Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Pinellas
    4. ›
  4. 33773
    5. ›
  5. LIGHTHOUSE OF PINELLAS, INC.

LIGHTHOUSE OF PINELLAS, INC. - Florida Company Profile

Company Details

Entity Name: LIGHTHOUSE OF PINELLAS, 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: 15 May 1967 (58 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 17 Oct 2019 (6 years ago)
Document Number: 712735
FEI/EIN Number 237042938

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 6925 112 CIRCLE N, SUITE 103, LARGO, FL, 33773, US
Mail Address: 6925 112 CIRCLE N, SUITE 103, LARGO, FL, 33773, US
ZIP code: 33773
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801858071 2006-04-04 2016-06-09 6925 112TH CIR N, LARGO, FL, 337735520, US 6925 112TH CIR, LARGO, FL, 337735200, US

Contacts
Phone +1 727-544-4433
Fax 7275445511

Authorized person
Name MR. DANIEL T MANN
Role PRESIDENT/CEO
Phone 7275444433

Taxonomy
Taxonomy Code 152WL0500X - Low Vision Rehabilitation Optometrist
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 880145200
State FL
Issuer MEDICAID
Number 880147900
State FL
Issuer MEDICAID
Number 882356100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIGHTHOUSE OF PINELLAS, INC. TAX SHELTERED ANNUITY RETIREMENT PLAN 2022 237042938 2024-07-15 LIGHTHOUSE OF PINELLAS, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-31
Business code 813000
Sponsor’s telephone number 7275444433
Plan sponsor’s address 6925 112TH CIRCLE NORTH, SUITE 103, LARGO, FL, 33773

Signature of
Role Plan administrator
Date 2024-07-15
Name of individual signing KIM CHURCH
Valid signature Filed with authorized/valid electronic signature
LIGHTHOUSE OF PINELLAS, INC. TAX SHELTERED ANNUITY RETIREMENT PLAN 2021 237042938 2023-07-11 LIGHTHOUSE OF PINELLAS, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-31
Business code 813000
Sponsor’s telephone number 7275444433
Plan sponsor’s address 6925 112TH CIRCLE NORTH, SUITE 103, LARGO, FL, 33773
LIGHTHOUSE OF PINELLAS, INC. TAX SHELTERED ANNUITY RETIREMENT PLAN 2020 237042938 2022-07-15 LIGHTHOUSE OF PINELLAS, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-31
Business code 813000
Sponsor’s telephone number 7275444433
Plan sponsor’s address 6925 112TH CIRCLE NORTH, SUITE 103, LARGO, FL, 33773
LIGHTHOUSE OF PINELLAS, INC. TAX SHELTERED ANNUITY RETIREMENT PLAN 2019 237042938 2022-07-15 LIGHTHOUSE OF PINELLAS, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-31
Business code 813000
Sponsor’s telephone number 7275444433
Plan sponsor’s address 6925 112TH CIRCLE NORTH, SUITE 103, LARGO, FL, 33773
LIGHTHOUSE OF PINELLAS, INC. TAX SHELTERED ANNUITY RETIREMENT PLAN 2018 237042938 2020-07-09 LIGHTHOUSE OF PINELLAS, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-31
Business code 813000
Sponsor’s telephone number 7275444433
Plan sponsor’s address 6925 112TH CIRCLE NORTH, SUITE 103, LARGO, FL, 33773
LIGHTHOUSE OF PINELLAS, INC. TAX SHELTERED ANNUITY RETIREMENT PLAN 2018 237042938 2020-07-09 LIGHTHOUSE OF PINELLAS, INC. 42
Three-digit plan number (PN) 001
Effective date of plan 1991-03-31
Business code 813000
Sponsor’s telephone number 7275444433
Plan sponsor’s address 6925 112TH CIRCLE NORTH, SUITE 103, LARGO, FL, 33773
LIGHTHOUSE OF PINELLAS, INC. TAX SHELTERED ANNUITY RETIREMENT PLAN 2017 237042938 2018-02-12 LIGHTHOUSE OF PINELLAS, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-31
Business code 813000
Sponsor’s telephone number 7275444433
Plan sponsor’s address 6925 112TH CIRCLE NORTH, SUITE 103, LARGO, FL, 33773
LIGHTHOUSE OF PINELLAS, INC. TAX SHELTERED ANNUITY RETIREMENT PLAN 2017 237042938 2019-06-12 LIGHTHOUSE OF PINELLAS, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-31
Business code 813000
Sponsor’s telephone number 7275444433
Plan sponsor’s address 6925 112TH CIRCLE NORTH, SUITE 103, LARGO, FL, 33773
LIGHTHOUSE OF PINELLAS, INC. TAX SHELTERED ANNUITY RETIREMENT PLAN 2017 237042938 2018-02-12 LIGHTHOUSE OF PINELLAS, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-31
Business code 813000
Sponsor’s telephone number 7275444433
Plan sponsor’s address 6925 112TH CIRCLE NORTH, SUITE 103, LARGO, FL, 33773
LIGHTHOUSE OF PINELLAS, INC. TAX SHELTERED ANNUITY RETIREMENT PLAN 2017 237042938 2018-02-12 LIGHTHOUSE OF PINELLAS, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-31
Business code 813000
Sponsor’s telephone number 7275444433
Plan sponsor’s address 6925 112TH CIRCLE NORTH, SUITE 103, LARGO, FL, 33773

Key Officers & Management

Name Role Address
Bouchard Ricky Treasurer 6925 112 CIRCLE N, LARGO, FL, 33773
MANDEVILLE DONALD R Chairman 6925 112 CIRCLE N, LARGO, FL, 33773
Cothran Nora Director 6925 112 CIRCLE N, LARGO, FL, 33773
Kula Jeff Director 6925 112 CIRCLE N, LARGO, FL, 33773
Neilson Jamie Director 6925 112 CIRCLE N, LARGO, FL, 33773
CHURCH KIMBERLY Agent 6925 112 CIRCLE N, LARGO, FL, 33773
CHURCH KIMBERLY President 6925 112 CIRCLE N, LARGO, FL, 33773

Events

Event Type Filed Date Value Description
MERGER 2019-10-17 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000196993
CHANGE OF PRINCIPAL ADDRESS 2018-03-27 6925 112 CIRCLE N, SUITE 103, LARGO, FL 33773 -
REGISTERED AGENT ADDRESS CHANGED 2018-03-27 6925 112 CIRCLE N, SUITE 103, LARGO, FL 33773 -
REGISTERED AGENT NAME CHANGED 2018-03-27 CHURCH, KIMBERLY -
CHANGE OF MAILING ADDRESS 2018-03-27 6925 112 CIRCLE N, SUITE 103, LARGO, FL 33773 -
NAME CHANGE AMENDMENT 2005-08-30 LIGHTHOUSE OF PINELLAS, INC. -
NAME CHANGE AMENDMENT 2003-01-09 WATSON CENTER FOR THE BLIND AND VISUALLY IMPAIRED, INC. -
NAME CHANGE AMENDMENT 2000-08-24 WATSON CENTER, INC. -
REINSTATEMENT 1986-11-26 - -
INVOLUNTARILY DISSOLVED 1986-11-14 - -

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-02-12
ANNUAL REPORT 2020-04-23
Merger 2019-10-17
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-01-30
ANNUAL REPORT 2016-01-21

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
23-7042938 Corporation Unconditional Exemption 6925 112TH CIR STE 103, LARGO, FL, 33773-5200 1970-06
In Care of Name % KIMBERLY CHURCH CPA MBA
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 Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2024-09
Asset 10,000,000 to 49,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 18361103
Income Amount 5628382
Form 990 Revenue Amount 4674763
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 LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 202209
Filing Type E
Return Type 990T
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 202109
Filing Type E
Return Type 990T
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 202009
Filing Type E
Return Type 990T
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 202009
Filing Type E
Return Type 990
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 201909
Filing Type P
Return Type 990T
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 201809
Filing Type P
Return Type 990T
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 201709
Filing Type P
Return Type 990
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 201709
Filing Type P
Return Type 990T
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 201609
Filing Type P
Return Type 990T
File View File
Organization Name LIGHTHOUSE OF PINELLAS INC
EIN 23-7042938
Tax Period 201609
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1822497103 2020-04-10 0455 PPP 6925 112TH CIR STE 103, LARGO, FL, 33773-5200
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 233893
Loan Approval Amount (current) 233893
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LARGO, PINELLAS, FL, 33773-5200
Project Congressional District FL-13
Number of Employees 30
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 236589.27
Forgiveness Paid Date 2021-06-17

Companies related by officers

CHURCH KIMBERLY

HUMANE TREATMENT FOR ALL, INC. - Inactive
Domestic Non-Profit (2015 - 2016)
LIGHTHOUSE OF PINELLAS FOUNDATION, INC. - Inactive
Domestic Non-Profit (1987 - 2019)
GREATER BAY BALLET COMPANY, INC. - Inactive
Domestic Non-Profit (2015 - 2016)
SERTOMA HEALTH PROFESSIONALS OF TAMPA, INC. - Inactive
Domestic Non-Profit (1992 - 2000)

Companies related by address

6925 112 CIRCLE N, SUITE 103, LARGO, FL, 33773, US

LIGHTHOUSE OF PINELLAS FOUNDATION, INC.

6925 112 CIRCLE N, SUITE 103, LARGO, FL, 33773, US

LIGHTHOUSE OF PINELLAS FOUNDATION, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated