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2-1-1 BIG BEND, INC.

Company Details

Entity Name: 2-1-1 BIG BEND, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 08 Mar 1976 (49 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 13 Dec 2002 (22 years ago)
Document Number: 735175
FEI/EIN Number 51-0201771
Address: 1801 S. Gadsden Street, Tallahassee, FL 32301
Mail Address: 1801 S. Gadsden Street, TALLAHASSEE, FL 32301
ZIP code: 32301
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326059429 2006-08-11 2010-06-22 PO BOX 10950, TALLAHASSEE, FL, 323022950, US 2825 MUNICIPAL WAY, TALLAHASSEE, FL, 323043807, US

Contacts

Phone +1 850-617-6310
Fax 8505613443

Authorized person

Name DR. JANET BARD HANSON
Role DIRECTOR OF MANAGEMENT
Phone 8506176310

Taxonomy

Taxonomy Code 251V00000X - Voluntary or Charitable Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF 2-1-1 BIG BEND, INC. 2023 510201771 2024-07-24 2-1-1 BIG BEND, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 8506176348
Plan sponsor’s address PO BOX 10950, TALLAHASSEE, FL, 323022950

Signature of

Role Plan administrator
Date 2024-07-24
Name of individual signing SUZANNE LITHERLAND
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF 2-1-1 BIG BEND, INC. 2022 510201771 2023-10-12 2-1-1 BIG BEND, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 8506176348
Plan sponsor’s address PO BOX 10950, TALLAHASSEE, FL, 323022950

Signature of

Role Plan administrator
Date 2023-10-12
Name of individual signing NAREN BHAKTA
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF 2-1-1 BIG BEND, INC. 2021 510201771 2022-10-05 2-1-1 BIG BEND, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 8506176348
Plan sponsor’s address PO BOX 10950, TALLAHASSEE, FL, 323022950

Signature of

Role Plan administrator
Date 2022-10-05
Name of individual signing LAURA GADZINSKI
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF 2-1-1 BIG BEND, INC. 2020 510201771 2021-07-21 2-1-1 BIG BEND, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 8506176348
Plan sponsor’s address PO BOX 10950, TALLAHASSEE, FL, 323022950

Signature of

Role Plan administrator
Date 2021-07-21
Name of individual signing RANDALL NICKLAUS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF 2-1-1 BIG BEND, INC. 2019 510201771 2020-07-27 2-1-1 BIG BEND, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 8506176348
Plan sponsor’s address PO BOX 10950, TALLAHASSEE, FL, 323022950

Signature of

Role Plan administrator
Date 2020-07-27
Name of individual signing RANDALL NICKLAUS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF 2-1-1 BIG BEND, INC. 2018 510201771 2019-06-26 2-1-1 BIG BEND, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 8506176348
Plan sponsor’s address PO BOX 10950, TALLAHASSEE, FL, 323022950

Signature of

Role Plan administrator
Date 2019-06-26
Name of individual signing RANDALL NICKLAUS
Valid signature Filed with authorized/valid electronic signature
403 B THRIFT PLAN OF 2 1 1 BIG BEND INC 2017 510201771 2018-06-27 2 1 1 BIG BEND INC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 8506176348
Plan sponsor’s address PO BOX 10950, TALLAHASSEE, FL, 323022950

Signature of

Role Plan administrator
Date 2018-06-27
Name of individual signing RANDALL NICKLAUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-27
Name of individual signing RANDALL NICKLAUS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF 2-1-1 BIG BEND, INC. 2016 510201771 2017-06-27 2-1-1 BIG BEND, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 8506176348
Plan sponsor’s address PO BOX 10950, TALLAHASSEE, FL, 32302

Signature of

Role Plan administrator
Date 2017-06-27
Name of individual signing RANDALL NICKLAUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-27
Name of individual signing RANDALL NICKLAUS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF 2-1-1 BIG BEND, INC. 2015 510201771 2016-07-25 2-1-1 BIG BEND, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 8506176348
Plan sponsor’s address PO BOX 10950, TALLAHASSEE, FL, 32302

Signature of

Role Plan administrator
Date 2016-07-25
Name of individual signing RANDALL NICKLAUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-25
Name of individual signing RANDALL NICKLAUS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF 2-1-1 BIG BEND, INC. 2014 510201771 2015-07-22 2-1-1 BIG BEND, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 624100
Sponsor’s telephone number 8506176348
Plan sponsor’s address PO BOX 10950, TALLAHASSEE, FL, 32302

Signature of

Role Plan administrator
Date 2015-07-22
Name of individual signing RANDALL NICKLAUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-22
Name of individual signing RANDALL NICKLAUS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GUSE, MATTHEW Agent 1801 S. Gadsden Street, Tallahassee, FL 32301

Officer

Name Role Address
Manuel, Brian Officer 2633 Centennial Blvd, Ste 200 Tallahassee, FL 32308

Chairman

Name Role Address
Branchcomb, Erika Chairman 2115 Lake Forest Dr, Tallahassee, FL 32303

President

Name Role Address
GUSE, MATTHEW President 1801 S. Gadsden Street, Tallahassee, FL 32301

Treasurer

Name Role Address
OSTERYOUNG, JERRY Treasurer 1308 MOSSWOOD CHASE, TALLAHASEE, FL 32312

Vice Chairman

Name Role Address
Cunningham, Julia Vice Chairman 4060 Ailanthus Court, Tallahassee, FL 32305

Secretary

Name Role Address
Leggett, Ashley Secretary 7589 Proctor Road, Tallahassee, FL 32309

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-03-11 1801 S. Gadsden Street, Tallahassee, FL 32301 No data
REGISTERED AGENT NAME CHANGED 2024-03-11 GUSE, MATTHEW No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-11 1801 S. Gadsden Street, Tallahassee, FL 32301 No data
CHANGE OF PRINCIPAL ADDRESS 2024-02-02 1801 S. Gadsden Street, Tallahassee, FL 32301 No data
NAME CHANGE AMENDMENT 2002-12-13 2-1-1 BIG BEND, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-02-09
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-01-07
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-06
ANNUAL REPORT 2015-01-16

Date of last update: 06 Feb 2025

Sources: Florida Department of State