| Entity Name: | GOODWILL INDUSTRIES-SUNCOAST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 13 Dec 1966 (58 years ago) |
| Document Number: | 711941 |
| FEI/EIN Number | 590718492 |
| Address: | 10596 GANDY BLVD., ST. PETERSBURG, FL, 33702 |
| Mail Address: | 10596 GANDY BLVD., ST. PETERSBURG, FL, 33702 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598019275 | 2012-11-02 | 2012-11-02 | 10596 GANDY BLVD N, ST PETERSBURG, FL, 337021422, US | 10596 GANDY BLVD N, ST PETERSBURG, FL, 337021422, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-523-1512 |
| Fax | 7274505214 |
Authorized person
| Name | MS. DEBORAH ANN PASSERINI |
| Role | CEO DESIGNATE/EXEC VP/COO |
| Phone | 7275231512 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 024013396 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 024013398 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024013398 |
| State | FL |
| Issuer | MEDICAID |
| Number | 024013396 |
| State | FL |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300NLAU7F6QDKZS10 | 711941 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
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| Legal | C/O Passerini, Deborah A, 10596 Gandy Boulevard, St. Petersburg, US-FL, US, 33702 |
| Headquarters | 10596 Gandy Boulevard, St. Petersburg, US-FL, US, 33702 |
Registration details
| Registration Date | 2016-11-19 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2017-11-17 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 711941 |
| Name | Role | Address |
|---|---|---|
| PASSERINI DEBORAH A | Agent | 10596 GANDY BLVD, ST. PETERSBURG, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| ANNA STEFANIE M | CORP | 10596 GANDY BLVD., ST. PETERSBURG, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| CERESOLI HEATHER | BOAR | 10596 GANDY BOULEVARD, ST PETERSBURG, FL, 33702 |
| MACRONE DOMINIC A | BOAR | 10596 GANDY BLVD., ST. PETERSBURG, FL, 33702 |
| WABBERSEN BOB | BOAR | 10596 GANDY BLVD., ST. PETERSBURG, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| BOUCHER TRACEY | COPO | 10596 GANDY BLVD., ST. PETERSBURG, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| PASSERINI DEBORAH A | President | 10596 GANDY BLVD, ST. PETERSBURG, FL, 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2014-04-21 | No data | No data |
| MERGER | 2000-08-07 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000031435 |
| AMENDMENT | 2000-08-07 | No data | No data |
| MERGER | 2000-04-28 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000028977 |
| RESTATED ARTICLES | 1993-08-30 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
