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PENNEY RETIREMENT COMMUNITY, INC. - Florida Company Profile

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Company Details

Entity Name: PENNEY RETIREMENT COMMUNITY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 27 Apr 1965 (60 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 10 Sep 2002 (23 years ago)
Document Number: 708863
FEI/EIN Number 590624420
Address: 3495 HOFFMAN STREET, PENNEY FARMS, FL, 32079-0555
Mail Address: P.O. BOX 555, PENNEY FARMS, FL, 32079-0555
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DIPATRI RENEE R Corp 3495 HOFFMAN STREET, PENNEY FARMS, FL, 320790555
RENNINGER J B Director P.O. Box 555, Penney Farms, FL, 32079
LOVELACE JIMMY Director P.O. Box 2600, Jacksonville, FL, 32232
AGRESTI GERALD Director 1845 Town Center Blvd., Fleming Island, FL, 32003
BARTON TERESA D Director 4250 Lakeside Drive, Jacksonville, FL, 32210
SCOTT TERESA D President 3495 HOFFMAN STREET, PENNEY FARMS, FL, 320790555
SCOTT TERESA D Agent 3495 HOFFMAN ST., PENNEY FARMS, FL, 32079

Unique Entity ID

Unique Entity ID:
QJSFQ8462JT3
UEI Expiration Date:
2025-08-28

Business Information

Doing Business As:
PENNEY RETIREMENT COMMUNITY INC
URL:
www.Penneyretirementcommunity.org
Activation Date:
2024-08-30
Initial Registration Date:
2023-09-12

National Provider Identifier

NPI Number:
1285991265
Link:
View on NPI website

Authorized Person:

Name:
MS. BARBARA MARIE ENGELKES
Role:
ADMINISTRATOR
Phone:
9042848582

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Phone:
+1 904-284-8582
Fax:
9042846259

Legal Entity Identifier

LEI Number:
549300KM2799PJZFJB26

Registration Details:

Initial Registration Date:
2017-11-22
Next Renewal Date:
2018-11-21
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

Form 5500 Series

Employer Identification Number (EIN):
590624420
Plan Year:
2023
Number Of Participants:
100
Sponsors Telephone Number:
9045317062
File:
View File
Plan Year:
2022
Number Of Participants:
98
Sponsors Telephone Number:
9045317062
File:
View File
Plan Year:
2021
Number Of Participants:
100
Sponsors Telephone Number:
9045317062
File:
View File
Plan Year:
2020
Number Of Participants:
111
Sponsors Telephone Number:
9045317062
File:
View File
Plan Year:
2020
Number Of Participants:
107
Sponsors Telephone Number:
9042848200
File:
View File

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000078794 THE PAVILION FOR HEALTH CARE ACTIVE 2012-08-09 2027-12-31 - P.O. BOX 555, 3465 CAROLINE BLVD., PENNEY FARMS, FL, 32079

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2014-11-10 SCOTT, TERESA D -
AMENDED AND RESTATEDARTICLES 2002-09-10 - -
CHANGE OF PRINCIPAL ADDRESS 2001-01-09 3495 HOFFMAN STREET, PENNEY FARMS, FL 32079-0555 -
RESTATED ARTICLES 1995-11-17 - -
AMENDMENT 1993-07-19 - -
REINSTATEMENT 1986-12-02 - -
INVOLUNTARILY DISSOLVED 1986-11-14 - -
NAME CHANGE AMENDMENT 1972-03-28 PENNEY RETIREMENT COMMUNITY, INC. -

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-04-29
AMENDED ANNUAL REPORT 2018-12-07
ANNUAL REPORT 2018-04-29
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-13

OSHA's Inspections within Industry

Inspection Summary

Date:
2005-06-24
Type:
Complaint
Address:
4560 LEWIS AVENUE, PENNEY FARMS, FL, 32079
Safety Health:
Safety
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Tax Exempt

Employer Identification Number (EIN) :
59-0624420
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Religious 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)
Ruling Date:
1957-04
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Related by address

3495 HOFFMAN STREET, PENNEY FARMS, FL, 32079-0555

RESIDENTS' AID FUND OF PENNEY RETIREMENT COMMUNITY, LLC
Florida Limited Liability Co.
RESIDENTS' AID FUND OF PENNEY RETIREMENT COMMUNITY, LLC, which currently Active, has registered address 3495 HOFFMAN STREET, PENNEY FARMS, FL, 32079-0555.
THE ASSOCIATION OF PENNEY RETIREMENT COMMUNITY RESIDENTS, LLC
Florida Limited Liability Co.
THE ASSOCIATION OF PENNEY RETIREMENT COMMUNITY RESIDENTS, LLC, which currently Active, has registered address 3495 HOFFMAN STREET, PENNEY FARMS, FL, 32079-0555.

P.O. BOX 555, PENNEY FARMS, FL, 32079-0555

RESIDENTS' AID FUND OF PENNEY RETIREMENT COMMUNITY, LLC
Florida Limited Liability Co.
RESIDENTS' AID FUND OF PENNEY RETIREMENT COMMUNITY, LLC, which currently Active, has registered address P.O. BOX 555, PENNEY FARMS, FL, 32079-0555.
THE ASSOCIATION OF PENNEY RETIREMENT COMMUNITY RESIDENTS, LLC
Florida Limited Liability Co.
THE ASSOCIATION OF PENNEY RETIREMENT COMMUNITY RESIDENTS, LLC, which currently Active, has registered address P.O. BOX 555, PENNEY FARMS, FL, 32079-0555.

Date of last update: 02 Aug 2025

Sources: Florida Department of State

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