Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Brevard
    4. ›
  4. 32922
    5. ›
  5. CROSSWINDS YOUTH SERVICES, INC.

CROSSWINDS YOUTH SERVICES, INC.

Company Details

Entity Name: CROSSWINDS YOUTH SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 16 Apr 1974 (51 years ago)
Document Number: 729365
FEI/EIN Number 237376943
Address: 1407 DIXON BLVD., COCOA, FL, 32922
Mail Address: 1407 DIXON BLVD., COCOA, FL, 32922
ZIP code: 32922
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407100027 2012-11-05 2012-11-05 1407 DIXON BLVD, COCOA, FL, 329226411, US 1407 DIXON BLVD, COCOA, FL, 32922, US

Contacts
Phone +1 321-452-0800
Fax 3214520800

Authorized person
Name MS. KAREN D LOCKE
Role CHIEF OPERATING OFFICER
Phone 3214520800

Taxonomy
Taxonomy Code 251B00000X - Case Management Agency
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 075153700
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CROSSWINDS YOUTH SERVICES PLAN 2022 237376943 2024-04-12 CROSSWINDS YOUTH SERVICES, INC. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 624100
Sponsor’s telephone number 3214520800
Plan sponsor’s address 1407 DIXON BOULEVARD, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2024-03-14
Name of individual signing LYNN COWART
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-12
Name of individual signing LYNN COWART
Valid signature Filed with authorized/valid electronic signature
CROSSWINDS YOUTH SERVICES PROFIT SHARING PLAN 2022 237376943 2023-09-15 CROSSWINDS YOUTH SERVICES, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 624100
Sponsor’s telephone number 3214520800
Plan sponsor’s address 1407 DIXON BOULEVARD, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2023-09-15
Name of individual signing LYNN COWART
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-15
Name of individual signing LYNN COWART
Valid signature Filed with authorized/valid electronic signature
CROSSWINDS YOUTH SERVICES PLAN 2021 237376943 2022-12-13 CROSSWINDS YOUTH SERVICES, INC. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 624100
Sponsor’s telephone number 3214520800
Plan sponsor’s address 1407 DIXON BOULEVARD, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2022-12-13
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-12-13
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
CROSSWINDS YOUTH SERVICES PROFIT SHARING PLAN 2021 237376943 2022-12-13 CROSSWINDS YOUTH SERVICES, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 624100
Sponsor’s telephone number 3214520800
Plan sponsor’s address 1407 DIXON BOULEVARD, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2022-12-13
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-12-13
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
CROSSWINDS YOUTH SERVICES PLAN 2020 237376943 2021-11-29 CROSSWINDS YOUTH SERVICES, INC. 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 624100
Sponsor’s telephone number 3214520800
Plan sponsor’s address 1407 DIXON BOULEVARD, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2021-11-29
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-11-29
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
CROSSWINDS YOUTH SERVICES PROFIT SHARING PLAN 2020 237376943 2021-11-29 CROSSWINDS YOUTH SERVICES, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 624100
Sponsor’s telephone number 3214520800
Plan sponsor’s address 1407 DIXON BOULEVARD, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2021-11-29
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-11-29
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
CROSSWINDS YOUTH SERVICES PROFIT SHARING PLAN 2019 237376943 2020-12-01 CROSSWINDS YOUTH SERVICES, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 624100
Sponsor’s telephone number 3214520800
Plan sponsor’s address 1407 DIXON BOULEVARD, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2020-12-01
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-12-01
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
CROSSWINDS YOUTH SERVICES PLAN 2019 237376943 2020-12-01 CROSSWINDS YOUTH SERVICES, INC. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 624100
Sponsor’s telephone number 3214520800
Plan sponsor’s address 1407 DIXON BOULEVARD, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2020-12-01
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-12-01
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
CROSSWINDS YOUTH SERVICES PROFIT SHARING PLAN 2018 237376943 2020-04-08 CROSSWINDS YOUTH SERVICES, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 624100
Sponsor’s telephone number 3214520800
Plan sponsor’s address 1407 DIXON BOULEVARD, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2020-04-08
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-08
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
CROSSWINDS YOUTH SERVICES PLAN 2018 237376943 2020-04-08 CROSSWINDS YOUTH SERVICES, INC. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 624100
Sponsor’s telephone number 3214520800
Plan sponsor’s address 1407 DIXON BOULEVARD, COCOA, FL, 32922

Signature of
Role Plan administrator
Date 2020-04-08
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-08
Name of individual signing JAN LOKAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Scully Michael Agent 1407 DIXON BLVD, COCOA, FL, 32922

Secretary

Name Role Address
WILSON SHANNON Secretary 1970 Fabien Circle, Melbourne, FL, 32940

Chairman

Name Role Address
Crews Greg Chairman 4055 Leona Court, Merritt Island, FL, 32952

Treasurer

Name Role Address
Handley JAMES Treasurer 10 Willow Green Drive, Cocoa Beach, FL, 32931

Director

Name Role Address
Ivey Wayne Director 700 Park Avenue, Titusville, FL, 32780
Justice Wayne Director 502 Cocoa Isles Blvd., Cocoa Beach, FL, 32931
LEHTON ROBERT Director 3000 N ATLANTIC AVE STE 102, COCA BCH, FL, 32931

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 1993-05-13 CROSSWINDS YOUTH SERVICES, INC. No data
NAME CHANGE AMENDMENT 1979-10-22 YOUTH SERVICES CENTERS, INC. No data

Related by officers

WILSON SHANNON

SHANNON'S WINGHOUSE & GRILLE, INC. ARRAY TAX SOLUTIONS, LLC EMPOWHER ALLIANCE INC. WORD OF POWER DELIVERANCE CENTER, INC. FIRST STEP OF THE EIGHTEENTH JUDICIAL CIRCUIT, INC. PROGRESSIVE BUILDING CONSULTANTS, INC.

Justice Wayne

COVENANT COMMUNITY CHURCH OF F.W.B. INC. MOAACC SCHOLARSHIP CORPORATION

LEHTON ROBERT

SEED OF ABRAHAM MINISTRIES, INC. CHRISTIAN CONCILIATION SERVICE OF BREVARD, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated