| Entity Name: | GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 02 Jul 1974 (51 years ago) |
| Document Number: | 730118 |
| FEI/EIN Number | 591229354 |
| Address: | 14041 ICOT BLVD, CLEARWATER, FL, 33760, US |
| Mail Address: | 14041 ICOT BLVD, CLEARWATER, FL, 33760, US |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891058616 | 2012-06-18 | 2013-04-11 | 14041 ICOT BLVD, CLEARWATER, FL, 337603702, US | 5623 US HIGHWAY 19, SUITE 304, NEW PORT RICHEY, FL, 346523700, US | |||||||||||||||||||||||||
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| Phone | +1 727-450-7269 |
| Fax | 7274791248 |
| Phone | +1 727-937-2813 |
| Fax | 7277491248 |
Authorized person
| Name | CARLA J WASHINKO |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 7274791800 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0605697- |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 403(B) THRIFT PLAN FOR EMPLOYEES OF GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC. | 2019 | 591229354 | 2021-04-15 | GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC. | 355 | |||||||||||||||||||||||||
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| Active participants | 219 |
| Other retired or separated participants entitled to future benefits | 65 |
| Number of participants with account balances as of the end of the plan year | 254 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 14 |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2005-07-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 7274791800 |
| Plan sponsor’s mailing address | 14041 ICOT BLVD, CLEARWATER, FL, 337603702 |
| Plan sponsor’s address | 14041 ICOT BLVD, CLEARWATER, FL, 337603702 |
Number of participants as of the end of the plan year
| Active participants | 288 |
| Other retired or separated participants entitled to future benefits | 67 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 348 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 20 |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2005-07-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 7274791800 |
| Plan sponsor’s mailing address | 14041 ICOT BLVD, CLEARWATER, FL, 337603702 |
| Plan sponsor’s address | 14041 ICOT BLVD, CLEARWATER, FL, 337603702 |
Number of participants as of the end of the plan year
| Active participants | 300 |
| Other retired or separated participants entitled to future benefits | 79 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 1 |
| Number of participants with account balances as of the end of the plan year | 372 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 38 |
| Name | Role | Address |
|---|---|---|
| Braham Sandra EPhd | Agent | 14041 ICOT BLVD, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| Sterensis Abby | Secretary | 14041 ICOT BLVD, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| Samuelson Elizabeth | Chairman | 14041 ICOT BLVD, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| Benov Steve | Treasurer | 14041 ICOT BLVD, CLEARWATER, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| David Punzak S | Vice President | 14041 ICOT BLVD, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| Dennison Paul S | Chief Financial Officer | 14041 ICOT BLVD, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| Braham Sandra | President | 14041 ICOT BLVD, CLEARWATER, FL, 33760 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000129736 | GULF COAST JFCS | ACTIVE | 2020-10-06 | 2025-12-31 | No data | 14041 ICOT BLVD, CLEARWATER, FL, 33760 |
| G12000096484 | THE COUNSELING CENTER OF GULF COAST | EXPIRED | 2012-10-02 | 2017-12-31 | No data | 14041 ICOT BLVD, CLEARWATER, FL, 33760 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2011-02-23 | GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC. | No data |
| AMENDMENT | 2009-11-30 | No data | No data |
| AMENDMENT | 2009-11-16 | No data | No data |
| NAME CHANGE AMENDMENT | 1999-07-16 | GULF COAST JEWISH FAMILY SERVICES, INC. | No data |
| AMENDED AND RESTATEDARTICLES | 1999-06-18 | No data | No data |
| NAME CHANGE AMENDMENT | 1992-08-20 | GULF COAST JEWISH FAMILY AND MENTAL HEALTH SERVICES, INC. | No data |
| AMENDMENT | 1990-10-18 | No data | No data |
| AMENDMENT | 1990-09-28 | No data | No data |
| AMENDMENT | 1990-08-27 | No data | No data |
| AMENDMENT | 1984-01-09 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
