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  5. ELIZABETH H. FAULK FOUNDATION, INC.

ELIZABETH H. FAULK FOUNDATION, INC. - Florida Company Profile

Company Details

Entity Name: ELIZABETH H. FAULK 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: 30 Aug 1971 (54 years ago)
Last Event: AMENDMENT
Event Date Filed: 03 Jul 2014 (11 years ago)
Document Number: 721606
FEI/EIN Number 237153172

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433, US
Mail Address: 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433, US
ZIP code: 33433
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104068352 2009-04-02 2009-04-02 22455 BOCA RIO RD, BOCA RATON, FL, 334334708, US 22455 BOCA RIO RD, BOCA RATON, FL, 334334708, US

Contacts
Phone +1 561-483-5300
Fax 5614835325

Authorized person
Name DR. HOLLY KATZ
Role PROGRAMS AND TRAINING DIRECTOR
Phone 5614835300

Taxonomy
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAULK CENTER FOR COUNSELING 2023 237153172 2025-03-06 ELIZABETH H. FAULK FOUNDATION, INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 5614835300
Plan sponsor’s DBA name FAULK CENTER FOR COUNSELING
Plan sponsor’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433

Plan administrator’s name and address
Administrator’s EIN 237153172
Plan administrator’s name JONATHAN PRICE
Plan administrator’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433
Administrator’s telephone number 5614835300

Signature of
Role Plan administrator
Date 2025-03-06
Name of individual signing JONATHAN PRICE
Valid signature Filed with authorized/valid electronic signature
FAULK CENTER FOR COUNSELING 2022 237153172 2024-04-08 ELIZABETH H. FAULK FOUNDATION, INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 5614835300
Plan sponsor’s DBA name FAULK CENTER FOR COUNSELING
Plan sponsor’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433

Plan administrator’s name and address
Administrator’s EIN 237153172
Plan administrator’s name JONATHAN PRICE
Plan administrator’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433
Administrator’s telephone number 5614835300

Signature of
Role Plan administrator
Date 2024-04-08
Name of individual signing JONATHAN PRICE
Valid signature Filed with authorized/valid electronic signature
FAULK CENTER FOR COUNSELING 2021 237153172 2023-04-04 ELIZABETH H. FAULK FOUNDATION, INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 5614835300
Plan sponsor’s DBA name FAULK CENTER FOR COUNSELING
Plan sponsor’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433

Plan administrator’s name and address
Administrator’s EIN 237153172
Plan administrator’s name JONATHAN PRICE
Plan administrator’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433
Administrator’s telephone number 5614835300

Signature of
Role Plan administrator
Date 2023-04-04
Name of individual signing JONATHAN PRICE
Valid signature Filed with authorized/valid electronic signature
FAULK CENTER FOR COUNSELING 2020 237153172 2021-11-03 ELIZABETH H. FAULK FOUNDATION, INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 5614835300
Plan sponsor’s DBA name FAULK CENTER FOR COUNSELING
Plan sponsor’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433

Plan administrator’s name and address
Administrator’s EIN 237153172
Plan administrator’s name JONATHAN PRICE
Plan administrator’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433
Administrator’s telephone number 5614835300

Signature of
Role Plan administrator
Date 2021-11-03
Name of individual signing JONATHAN PRICE
Valid signature Filed with authorized/valid electronic signature
FAULK CENTER FOR COUNSELING 2019 237153172 2020-09-30 ELIZABETH H. FAULK FOUNDATION, INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 5614835300
Plan sponsor’s DBA name FAULK CENTER FOR COUNSELING
Plan sponsor’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433

Plan administrator’s name and address
Administrator’s EIN 237153172
Plan administrator’s name VICKI KATZ
Plan administrator’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433
Administrator’s telephone number 5614835300

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing VICKI KATZ
Valid signature Filed with authorized/valid electronic signature
FAULK CENTER FOR COUNSELING 2018 237153172 2020-01-28 ELIZABETH H. FAULK FOUNDATION, INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 5614835300
Plan sponsor’s DBA name FAULK CENTER FOR COUNSELING
Plan sponsor’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433

Plan administrator’s name and address
Administrator’s EIN 237153172
Plan administrator’s name VICKI KATZ
Plan administrator’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433
Administrator’s telephone number 5614835300

Signature of
Role Plan administrator
Date 2020-01-28
Name of individual signing VICKI KATZ
Valid signature Filed with authorized/valid electronic signature
FAULK CENTER FOR COUNSELING 2017 237153172 2019-01-24 ELIZABETH H. FAULK FOUNDATION, INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 5614835300
Plan sponsor’s DBA name FAULK CENTER FOR COUNSELING
Plan sponsor’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433

Plan administrator’s name and address
Administrator’s EIN 237153172
Plan administrator’s name VICKI KATZ
Plan administrator’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433
Administrator’s telephone number 5614835300

Signature of
Role Plan administrator
Date 2019-01-24
Name of individual signing VICKI KATZ
Valid signature Filed with authorized/valid electronic signature
FAULK CENTER FOR COUNSELING 2016 237153172 2018-02-08 ELIZABETH H. FAULK FOUNDATION, INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 5614835300
Plan sponsor’s DBA name FAULK CENTER FOR COUNSELING
Plan sponsor’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433

Plan administrator’s name and address
Administrator’s EIN 237153172
Plan administrator’s name VICKI KATZ
Plan administrator’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433
Administrator’s telephone number 5614835300

Signature of
Role Plan administrator
Date 2018-02-08
Name of individual signing VICKI KATZ
Valid signature Filed with authorized/valid electronic signature
FAULK CENTER FOR COUNSELING 2015 237153172 2017-02-15 ELIZABETH H. FAULK FOUNDATION, INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 5614835300
Plan sponsor’s DBA name CENTER FOR GROUP COUNSELING
Plan sponsor’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433

Signature of
Role Plan administrator
Date 2017-02-15
Name of individual signing VICKI KATZ
Valid signature Filed with authorized/valid electronic signature
FAULK CENTER FOR COUNSELING 2014 237153172 2016-04-14 ELIZABETH H. FAULK FOUNDATION, INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 5614835300
Plan sponsor’s DBA name CENTER FOR GROUP COUNSELING
Plan sponsor’s address 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433

Signature of
Role Plan administrator
Date 2016-04-14
Name of individual signing VICKI KATZ
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
WEISMAN LOIS A Vice President 11062 Boca Woods Lane, Boca Raton, FL, 33428
Winter Cindy Treasurer 22455 Boca Rio Road, Boca Raton, FL, 33433
Price Jonathan D Chief Executive Officer 22455 Boca Rio Road, Boca Raton, FL, 33433
Collins Gwenesia President 22455 Boca Rio Road, Boca Raton, FL, 33433
BRISSON GENNA M Secretary 22455 Boca Rio Road, BOCA RATON, FL, 33433
Dubow Laurie A Trustee 22455 Boca Rio Road, Boca Raton, FL, 33433
ELIZABETH H. FAULK FOUNDATION, INC. Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000010614 FAULK CENTER FOR COUNSELING ACTIVE 2013-01-30 2028-12-31 - 22455 BOCA RIO ROAD, BOCA RATON, FL, 33433

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-01-11 Elizabeth H. Faulk Foundation -
AMENDMENT 2014-07-03 - -
REINSTATEMENT 2010-05-10 - -
CHANGE OF PRINCIPAL ADDRESS 2010-05-10 22455 BOCA RIO ROAD, BOCA RATON, FL 33433 -
CHANGE OF MAILING ADDRESS 2010-05-10 22455 BOCA RIO ROAD, BOCA RATON, FL 33433 -
REGISTERED AGENT ADDRESS CHANGED 2010-05-10 22455 BOCA RIO ROAD, BOCA RATON, FL 33433 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
AMENDMENT 1997-10-30 - -
AMENDMENT 1993-08-30 - -

Documents

Name Date
ANNUAL REPORT 2025-01-31
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-25
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-27

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
23-7153172 Corporation Unconditional Exemption 22455 BOCA RIO RD, BOCA RATON, FL, 33433-4708 1972-12
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, 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)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2024-06
Asset 1,000,000 to 4,999,999
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 Jun
Asset Amount 1341896
Income Amount 2156011
Form 990 Revenue Amount 2156011
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 ELIZABETH H FAULK FOUNDATION INC
EIN 23-7153172
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name ELIZABETH H FAULK FOUNDATION INC
EIN 23-7153172
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name ELIZABETH H FAULK FOUNDATION INC
EIN 23-7153172
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name ELIZABETH H FAULK FOUNDATION INC
EIN 23-7153172
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name ELIZABETH H FAULK FOUNDATION INC
EIN 23-7153172
Tax Period 201706
Filing Type P
Return Type 990
File View File
Organization Name ELIZABETH H FAULK FOUNDATION INC
EIN 23-7153172
Tax Period 201606
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1211357108 2020-04-10 0455 PPP 22455 Boca Rio Road, BOCA RATON, FL, 33433-4708
Loan Status Date 2021-03-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 142655
Loan Approval Amount (current) 142655
Undisbursed Amount 0
Franchise Name -
Lender Location ID 45120
Servicing Lender Name Valley National Bank
Servicing Lender Address 615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BOCA RATON, PALM BEACH, FL, 33433-4708
Project Congressional District FL-23
Number of Employees 11
NAICS code 624110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 143827.94
Forgiveness Paid Date 2021-02-11

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Price Jonathan D

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Companies related by address

22455 BOCA RIO ROAD, BOCA RATON, FL, 33433, US

FAULK SENIOR SERVICES, LLC FAULK ENDOWMENT, INC.

22455 BOCA RIO ROAD, BOCA RATON, FL, 33433, US

FAULK SENIOR SERVICES, LLC FAULK ENDOWMENT, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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