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  5. BAY COUNTY COUNCIL ON AGING, INC.

BAY COUNTY COUNCIL ON AGING, INC.

Company Details

Entity Name: BAY COUNTY COUNCIL ON AGING, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 28 Sep 1971 (53 years ago)
Document Number: 721782
FEI/EIN Number 591352672
Address: 1116 Frankford Avenue, Panama City, FL, 32401, US
Mail Address: 1116 Frankford Avenue, Panama City, FL, 32401, US
ZIP code: 32401
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104267665 2013-07-12 2013-07-12 1116 FRANKFORD AVE, PANAMA CITY, FL, 324011861, US 1116 FRANKFORD AVE, PANAMA CITY, FL, 324011861, US

Contacts
Phone +1 850-769-3468
Fax 8508722151

Authorized person
Name ELIZABETH N. COULLIETTE
Role EXECUTIVE DIRECTOR
Phone 8507693468

Taxonomy
Taxonomy Code 251B00000X - Case Management Agency
Is Primary No
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 098851100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAY COUNTY COUNCIL ON AGING PROFIT SHARING TRUST 2022 591352672 2024-07-15 BAY COUNTY COUNCIL ON AGING, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 624100
Sponsor’s telephone number 8507693468
Plan sponsor’s address 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401
BAY COUNTY COUNCIL ON AGING PROFIT SHARING TRUST 2021 591352672 2023-09-01 BAY COUNTY COUNCIL ON AGING 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 624100
Sponsor’s telephone number 8507693468
Plan sponsor’s address 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401
BAY COUNTY COUNCIL ON AGING PROFIT SHARING TRUST 2020 591352672 2022-04-14 BAY COUNTY COUNCIL ON AGING 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 624100
Sponsor’s telephone number 8507693468
Plan sponsor’s address 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401
BAY COUNTY COUNCIL ON AGING PROFIT SHARING TRUST 2019 591352672 2021-07-06 BAY COUNTY COUNCIL ON AGING 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 624100
Sponsor’s telephone number 8507693468
Plan sponsor’s address 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401
BAY COUNTY COUNCIL ON AGING PROFIT SHARING TRUST 2018 591352672 2020-03-31 BAY COUNTY COUNCIL ON AGING 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 624100
Sponsor’s telephone number 8507693468
Plan sponsor’s address 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401
BAY COUNTY COUNCIL ON AGING PROFIT SHARING TRUST 2017 591352672 2019-07-12 BAY COUNTY COUNCIL ON AGING 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 624100
Sponsor’s telephone number 8507693468
Plan sponsor’s address 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401
BAY COUNTY COUNCIL ON AGING PROFIT SHARING TRUST 2016 591352672 2018-02-07 BAY COUNTY COUNCIL ON AGING 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 624100
Sponsor’s telephone number 8507693468
Plan sponsor’s address 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401
BAY COUNTY COUNCIL ON AGING PROFIT SHARING TRUST 2015 591352672 2017-01-25 BAY COUNTY COUNCIL ON AGING 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 624100
Sponsor’s telephone number 8507693468
Plan sponsor’s address 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401
BAY COUNTY COUNCIL ON AGING PROFIT SHARING TRUST 2014 591352672 2016-02-17 BAY COUNTY COUNCIL ON AGING 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 624100
Sponsor’s telephone number 8507693468
Plan sponsor’s address 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401
BAY COUNTY COUNCIL ON AGING PROFIT SHARING TRUST 2013 591352672 2015-01-22 BAY COUNTY COUNCIL ON AGING 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 624100
Sponsor’s telephone number 8507693468
Plan sponsor’s address 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401

Agent

Name Role Address
COULLIETTE ELIZABETH N Agent 1116 Frankford Avenue, Panama City, FL, 32401

Director

Name Role Address
Lois Oswald Director 807 College Oaks Lane, LYNN HAVEN, FL, 32444
Reed Kim Director 1116 FRANKFORD AVE., PANAMA CITY, FL, 32401
Ed Deluzain Director 1116 FRANKFORD AVE., PANAMA CITY, FL, 32401
Anderson Willard Director 4343 North Shore Road, Lynn Haven, FL, 32444

Chief Executive Officer

Name Role Address
COULLIETTE ELIZABETH N Chief Executive Officer 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401

Secretary

Name Role Address
Lois Oswald Secretary 807 College Oaks Lane, LYNN HAVEN, FL, 32444

Chief Financial Officer

Name Role Address
COFFMAN KAREN Chief Financial Officer 1116 FRANKFORD AVENUE, PANAMA CITY, FL, 32401

Treasurer

Name Role Address
Anderson Willard Treasurer 4343 North Shore Road, Lynn Haven, FL, 32444

Vice President

Name Role Address
Reed Kim Vice President 1116 FRANKFORD AVE., PANAMA CITY, FL, 32401

President

Name Role Address
Ed Deluzain President 1116 FRANKFORD AVE., PANAMA CITY, FL, 32401

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G04068700057 BAY TRANSPORTATION EXPIRED 2004-03-08 2024-12-31 No data 1116 FRANKFORD AVE, PANAMA CITY, FL, 32401-1861

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Related by address

No related companies by address

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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