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  5. ST. JOHNS COUNTY WELFARE FEDERATION

ST. JOHNS COUNTY WELFARE FEDERATION - Florida Company Profile

Company Details

Entity Name: ST. JOHNS COUNTY WELFARE FEDERATION
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 24 Feb 1976 (49 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: 735039
FEI/EIN Number 590737904

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 161 MARINE STREET, ST AUGUSTINE, FL, 32084, US
Mail Address: 161 MARINE STREET, ST AUGUSTINE, FL, 32084, US
ZIP code: 32084
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861548562 2007-01-26 2020-08-22 161 MARINE ST, ST AUGUSTINE, FL, 320845154, US 161 MARINE ST, ST AUGUSTINE, FL, 320845154, US

Contacts
Phone +1 904-829-3475
Fax 9048089908

Authorized person
Name LARRY LAKE
Role ADMINISTRATOR
Phone 9048242501

Taxonomy
Taxonomy Code 314000000X - Skilled Nursing Facility
License Number SNF1489096
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RETIREMENT PLAN OF ST. JOHNS WELFARE FEDERATION 2023 590737904 2024-07-06 ST. JOHNS COUNTY WELFARE FEDERATION 76
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-06-01
Business code 624100
Sponsor’s telephone number 9045841562
Plan sponsor’s address 161 MARINE STREET, ST. AUGUSTINE, FL, 32084

Signature of
Role Plan administrator
Date 2024-07-06
Name of individual signing JAMES NORMAN
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS COUNTY WELFARE FEDERATION HEALTH AND WELFARE BENEFIT PLAN 2020 590737904 2021-07-29 ST. JOHNS COUNTY WELFARE FEDERATION 118
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 9045841564
Plan sponsor’s mailing address 161 MARINE ST, SAINT AUGUSTINE, FL, 320845154
Plan sponsor’s address 161 MARINE ST, SAINT AUGUSTINE, FL, 320845154

Number of participants as of the end of the plan year
Active participants 122

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing JAMES NORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-28
Name of individual signing JAMES NORMAN
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS COUNTY WELFARE FEDERATION HEALTH AND WELFARE BENEFIT PLAN 2019 590737904 2020-07-14 ST. JOHNS COUNTY WELFARE FEDERATION 121
Three-digit plan number (PN) 501
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 9045841564
Plan sponsor’s mailing address 161 MARINE ST, SAINT AUGUSTINE, FL, 320845154
Plan sponsor’s address 161 MARINE ST, SAINT AUGUSTINE, FL, 320845154

Number of participants as of the end of the plan year
Active participants 118

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing JAMES NORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-14
Name of individual signing JAMES NORMAN
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS COUNTY WELFARE FEDERATION HEALTH AND WELFARE BENEFIT PLAN 2019 590737904 2020-07-21 ST. JOHNS COUNTY WELFARE FEDERATION 121
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-01-01
Business code 623000
Sponsor’s telephone number 9045841564
Plan sponsor’s mailing address 161 MARINE ST, SAINT AUGUSTINE, FL, 320845154
Plan sponsor’s address 161 MARINE ST, SAINT AUGUSTINE, FL, 320845154

Number of participants as of the end of the plan year
Active participants 118

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing JAMES NORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-21
Name of individual signing JAMES NORMAN
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS COUNTY WELFARE FEDERATION HEALTH AND WELFARE BENEFIT PLAN 2018 590737904 2019-09-30 ST. JOHNS COUNTY WELFARE FEDERATION 152
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 9045841564
Plan sponsor’s mailing address 161 MARINE ST, ST AUGUSTINE, FL, 320845154
Plan sponsor’s address 161 MARINE ST, ST AUGUSTINE, FL, 320845154

Number of participants as of the end of the plan year
Active participants 121

Signature of
Role Plan administrator
Date 2019-09-30
Name of individual signing JAMES NORMAN
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS COUNTY WELFARE FEDERATION HEALTH AND WELFARE BENEFIT PLAN 2017 590737904 2018-07-09 ST. JOHNS COUNTY WELFARE FEDERATION 182
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 9045841564
Plan sponsor’s mailing address 161 MARINE ST, ST AUGUSTINE, FL, 320845154
Plan sponsor’s address 161 MARINE ST, ST AUGUSTINE, FL, 320845154

Number of participants as of the end of the plan year
Active participants 125

Signature of
Role Plan administrator
Date 2018-07-09
Name of individual signing JAMES NORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-09
Name of individual signing JAMES NORMAN
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS COUNTY WELFARE FEDERATION HEALTH AND WELFARE BENEFIT PLAN 2016 590737904 2017-07-06 ST. JOHNS COUNTY WELFARE FEDERATION 167
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-01-01
Business code 623000
Sponsor’s telephone number 9045841564
Plan sponsor’s mailing address 161 MARINE ST, SAINT AUGUSTINE, FL, 320845154
Plan sponsor’s address 161 MARINE ST, SAINT AUGUSTINE, FL, 320845154

Number of participants as of the end of the plan year
Active participants 147

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing CATHY TAYLOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-06
Name of individual signing CATHY TAYLOR
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS COUNTY WELFARE FEDERATION HEALTH AND WELFARE BENEFIT PLAN 2015 590737904 2016-07-18 ST. JOHNS COUNTY WELFARE FEDERATION 125
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 9045841564
Plan sponsor’s mailing address 161 MARINE ST, SAINT AUGUSTINE, FL, 320845154
Plan sponsor’s address 161 MARINE STREET, SAINT AUGUSTINE, FL, 32084

Number of participants as of the end of the plan year
Active participants 125

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing CATHY TAYLOR
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS COUNTY WELFARE FEDERATION HEALTH AND WELFARE BENEFIT PLAN 2014 590737904 2015-06-09 ST. JOHNS COUNTY WELFARE FEDERATION 157
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 9045841564
Plan sponsor’s DBA name BAYVIEW
Plan sponsor’s mailing address 161 MARINE STREET, ST. AUGUSTINE, FL, 32084
Plan sponsor’s address 161 MARINE STREET, ST. AUGUSTINE, FL, 32084

Number of participants as of the end of the plan year
Active participants 157

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing CATHY TAYLOR
Valid signature Filed with authorized/valid electronic signature
ST. JOHNS COUNTY WELFARE FEDERATION HEALTH & WELFARE BENEFIT PLAN 2013 590737904 2014-07-10 ST. JOHNS COUNTY WELFARE FEDERATION 163
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 623000
Sponsor’s telephone number 9045841564
Plan sponsor’s DBA name BAYVIEW
Plan sponsor’s mailing address 161 MARINE STREET, ST. AUGUSTINE, FL, 32084
Plan sponsor’s address 161 MARINE STREET, ST. AUGUSTINE, FL, 32084

Number of participants as of the end of the plan year
Active participants 163

Signature of
Role Plan administrator
Date 2014-07-10
Name of individual signing ANETRA KING
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ABARE WILLIAM Secretary 112 Heron's Nest Lane, SAINT AUGUSTINE, FL, 32080
MEEKS JEROD Vice President 3865 HICKORY LANE, SAINT AUGUSTINE, FL, 32085
BOLES, JR JOSEPH President 19 RIBERIA ST, ST AUGUSTINE, FL, 32084
Lake Larry Director 161 MARINE STREET, ST AUGUSTINE, FL, 32084
Prioleau John Director 400 Health Park Blvd, Ste 300, ST AUGUSTINE, FL, 32086
Batenhorst Todd Director 130 Health Park Blvd, ST AUGUSTINE, FL, 32086
LAKE LARRY Dr. Agent 161 MARINE ST., ST. AUGUSTINE, FL, 32084

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000007057 BAYVIEW ASSISTED LIVING AT THE PAVILION ACTIVE 2022-01-19 2027-12-31 - 161 MARINE ST, ST. AUGUSTINE, FL, 32084
G22000007066 BAYVIEW REHAB AT SAMANTHA R. WILSON CARE CENTER ACTIVE 2022-01-19 2027-12-31 - 161 MARINE ST, ST. AUGUSTINE, FL, 32084
G22000007076 BAYVIEW HEALTHCARE ACTIVE 2022-01-19 2027-12-31 - 161 MARINE ST, ST. AUGUSTINE, FL, 32084
G22000019607 BAY VIEW ASSISTED LIVING AT THE PAVILION ACTIVE 2022-01-19 2027-12-31 - 161 MARINE ST, ST. AUGUSTINE, FL, 32084
G22000007078 THE PAVILION ASSISTED LIVING FACILITY ACTIVE 2022-01-19 2027-12-31 - 161 MARINE ST, ST AUGUSTINE, FL, 32084
G22000007070 SAMANTHA WILSON CARE CENTER ACTIVE 2022-01-19 2027-12-31 - 161 MARINE ST, ST AUGUSTINE, FL, 32084

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
CHANGE OF MAILING ADDRESS 2021-02-11 161 MARINE STREET, ST AUGUSTINE, FL 32084 -
REGISTERED AGENT NAME CHANGED 2014-04-16 LAKE, LARRY, Dr. -
AMENDMENT 2008-02-19 - -
CHANGE OF PRINCIPAL ADDRESS 1999-09-13 161 MARINE STREET, ST AUGUSTINE, FL 32084 -
REGISTERED AGENT ADDRESS CHANGED 1999-09-13 161 MARINE ST., ST. AUGUSTINE, FL 32084 -
AMENDMENT 1995-05-02 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J23000500389 ACTIVE 1000000967485 ST JOHNS 2023-10-13 2033-10-18 $ 595.98 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156

Documents

Name Date
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-02-11
ANNUAL REPORT 2020-03-22
ANNUAL REPORT 2019-02-19
AMENDED ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-04-03
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-04-23
ANNUAL REPORT 2014-04-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7174237006 2020-04-07 0491 PPP MARINE ST, SAINT AUGUSTINE, FL, 32084-4407
Loan Status Date 2021-10-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1608800
Loan Approval Amount (current) 1608800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19595
Servicing Lender Name Ameris Bank
Servicing Lender Address 3490 Piedmont Rd NE, Ste 124, ATLANTA, GA, 30305
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address SAINT AUGUSTINE, SAINT JOHNS, FL, 32084-4407
Project Congressional District FL-05
Number of Employees 175
NAICS code 623110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 19595
Originating Lender Name Ameris Bank
Originating Lender Address ATLANTA, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1629251.59
Forgiveness Paid Date 2021-08-09

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ABARE WILLIAM

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MEEKS JEROD

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MEEKS ENTERPRISES, LLC - Active
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MEEKS ENTERPRISES, LLC - Active
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Batenhorst Todd

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Companies related by address

No other companies in our directory share the same address as ST. JOHNS COUNTY WELFARE FEDERATION

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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