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  5. FAMILY COUNSELING CENTER OF BREVARD, INC.

FAMILY COUNSELING CENTER OF BREVARD, INC. - Florida Company Profile

Company Details

Entity Name: FAMILY COUNSELING CENTER OF BREVARD, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 27 Aug 1964 (61 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: 707748
FEI/EIN Number 591059517

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 505 BREVARD AVENUE, COCOA, FL, 32922, US
Mail Address: 505 BREVARD AVENUE, COCOA, FL, 32922, US
ZIP code: 32922
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912053919 2007-01-25 2008-04-22 840 BREVARD AVE, ROCKLEDGE, FL, 329552149, US 840 BREVARD AVE, ROCKLEDGE, FL, 329552149, US

Contacts
Phone +1 321-632-5792
Fax 3216325796

Authorized person
Name MR. PHILLIP KOLODZIEJ
Role PRESIDENT
Phone 3216325792

Taxonomy
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number SW5110
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 060332500
State FL
Issuer CLINICAL SOCIAL WORKER
Number 275862
State FL
Issuer CLINICAL SOCIAL WORKER
Number 62-40039
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING CENTER OF BREVARD, INC. 2016 591059517 2018-01-31 FAMILY COUNSELING CENTER OF BREVARD , INC 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-06-01
Business code 621420
Sponsor’s telephone number 3216325792
Plan sponsor’s address 505 BREVARD AVE STE 110, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing ERICA PISSANOS
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING CENTER OF BREVARD, INC 2015 591059517 2016-08-15 FAMILY COUNSELING CENTER OF BREVARD , INC 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-06-01
Business code 621420
Sponsor’s telephone number 3216325792
Plan sponsor’s address 505 BREVARD AVE STE 110, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2016-08-15
Name of individual signing KIM MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-15
Name of individual signing KIM MILLER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING CENTER OF BREVARD, INC 2014 591059517 2015-07-30 FAMILY COUNSELING CENTER OF BREVARD , INC 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-06-01
Business code 621420
Sponsor’s telephone number 3216325792
Plan sponsor’s address 505 BREVARD AVE STE 110, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing KIMBERLY A MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-30
Name of individual signing KIMBERLY A MILLER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING CENTER OF BREVARD, INC 2013 591059517 2014-10-14 FAMILY COUNSELING CENTER OF BREVARD , INC 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-06-01
Business code 621420
Sponsor’s telephone number 3216325792
Plan sponsor’s address 840 BREVARD AVE, ROCKLEDGE, FL, 32955

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing KIMBERLY MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing KIMBERLY MILLER
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF FAMILY COUNSELING CENTER OF BREVARD, INC 2013 591057517 2015-06-25 FAMILY COUNSELING CENTER OF BREVARD, INC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1976-07-01
Business code 621420
Sponsor’s telephone number 3216325792
Plan sponsor’s address 505 BREVARD AVE. STE 106, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2015-06-25
Name of individual signing KIMBERLY MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-25
Name of individual signing KIMBERLY MILLER
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF FAMILY COUNSELING CENTER OF BREVARD, INC 2012 591059517 2013-07-25 FAMILY COUNSELING CENTER OF BREVARD, INC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1976-07-01
Business code 621420
Plan sponsor’s address 840 BREVARD AVE, ROCKLEDGE, FL, 32955

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing KIMBERLY MILLER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING CENTER OF BREVARD, INC 2012 591059517 2013-07-25 FAMILY COUNSELING CENTER OF BREVARD , INC 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-06-01
Business code 621420
Sponsor’s telephone number 3216325792
Plan sponsor’s address 840 BREVARD AVE, ROCKLEDGE, FL, 32955

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing KIMBERLY MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing KIMBERLY MILLER
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF FAMILY COUNSELING CENTER OF BREVARD, INC 2011 591059517 2012-07-26 FAMILY COUNSELING CENTER OF BREVARD , INC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1976-07-01
Business code 621420
Sponsor’s telephone number 3216325792
Plan sponsor’s address 840 BREVARD AVE, ROCKLEDGE, FL, 32955

Plan administrator’s name and address
Administrator’s EIN 591059517
Plan administrator’s name FAMILY COUNSELING CENTER OF BREVARD , INC
Plan administrator’s address 840 BREVARD AVE, ROCKLEDGE, FL, 32955
Administrator’s telephone number 3216325792

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing KIMBERLY A MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-26
Name of individual signing KIMBERLY A MILLER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING CENTER OF BREVARD, INC 2011 591059517 2012-07-26 FAMILY COUNSELING CENTER OF BREVARD , INC 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-06-01
Business code 621420
Sponsor’s telephone number 3216325792
Plan sponsor’s address 840 BREVARD AVE, ROCKLEDGE, FL, 32955

Plan administrator’s name and address
Administrator’s EIN 591059517
Plan administrator’s name FAMILY COUNSELING CENTER OF BREVARD , INC
Plan administrator’s address 840 BREVARD AVE, ROCKLEDGE, FL, 32955
Administrator’s telephone number 3216325792

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing KIMBERY A MILLER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF FAMILY COUNSELING CENTER OF BREVARD, INC 2010 591059517 2011-07-29 FAMILY COUNSELING CENTER OF BREVARD , INC 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-06-01
Business code 621420
Sponsor’s telephone number 3216325792
Plan sponsor’s address 840 BREVARD AVE, ROCKLEDGE, FL, 32955

Plan administrator’s name and address
Administrator’s EIN 591059517
Plan administrator’s name FAMILY COUNSELING CENTER OF BREVARD , INC
Plan administrator’s address 840 BREVARD AVE, ROCKLEDGE, FL, 32955
Administrator’s telephone number 3216325792

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing PHILLIP KOLODZIEJ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-29
Name of individual signing PHILLIP KOLODZIEJ
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
VITORIA ROSAMARIA Secretary 505 BREVARD AVENUE, COCOA, FL, 32922
VITORIA ROSAMARIA Treasurer 505 BREVARD AVENUE, COCOA, FL, 32922
VITORIA ROSAMARIA Director 505 BREVARD AVENUE, COCOA, FL, 32922
BIERBRUNNER STEVEN Chairman 505 BREVARD AVENUE, COCOA, FL, 32922
BIERBRUNNER STEVEN Director 505 BREVARD AVENUE, COCOA, FL, 32922
TORRES KIM Vice Chairman 505 BREVARD AVENUE, COCOA, FL, 32922
TORRES KIM Director 505 BREVARD AVENUE, COCOA, FL, 32922
PARSONS LORI L Agent 505 BREVARD AVENUE, COCOA, FL, 32922

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
CHANGE OF PRINCIPAL ADDRESS 2015-01-12 505 BREVARD AVENUE, 106, COCOA, FL 32922 -
CHANGE OF MAILING ADDRESS 2015-01-12 505 BREVARD AVENUE, 106, COCOA, FL 32922 -
REGISTERED AGENT ADDRESS CHANGED 2015-01-12 505 BREVARD AVENUE, 106, COCOA, FL 32922 -
REGISTERED AGENT NAME CHANGED 2012-04-10 PARSONS, LORI LCEO -
EVENT CONVERTED TO NOTES 1992-01-10 - -
NAME CHANGE AMENDMENT 1980-07-28 FAMILY COUNSELING CENTER OF BREVARD, INC. -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J14000613454 TERMINATED 1000000616382 BREVARD 2014-04-24 2024-05-09 $ 9,867.96 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 6300 N WICKHAM RD STE 133A, MELBOURNE FL329402029

Documents

Name Date
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-04-20
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-04-14
ANNUAL REPORT 2013-04-11
ANNUAL REPORT 2012-04-10
ANNUAL REPORT 2011-09-12
ANNUAL REPORT 2011-02-16
ANNUAL REPORT 2010-04-12
ANNUAL REPORT 2009-04-14

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
HC090421126 Department of Housing and Urban Development 14.169 - HOUSING COUNSELING ASSISTANCE PROGRAM 2010-01-01 2010-10-31 HSNG COUNSEL ASSIST GRANTS
Recipient FAMILY COUNSELING CENTER OF BREVARD, INC.
Recipient Name Raw FAMILY COUNSELING CENTER
Recipient UEI SKT1GJTTN843
Recipient DUNS 158073270
Recipient Address 220 CORAL SANDS DR, ROCKLEDGE, BREVARD, FLORIDA, 32955-2720
Obligated Amount 37480.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
HC080498064 Department of Housing and Urban Development 14.169 - HOUSING COUNSELING ASSISTANCE PROGRAM 2008-10-01 2009-08-31 COMPREHENSIVE HSG
Recipient FAMILY COUNSELING CENTER OF BREVARD, INC.
Recipient Name Raw FAMILY COUNSELING CENTER
Recipient UEI SKT1GJTTN843
Recipient DUNS 158073270
Recipient Address 220 CORAL SANDS DR, ROCKLEDGE, BREVARD, FLORIDA, 32955-2720
Obligated Amount 40217.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
HC070498138 Department of Housing and Urban Development 14.169 - HOUSING COUNSELING ASSISTANCE PROGRAM 2007-10-01 2007-11-30 COMPREHENSIVE HSG
Recipient FAMILY COUNSELING CENTER OF BREVARD, INC.
Recipient Name Raw FAMILY COUNSELING CENTER
Recipient UEI SKT1GJTTN843
Recipient DUNS 158073270
Recipient Address 220 CORAL SANDS DR, ROCKLEDGE, FLORIDA, 32955
Obligated Amount 45307.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

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Companies related by address

No other companies in our directory share the same address as FAMILY COUNSELING CENTER OF BREVARD, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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