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HELEN B. BENTLEY FAMILY HEALTH CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: HELEN B. BENTLEY FAMILY HEALTH CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 10 Nov 1970 (55 years ago)
Date of dissolution: 12 May 2016 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 12 May 2016 (9 years ago)
Document Number: 719670
FEI/EIN Number 591481561

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 5727 NW 17th Avenue, MIAMI, FL, 33142, US
Mail Address: 5727 NW 17th Avenue, MIAMI, FL, 33142, US
ZIP code: 33142
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RANGE Norman P Chairman 5727 N.W. 17th Avenue, MIAMI, FL, 33142
RANGE Norman P Director 5727 N.W. 17th Avenue, MIAMI, FL, 33142
JAMES-FOUNTAIN ZONDRA Treasurer 10393 SW 153rd Street, Miami, FL, 33157
JAMES-FOUNTAIN ZONDRA Director 10393 SW 153rd Street, Miami, FL, 33157
TINNIE GENE S Vice Chairman 74 N.W. 51st Street, MIAMI, FL, 33127
TINNIE GENE S Director 74 N.W. 51st Street, MIAMI, FL, 33127
JORDAN BARBARA B Secretary 22804 SW 105th Avenue, Cutler Bay, FL, 33190
JORDAN BARBARA B Director 22804 SW 105th Avenue, Cutler Bay, FL, 33190
RANGE NORMAN P Agent 5727 NW 17th Avenue, MIAMI, FL, 33142

National Provider Identifier

NPI Number:
1982706347

Authorized Person:

Name:
DR. SAMUEL K. JAMES
Role:
PHARMACY DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Fax:
3053511297

Form 5500 Series

Employer Identification Number (EIN):
591481561
Plan Year:
2015
Number Of Participants:
55
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
60
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
63
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
63
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
63
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2016-05-12 - -
CHANGE OF PRINCIPAL ADDRESS 2016-03-18 5727 NW 17th Avenue, MIAMI, FL 33142 -
REINSTATEMENT 2016-03-18 - -
REGISTERED AGENT ADDRESS CHANGED 2016-03-18 5727 NW 17th Avenue, MIAMI, FL 33142 -
REGISTERED AGENT NAME CHANGED 2016-03-18 RANGE, NORMAN P -
CHANGE OF MAILING ADDRESS 2016-03-18 5727 NW 17th Avenue, MIAMI, FL 33142 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -
AMENDMENT 2005-10-06 - -
NAME CHANGE AMENDMENT 1996-10-28 HELEN B. BENTLEY FAMILY HEALTH CENTER, INC. -
NAME CHANGE AMENDMENT 1986-04-07 COCONUT GROVE FAMILY HEALTH CENTER, INC . -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13001340034 TERMINATED 1000000520241 DADE 2013-08-13 2023-09-05 $ 25,968.25 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828
J11000529953 TERMINATED 1000000229003 DADE 2011-08-10 2021-08-17 $ 2,881.75 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SOUTH SERVICE CENTER, 8175 NW 12TH ST STE 418, MIAMI FL331261828
J11000407010 TERMINATED 1000000221076 DADE 2011-06-22 2021-06-29 $ 13,335.47 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SOUTH SERVICE CENTER, 8175 NW 12TH ST STE 418, MIAMI FL331261828

Documents

Name Date
Voluntary Dissolution 2016-05-12
REINSTATEMENT 2016-03-18
ANNUAL REPORT 2013-02-21
ANNUAL REPORT 2012-01-03
ANNUAL REPORT 2011-01-03
ANNUAL REPORT 2010-01-04
ANNUAL REPORT 2009-02-09
ANNUAL REPORT 2008-02-08
ANNUAL REPORT 2007-02-12
ANNUAL REPORT 2006-04-17

USAspending Awards / Financial Assistance

Date:
2009-06-25
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
ARRA - CAPITAL IMPROVEMENT PROGRAM
Obligated Amount:
906355.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2009-09-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
ARRA - INCREASE SERVICES TO HEALTH CENTERS
Obligated Amount:
537240.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2008-06-10
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CENTER CLUSTER
Obligated Amount:
8671493.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2009-06-17
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RYAN WHITE PART C OUTPATIENT EIS PROGRAM
Obligated Amount:
2346570.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 01 Jun 2025

Sources: Florida Department of State