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  5. THE ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC.

THE ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC.

Company Details

Entity Name: THE ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 29 May 1974 (51 years ago)
Document Number: 729786
FEI/EIN Number 59-1627845
Address: 23320 N STATE RD 235, BROOKER, FL 32622
Mail Address: 23320 N STATE RD 235, BROOKER, FL 32622
ZIP code: 32622
County: Bradford
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487772216 2007-03-27 2014-01-17 PO BOX 3123, ST AUGUSTINE, FL, 320853123, US 23320 N STATE ROAD 235, BROOKER, FL, 326225266, US

Contacts
Phone +1 904-824-4990
Fax 9048242226
Phone +1 352-485-1133
Fax 3524852927

Authorized person
Name CANDICE KING
Role DIRECTOR
Phone 3524851133

Taxonomy
Taxonomy Code 208D00000X - General Practice Physician
Is Primary No
Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary Yes

Other Provider Identifiers
Issuer FLORIDA BLUE
Number 98392
State FL
Issuer MEDICAID
Number 060245101
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAX DEFERRED ANNUITY PLAN OF ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC. 2012 591627845 2013-07-25 ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621399
Sponsor’s telephone number 3524852925
Plan sponsor’s DBA name ACORN CLINIC
Plan sponsor’s address 23320 N SR 235, BROOKER, FL, 32622

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing LOIS MCPHERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing LOIS MCPHERSON
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC. 2011 591627845 2012-07-10 ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621399
Sponsor’s telephone number 3524852925
Plan sponsor’s DBA name ACORN CLINIC
Plan sponsor’s address 23320 N. STATE ROAD 235, BROOKER, FL, 32622

Plan administrator’s name and address
Administrator’s EIN 591627845
Plan administrator’s name ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC.
Plan administrator’s address 23320 N. STATE ROAD 235, BROOKER, FL, 32622
Administrator’s telephone number 3524852925

Signature of
Role Plan administrator
Date 2012-07-10
Name of individual signing LOIS MCPHERSON
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC. 2010 591627845 2011-07-26 ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621399
Sponsor’s telephone number 3524852925
Plan sponsor’s DBA name ACORN CLINIC
Plan sponsor’s address 23320 N SR 235, BROOKER, FL, 32622

Plan administrator’s name and address
Administrator’s EIN 591627845
Plan administrator’s name ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC.
Plan administrator’s address 23320 N SR 235, BROOKER, FL, 32622
Administrator’s telephone number 3524852925

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing LOIS MCPHERSON
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC. 2009 591627845 2010-07-19 ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC. 7
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621399
Sponsor’s telephone number 3524852925
Plan sponsor’s address 23320 N STATE ROAD 235, BROOKER, FL, 32622

Plan administrator’s name and address
Administrator’s EIN 591627845
Plan administrator’s name ALACHUA COUNTY ORGANIZATION FOR RURAL NEEDS, INC.
Plan administrator’s address 23320 N STATE ROAD 235, BROOKER, FL, 32622
Administrator’s telephone number 3524852925

Signature of
Role Plan administrator
Date 2010-07-06
Name of individual signing LOIS MCPHERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Lloyd, Tina Agent 23320 N SR 235, BROOKER, FL 32622

Executive Director

Name Role Address
Lloyd, Tina Executive Director 16646 NW 194th Terrace, HIGH SPRINGS, FL 32643

President

Name Role Address
Darius, SCott BA, JD President 4330 SW 77th Street, Gainesville, FL 32608

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000039311 ACORN CLINIC ACTIVE 2010-05-04 2025-12-31 No data 23320 N. STATE RD. 235, BROOKER, FL, 32622

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-01-14 Lloyd, Tina No data
CHANGE OF MAILING ADDRESS 2012-03-06 23320 N STATE RD 235, BROOKER, FL 32622 No data
REGISTERED AGENT ADDRESS CHANGED 2004-03-17 23320 N SR 235, BROOKER, FL 32622 No data
CHANGE OF PRINCIPAL ADDRESS 1998-02-05 23320 N STATE RD 235, BROOKER, FL 32622 No data

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-01-06
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-01-07
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-02-15

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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