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  5. ST. PETERSBURG FREE CLINIC, INC.

ST. PETERSBURG FREE CLINIC, INC. - Florida Company Profile

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Company Details

Entity Name: ST. PETERSBURG FREE CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 29 Dec 1970 (55 years ago)
Document Number: 719939
FEI/EIN Number 237208280
Address: 863 3rd Ave N, St Petersburg, FL, 33701, US
Mail Address: 863 3rd Ave N, St Petersburg, FL, 33701, US
ZIP code: 33701
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Auld Molly Director 863 3rd Ave N, St Petersburg, FL, 33701
Vivio Beth Director 863 3rd Ave N, St Petersburg, FL, 33701
Yeagley Jennifer Chief Executive Officer 863 3rd Ave N, St Petersburg, FL, 33701
Flowers Gary Director 863 3rd Ave N, St Petersburg, FL, 33701
Diamond Ben Director 863 3rd Ave N, St Petersburg, FL, 33701
YEAGLEY JENNIFER Agent 863 3rd Ave N, St. Petersburg, FL, 33701
Roodhouse Erica Director 863 3rd Ave N, St Petersburg, FL, 33701

Unique Entity ID

Unique Entity ID:
U32LNMGMXWJ7
CAGE Code:
63PU4
UEI Expiration Date:
2026-07-29

Business Information

Doing Business As:
ST PETERSBURG FREE CLINIC INC
URL:
https://www.thespfc.org/
Division Name:
ST. PETERSBURG FREE CLINIC, INC.
Activation Date:
2025-07-29
Initial Registration Date:
2023-07-19

Commercial and government entity program

CAGE number:
63PU4
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-07-29
CAGE Expiration:
2030-07-29
SAM Expiration:
2025-10-27

Contact Information

POC:
JENNIFER YEAGLEY
Corporate URL:
https://www.thespfc.org/

National Provider Identifier

NPI Number:
1366945099
Link:
View on NPI website

Authorized Person:

Name:
MS. BETH ANNE HOUGHTON
Role:
EXECUTIVE DIRECTOR
Phone:
7278237866

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Phone:
+1 727-327-0333
Fax:
7273216412

Form 5500 Series

Employer Identification Number (EIN):
237208280
Plan Year:
2023
Number Of Participants:
106
Sponsors Telephone Number:
7278211200
File:
View File
Plan Year:
2022
Number Of Participants:
101
Sponsors Telephone Number:
7278211200
File:
View File
Plan Year:
2021
Number Of Participants:
54
Sponsors Telephone Number:
7278211200
File:
View File
Plan Year:
2020
Number Of Participants:
59
Sponsors Telephone Number:
7278211200
File:
View File
Plan Year:
2020
Number Of Participants:
59
Sponsors Telephone Number:
7278211200

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000119513 VIRGINIA AND DAVID BALDWIN WOMEN'S RESIDENCE ACTIVE 2017-10-30 2027-12-31 - 814 4TH AVE N, ST PETERSBURG, FL, 33701

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-02-02 863 3rd Ave N, St Petersburg, FL 33701 -
CHANGE OF MAILING ADDRESS 2021-02-02 863 3rd Ave N, St Petersburg, FL 33701 -
REGISTERED AGENT ADDRESS CHANGED 2021-02-02 863 3rd Ave N, St. Petersburg, FL 33701 -
REGISTERED AGENT NAME CHANGED 2020-04-06 YEAGLEY, JENNIFER -

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-04-06
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-01-06

USAspending Awards / Financial Assistance

Date:
2021-02-11
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
569635.00
Total Face Value Of Loan:
569635.00
Date:
2020-04-13
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
486650.00
Total Face Value Of Loan:
486650.00
Date:
2020-04-13
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
486650.00
Total Face Value Of Loan:
486650.00

Tax Exempt

Employer Identification Number (EIN) :
23-7208280
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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:
1975-09
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
59
Initial Approval Amount:
$569,635
Date Approved:
2021-02-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$569,635
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$574,348.14
Servicing Lender:
Synovus Bank
Use of Proceeds:
Payroll: $569,635
Jobs Reported:
59
Initial Approval Amount:
$486,650
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$486,650
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$491,436.5
Servicing Lender:
Synovus Bank
Use of Proceeds:
Payroll: $486,650

Motor Carrier Census

Carrier Operation:
Intrastate Non-Hazmat
Phone:
(727) 821-1200
Fax:
(727) 821-9263
Email:
SHAINA.BENT@STPETERSBURGFREECLINIC.ORG
Add Date:
2019-06-20
Operation Classification:
Private(Property)
power Units:
4
Drivers:
7
Inspections:
1
FMCSA Link:
View on FMCSA website
Carrier Operation:
Intrastate Non-Hazmat
Phone:
(727) 821-1200
Fax:
(727) 821-9263
Add Date:
2004-04-20
Operation Classification:
Private(Property), FOOD BANK
power Units:
1
Drivers:
2
Inspections:
0
FMCSA Link:
View on FMCSA website

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Date of last update: 03 Aug 2025

Sources: Florida Department of State

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