Entity Name: | WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING, 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: | 04 Oct 1967 (57 years ago) |
Document Number: | 713409 |
FEI/EIN Number |
591145224
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 1154 BALDWIN AVE., DEFUNIAK SPGS, FL, 32433, US |
Mail Address: | 1154 BALDWIN AVE., DEFUNIAK SPGS, FL, 32433, US |
ZIP code: | 32433 |
County: | Walton |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1982720769 | 2007-03-22 | 2023-01-12 | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 324352308, US | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 324352308, US | |||||||||||||||||||||||||||||||
|
Phone | +1 850-892-8165 |
Fax | 8508928169 |
Authorized person
Name | MRS. SHAYNE BETTS |
Role | EXECUTIVE DIRECTOR |
Phone | 8598928165 |
Taxonomy
Taxonomy Code | 251B00000X - Case Management Agency |
Is Primary | Yes |
Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 677320600 |
State | FL |
Issuer | MEDICAID |
Number | 024864900 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
EMPLOYEE BENEFIT PLAN OF WALTON COUNTY ADVISORY COUNCIL ON AGING , INC. | 2023 | 591145224 | 2024-10-09 | WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING | 13 | |||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-10-09 |
Name of individual signing | KYLE TEBBS |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2003-09-01 |
Business code | 624200 |
Sponsor’s telephone number | 8508928165 |
Plan sponsor’s DBA name | WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING |
Plan sponsor’s address | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 324352308 |
Signature of
Role | Plan administrator |
Date | 2024-10-01 |
Name of individual signing | KYLE TEBBS |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2003-09-01 |
Business code | 624200 |
Sponsor’s telephone number | 8508928165 |
Plan sponsor’s address | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 324359500 |
Signature of
Role | Plan administrator |
Date | 2021-06-18 |
Name of individual signing | SHAYNE BETTS |
Valid signature | Filed with authorized/valid electronic signature |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2003-09-01 |
Business code | 624200 |
Sponsor’s telephone number | 8508928165 |
Plan sponsor’s address | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 324359500 |
Signature of
Role | Plan administrator |
Date | 2020-06-10 |
Name of individual signing | SHAYNE BETTS |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2003-09-01 |
Business code | 624200 |
Sponsor’s telephone number | 8508928165 |
Plan sponsor’s address | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 324359500 |
Signature of
Role | Plan administrator |
Date | 2020-06-10 |
Name of individual signing | SHAYNE BETTS |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2003-09-01 |
Business code | 624200 |
Sponsor’s telephone number | 8508928165 |
Plan sponsor’s address | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 324359500 |
Signature of
Role | Plan administrator |
Date | 2019-07-24 |
Name of individual signing | KAY BRADY |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2003-09-01 |
Business code | 624100 |
Plan sponsor’s address | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 324352308 |
Signature of
Role | Plan administrator |
Date | 2019-09-13 |
Name of individual signing | KAY BRADY |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2019-09-13 |
Name of individual signing | KAY BRADY |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
Brackins Alicia DDirecto | Manager | 1154 BALDWIN AVE., DEFUNIAK SPRINGS, FL, 32435 |
Newsome Lothar | Treasurer | 1154 BALDWIN AVE., DEFUNIAK SPGS, FL, 32435 |
Burgess Chris | Chairman | 1154 Baldwin Ave, Defuniak Springs, FL |
Brackins Alicia DDirecto | Agent | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 32435 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000057124 | EMERALD COAST COUNCIL ON AGING | ACTIVE | 2024-04-30 | 2029-12-31 | - | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 32435 |
G12000030853 | WALTON OKALOOSA COUNCIL ON AGING | ACTIVE | 2012-03-29 | 2027-12-31 | - | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 32435 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2024-11-19 | Brackins, Alicia D, Director | - |
CHANGE OF MAILING ADDRESS | 2021-03-06 | 1154 BALDWIN AVE., DEFUNIAK SPGS, FL 32433 | - |
REGISTERED AGENT ADDRESS CHANGED | 2012-01-03 | 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL 32435 | - |
CHANGE OF PRINCIPAL ADDRESS | 2009-03-02 | 1154 BALDWIN AVE., DEFUNIAK SPGS, FL 32433 | - |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-11-19 |
ANNUAL REPORT | 2024-03-01 |
ANNUAL REPORT | 2023-01-22 |
ANNUAL REPORT | 2022-01-31 |
ANNUAL REPORT | 2021-03-06 |
ANNUAL REPORT | 2020-03-09 |
ANNUAL REPORT | 2019-02-07 |
ANNUAL REPORT | 2018-01-25 |
ANNUAL REPORT | 2017-01-09 |
ANNUAL REPORT | 2016-02-01 |
EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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59-1145224 | Corporation | Unconditional Exemption | 1154 BALDWIN AVE, DEFUNIAK SPGS, FL, 32435-2308 | 2002-10 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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 | WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING INC |
EIN | 59-1145224 |
Tax Period | 202112 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING INC |
EIN | 59-1145224 |
Tax Period | 202012 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING INC |
EIN | 59-1145224 |
Tax Period | 201912 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING INC |
EIN | 59-1145224 |
Tax Period | 201812 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING INC |
EIN | 59-1145224 |
Tax Period | 201712 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING INC |
EIN | 59-1145224 |
Tax Period | 201612 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING INC |
EIN | 59-1145224 |
Tax Period | 201512 |
Filing Type | E |
Return Type | 990 |
File | View File |
Date of last update: 03 Mar 2025
Sources: Florida Department of State