| Entity Name: | HILLSBOROUGH ASSOCIATION FOR RETARDED CITIZENS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 23 Feb 1971 (54 years ago) |
| Document Number: | 720322 |
| FEI/EIN Number | 590895908 |
| Address: | 2714 W. KIRBY ST., TAMPA, FL, 33614, US |
| Mail Address: | P.O. BOX 9537, TAMPA, FL, 33674, US |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831399526 | 2007-07-20 | 2022-07-21 | PO BOX 9537, TAMPA, FL, 336749537, US | 2714 W KIRBY ST, TAMPA, FL, 336143300, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-931-9100 |
| Fax | 8139159083 |
Authorized person
| Name | MR. FRANK PANNULLO |
| Role | CFO |
| Phone | 8139319100 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024102496 |
| State | FL |
| Issuer | MEDICAID |
| Number | 024102498 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WRAY ZACHARY | Agent | 2714 W. KIRBY ST., TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| WRAY ZACHARY | Chief Executive Officer | 2714 W. KIRBY ST., TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| WERKSTELL SCOTT | PBOD | 2714 W. KIRBY ST., TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| LOGSDON GLORIA | Vice President | 2714 W. KIRBY ST., TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| FALCON JOSHUA | Treasurer | 2714 W. KIRBY ST., TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| NAME CHANGE AMENDMENT | 1974-03-08 | HILLSBOROUGH ASSOCIATION FOR RETARDED CITIZENS, INC. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000065143 | LAPSED | 12-019580 | HILLSOROUGH CO CIRCUIT CIVIL | 2013-12-19 | 2019-01-14 | $340,160.09 | SUNTRUST BANK C/O DEBORAH L. FULLER, 1701 E. 7TH AVENUE, TAMPA, FL 33605 |
| J13001033746 | LAPSED | 11-14711 | HILLSBOROUGH CIRCUIT | 2013-05-14 | 2018-05-30 | $96,427.21 | WELLS FARGO FINANCIAL LEASING, INC., 800 WALNUT STREET, MAC F4031-050, DES MOINES, IA 50309 |
| J13000332313 | TERMINATED | 2012-CA-018033 | CIR COURT, HILLSBOROUGH CTY | 2013-01-24 | 2018-02-08 | $22,088.74 | TAMPA BAY PROPERTY HOLDING, LLC F/K/A COMMUNICARE, INC., 2950 MAPLE TRACE, TARPON SPRINGS, FL 34688 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
