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  5. COLUMBIA COUNTY SENIOR SERVICES, INC.

COLUMBIA COUNTY SENIOR SERVICES, INC. - Florida Company Profile

Company Details

Entity Name: COLUMBIA COUNTY SENIOR SERVICES, 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: 07 Jul 1972 (53 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 26 Mar 1997 (28 years ago)
Document Number: 723834
FEI/EIN Number 591447549

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 628 SE ALLISON COURT, LAKE CITY, FL, 32025, US
Mail Address: P O Box 1772, LAKE CITY, FL, 32056, US
ZIP code: 32025
County: Columbia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528794732 2022-07-29 2023-07-24 PO BOX 1772, LAKE CITY, FL, 320561772, US 628 SE ALLISON CT, LAKE CITY, FL, 320256101, US

Contacts
Phone +1 386-755-0235

Authorized person
Name DAVID T HUCKABEE
Role EXECUTIVE DIRECTOR
Phone 3867550235

Taxonomy
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary No
Taxonomy Code 261QA0600X - Adult Day Care Clinic/Center
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 113652900
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLUMBIA COUNTY SEINOR SERVICES 457 DEFERRED COMPENSATION 2023 591447549 2024-10-22 COLUMBIA COUNTY SENIOR SERVICES ,INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 3867550235
Plan sponsor’s address PO BOX 1772, LAKE CITY, FL, 320561772

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing DAVID HUCKABEE
Valid signature Filed with authorized/valid electronic signature
COLUMBIA COUNTY SEINOR SERVICES 457 DEFERRED COMPENSATION 2022 591447549 2023-10-13 COLUMBIA COUNTY SENIOR SERVICES ,INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 3867550235
Plan sponsor’s address PO BOX 1772, LAKE CITY, FL, 320561772

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing DAVID HUCKABEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-13
Name of individual signing DAVID HUCKABEE
Valid signature Filed with authorized/valid electronic signature
COLUMBIA COUNTY SENIOR SERVICES 457 DEFERRED COMPENSATION 2021 591447549 2022-10-12 COLUMBIA COUNTY SENIOR SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 3867550235
Plan sponsor’s address PO BOX 1772, LAKE CITY, FL, 320561772

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing DAVID HUCKABEE
Valid signature Filed with authorized/valid electronic signature
COLUMBIA COUNTY SENIOR SERVICES 457 DEFERRED COMPENSATION 2020 591447549 2021-08-12 COLUMBIA COUNTY SENIOR SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 3867550235
Plan sponsor’s address PO BOX 1772, LAKE CITY, FL, 320561772

Signature of
Role Plan administrator
Date 2021-08-12
Name of individual signing VANESSA LAWTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-12
Name of individual signing VANESSA LAWTON
Valid signature Filed with authorized/valid electronic signature
COLUMBIA COUNTY SENIOR SERVICES 457 DEFERRED COMPENSATION 2020 591447549 2021-08-12 COLUMBIA COUNTY SENIOR SERVICES, INC. 5
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 3867550235
Plan sponsor’s address PO BOX 1772, LAKE CITY, FL, 320561772
COLUMBIA COUNTY SENIOR SERVICES 457 DEFERRED COMPENSATION 2020 591447549 2021-08-12 COLUMBIA COUNTY SENIOR SERVICES, INC. 5
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 3867550235
Plan sponsor’s address PO BOX 1772, LAKE CITY, FL, 320561772

Signature of
Role Employer/plan sponsor
Date 2021-08-12
Name of individual signing VANESSA LAWTON
Valid signature Filed with authorized/valid electronic signature
COLUMBIA COUNTY SENIOR SERVICES 457 DEFERRED COMPENSATION 2020 591447549 2021-08-12 COLUMBIA COUNTY SENIOR SERVICES, INC. 5
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 3867550235
Plan sponsor’s address PO BOX 1772, LAKE CITY, FL, 320561772

Signature of
Role Employer/plan sponsor
Date 2021-08-12
Name of individual signing VANESSA LAWTON
Valid signature Filed with authorized/valid electronic signature
COLUMBIA COUNTY SENIOR SERVICES 457 DEFERRED COMPENSATION 2019 591447549 2020-10-08 COLUMBIA COUNTY SENIOR SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 3867550235
Plan sponsor’s address PO BOX 1772, LAKE CITY, FL, 320561772

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing VANESSA LAWTON
Valid signature Filed with authorized/valid electronic signature
COLUMBIA COUNTY SENIOR SERVICES 457 DEFERRED COMPENSATION 2018 591447549 2019-07-12 COLUMBIA COUNTY SENIOR SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 3867550235
Plan sponsor’s address PO BOX 1772, LAKE CITY, FL, 320561772

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing DEBORAH FREEMAN
Valid signature Filed with authorized/valid electronic signature
COLUMBIA COUNTY SENIOR SERVICES 457 DEFERRED COMPENSATION 2017 591447549 2018-10-11 COLUMBIA COUNTY SENIOR SERVICES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 624100
Sponsor’s telephone number 3867550235
Plan sponsor’s address PO BOX 1772, LAKE CITY, FL, 320561772

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing DEBORAH FREEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing DEBORAH FREEMAN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Lunde Stephanie President 628 SE Allison Court, Lake City, FL, 32025
Epperson Alisa Vice President 628 SE ALLISON CT, LAKE CITY, FL, 32025
Williams Renee Secretary 628 SE Allison Court, LAKE CITY, FL, 32025
Pinchouck Lee Treasurer 628 SE Allison CT, LAKE CITY, FL, 32025
Huckabee David Executive Director 628 SE ALLISON COURT, LAKE CITY, FL, 32025
Huckabee David Agent 628 SE Allison Court, LAKE CITY, FL, 32025

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000043425 THE CLUB EXPIRED 2013-05-06 2018-12-31 - P.O. BOX 1772, LAKE CITY, FL, 32056

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-05-20 Huckabee, David -
REGISTERED AGENT ADDRESS CHANGED 2022-05-20 628 SE Allison Court, LAKE CITY, FL 32025 -
CHANGE OF PRINCIPAL ADDRESS 2020-05-29 628 SE ALLISON COURT, LAKE CITY, FL 32025 -
CHANGE OF MAILING ADDRESS 2015-01-14 628 SE ALLISON COURT, LAKE CITY, FL 32025 -
NAME CHANGE AMENDMENT 1997-03-26 COLUMBIA COUNTY SENIOR SERVICES, INC. -

Documents

Name Date
ANNUAL REPORT 2024-02-26
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-05-20
ANNUAL REPORT 2021-04-13
ANNUAL REPORT 2020-05-29
ANNUAL REPORT 2019-01-22
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-01-14

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-1447549 Corporation Unconditional Exemption PO BOX 1772, LAKE CITY, FL, 32056-1772 1975-06
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, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, 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 2023-12
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 Dec
Asset Amount 2664212
Income Amount 1834779
Form 990 Revenue Amount 1834779
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 COLUMBIA COUNTY SENIOR SERVICES INC
EIN 59-1447549
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name COLUMBIA COUNTY SENIOR SERVICES INC
EIN 59-1447549
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name COLUMBIA COUNTY SENIOR SERVICES INC
EIN 59-1447549
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name COLUMBIA COUNTY SENIOR SERVICES INC
EIN 59-1447549
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name COLUMBIA COUNTY SENIOR SERVICES INC
EIN 59-1447549
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name COLUMBIA COUNTY SENIOR SERVICES INC
EIN 59-1447549
Tax Period 201612
Filing Type E
Return Type 990
File View File

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Lunde Stephanie

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Epperson Alisa

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Williams Renee

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STYLO DOWN TO EARTH RECORDS LLC - Inactive
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Huckabee David

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A 2 Z OF LAKE CITY, INC. - Active
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Companies related by address

628 SE ALLISON COURT, LAKE CITY, FL, 32025, US

A 2 Z OF LAKE CITY, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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