CLINIC INC
EIN 59-0966089
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name BOCA GRANDE HEALTH CLINIC INC
EIN 59-0966089
Tax Period 201609
Filing Type E
Return Type 990
File View File

Date of last update: 02 Apr 2025

Sources: Florida Department of State