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WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING, INC. - Florida Company Profile

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Company Details

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 (58 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

Key Officers & Management

Name Role Address
Brackins Alicia DDirecto Manager 1154 BALDWIN AVE., DEFUNIAK SPRINGS, FL, 32435
Newsome Lothar Treasurer 1154 BALDWIN AVE., DEFUNIAK SPGS, FL, 32435
Brackins Alicia DDirecto Agent 1154 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 32435
Burgess Chris Chairman 1154 Baldwin Ave, Defuniak Springs, FL

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
Z721LJQF4G13
CAGE Code:
9K2X5
UEI Expiration Date:
2026-01-23

Business Information

Division Name:
WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING,INC.
Activation Date:
2025-01-27
Initial Registration Date:
2023-04-24

National Provider Identifier

NPI Number:
1982720769
Certification Date:
2023-01-12

Authorized Person:

Name:
MRS. SHAYNE BETTS
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Fax:
8508928169

Form 5500 Series

Employer Identification Number (EIN):
591145224
Plan Year:
2023
Number Of Participants:
13
Plan Year:
2022
Number Of Participants:
13
Sponsors DBA Name:
WALTON COUNTY CITIZENS ADVISORY COUNCIL ON AGING
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
15
Sponsors Telephone Number:

Fictitious Names

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

Events

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 -

Documents

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

Tax Exempt

Employer Identification Number (EIN) :
59-1145224
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)
Ruling Date:
2002-10
National Taxonomy Of Exempt Entities:
Human Services: Centers to Support the Independence of Specific Populations
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 03 Jul 2025

Sources: Florida Department of State