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  5. LA AMISTAD FOUNDATION, INC.

LA AMISTAD FOUNDATION, INC. - Florida Company Profile

Company Details

Entity Name: LA AMISTAD FOUNDATION, 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: 18 Feb 1970 (55 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 23 Oct 2017 (7 years ago)
Document Number: 718090
FEI/EIN Number 591300982

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 8400 LA AMISTAD COVE, FERN PARK, FL, 32730, US
Mail Address: 8400 LA AMISTAD COVE, FERN PARK, FL, 32730, US
ZIP code: 32730
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710150834 2008-04-09 2008-04-09 8400 LA AMISTAD CV, FERN PARK, FL, 327302900, US 8400 LA AMISTAD CV, FERN PARK, FL, 327302900, US

Contacts
Phone +1 407-332-1711
Fax 4073317291

Authorized person
Name MS. HELEN BOOTH
Role PRESIDENT/CEO
Phone 4073321711

Taxonomy
Taxonomy Code 323P00000X - Psychiatric Residential Treatment Facility
License Number 8569
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LA AMISTAD FOUNDATION RETIREMENT SAVINGS PLAN 2023 591300982 2024-07-12 LA AMISTAD FOUNDATION INC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 4073321711
Plan sponsor’s address 8400 LA AMISTAD COVE, FERN PARK, FL, 32730

Signature of
Role Plan administrator
Date 2024-07-12
Name of individual signing SARAH SUMMEY
Valid signature Filed with authorized/valid electronic signature
LA AMISTAD FOUNDATION RETIREMENT SAVINGS PLAN 2022 591300982 2023-10-09 LA AMISTAD FOUNDATION INC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 4073321711
Plan sponsor’s address 8400 LA AMISTAD COVE, FERN PARK, FL, 32730

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing SARAH SUMMEY
Valid signature Filed with authorized/valid electronic signature
LA AMISTAD FOUNDATION RETIREMENT SAVINGS PLAN 2021 591300982 2022-07-20 LA AMISTAD FOUNDATION INC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 4073321711
Plan sponsor’s address 8400 LA AMISTAD COVE, FERN PARK, FL, 32730

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing CARLTON TALLEY
Valid signature Filed with authorized/valid electronic signature
LA AMISTAD FOUNDATION RETIREMENT SAVINGS PLAN 2021 591300982 2022-07-20 LA AMISTAD FOUNDATION INC 53
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 4073321711
Plan sponsor’s address 8400 LA AMISTAD COVE, FERN PARK, FL, 32730

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing CARLTON TALLEY
Valid signature Filed with authorized/valid electronic signature
LA AMISTAD FOUNDATION RETIREMENT SAVINGS PLAN 2020 591300982 2021-10-05 LA AMISTAD FOUNDATION INC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 4073321711
Plan sponsor’s address 8400 LA AMISTAD COVE, FERN PARK, FL, 32730

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing CARLTON TALLEY
Valid signature Filed with authorized/valid electronic signature
LA AMISTAD FOUNDATION RETIREMENT SAVINGS PLAN 2019 591300982 2020-07-15 LA AMISTAD FOUNDATION INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 4073321711
Plan sponsor’s address 8400 LA AMISTAD COVE, FERN PARK, FL, 32730

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing JAKE TALLEY
Valid signature Filed with authorized/valid electronic signature
LA AMISTAD FOUNDATION RETIREMENT SAVINGS PLAN 2018 591300982 2019-07-03 LA AMISTAD FOUNDATION INC. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 4073321711
Plan sponsor’s address 8400 LA AMISTAD COVE, FERN PARK, FL, 32730

Signature of
Role Plan administrator
Date 2019-07-03
Name of individual signing CARLTON TALLEY
Valid signature Filed with authorized/valid electronic signature
LA AMISTAD FOUNDATION RETIREMENT SAVINGS PLAN 2017 591300982 2018-07-26 LA AMISTAD FOUNDATION INC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 4073321711
Plan sponsor’s address 8400 LA AMISTAD COVE, FERN PARK, FL, 32730

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing CARLTON TALLEY
Valid signature Filed with authorized/valid electronic signature
LA AMISTAD FOUNDATION RETIREMENT SAVINGS PLAN 2016 591300982 2017-08-10 LA AMISTAD FOUNDATION INC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 4073321711
Plan sponsor’s address 8400 LA AMISTAD COVE, FERN PARK, FL, 32730

Signature of
Role Plan administrator
Date 2017-08-10
Name of individual signing CARLTON TALLEY
Valid signature Filed with authorized/valid electronic signature
LA AMISTAD FOUNDATION RETIREMENT SAVINGS PLAN 2015 591300982 2016-10-12 LA AMISTAD FOUNDATION INC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 4073321711
Plan sponsor’s address 8400 LA AMISTAD COVE, FERN PARK, FL, 32730

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing HELEN BOOTH
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
WOODRUFF BRUCE Secretary 3101 Maguire Blvd, Ste. 256, Orlando, FL, 32803
Summey Sarah Agent 497 Buckhorn Drive, Winter Springs, FL, 32708
WILLIAMS TERESA Chairman 1450 Chestnut Ave, WINTER PARK, FL, 32789
Auld Bryn Trustee 1667 Lasbury Ave., Winter Park, FL, 32789
Higgins Stephanie Trustee 1321 W Harvard St, Orlando, FL, 32804
MOORE NOELLE Trustee 608 Waverly Lane, Maitland, FL, 32751
Smith Jordan Trustee 204 Hurst Court, Lake Mary, FL, 32746

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G04023900237 LAKEWOOD CENTER ACTIVE 2004-01-23 2025-12-31 - 8400 LA AMISTAD COVE, FERN PARK, FL, 32730

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-25 Summey, Sarah -
REGISTERED AGENT ADDRESS CHANGED 2024-03-25 497 Buckhorn Drive, Winter Springs, FL 32708 -
REINSTATEMENT 2017-10-23 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -
CHANGE OF MAILING ADDRESS 2009-01-26 8400 LA AMISTAD COVE, FERN PARK, FL 32730 -
REINSTATEMENT 1997-12-01 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1997-09-26 - -
CHANGE OF PRINCIPAL ADDRESS 1996-02-16 8400 LA AMISTAD COVE, FERN PARK, FL 32730 -
NAME CHANGE AMENDMENT 1974-11-18 LA AMISTAD FOUNDATION, INC. -

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-07
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-03-14
REINSTATEMENT 2017-10-23
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-09-21

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-1300982 Corporation Unconditional Exemption 8400 LA AMISTAD CV, FERN PARK, FL, 32730-2900 1972-03
In Care of Name -
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 normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 5,000,000 to 9,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 6465072
Income Amount 3403042
Form 990 Revenue Amount 3364678
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 LA AMISTAD FOUNDATION INC
EIN 59-1300982
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name LA AMISTAD FOUNDATION INC
EIN 59-1300982
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name LA AMISTAD FOUNDATION INC
EIN 59-1300982
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name LA AMISTAD FOUNDATION INC
EIN 59-1300982
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name LA AMISTAD FOUNDATION INC
EIN 59-1300982
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name LA AMISTAD FOUNDATION INC
EIN 59-1300982
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name LA AMISTAD FOUNDATION INC
EIN 59-1300982
Tax Period 201612
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
1031067303 2020-04-28 0491 PPP 8400 La Amistad Cv, Fern Park, FL, 32730
Loan Status Date 2020-11-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 350401
Loan Approval Amount (current) 350401
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Fern Park, SEMINOLE, FL, 32730-0001
Project Congressional District FL-07
Number of Employees 45
NAICS code 621420
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 352172.47
Forgiveness Paid Date 2020-11-03

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Companies related by address

No other companies in our directory share the same address as LA AMISTAD FOUNDATION, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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