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  5. FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH, INC.

FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH, INC.

Company Details

Entity Name: FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 09 Mar 1976 (49 years ago)
Document Number: 735186
FEI/EIN Number 591657087
Address: 316 E PARK AVE, TALLAHASSEE, FL, 32301, US
Mail Address: 316 E PARK AVE, TALLAHASSEE, FL, 32301, US
ZIP code: 32301
County: Leon
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FCCMH DBA FBHA RETIREMENT PLAN 2022 591657087 2023-11-08 FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-08-01
Business code 541990
Sponsor’s telephone number 8502246048
Plan sponsor’s address 316 EAST PARK AVE, TALLAHASSEE, FL, 32301

Signature of
Role Plan administrator
Date 2023-11-08
Name of individual signing MELANIE BROWN-WOOFTER
Valid signature Filed with authorized/valid electronic signature
FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH EASY 401(K) PLAN 2022 591657087 2023-09-12 FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 8502246048
Plan sponsor’s address 316 EAST PARK AVENUE, TALLAHASSE, FL, 32301

Signature of
Role Plan administrator
Date 2023-09-12
Name of individual signing TRACI CASH
Valid signature Filed with authorized/valid electronic signature
FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH EASY 401(K) PLAN 2021 591657087 2022-10-04 FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 8502246048
Plan sponsor’s address 316 EAST PARK AVENUE, TALLAHASSE, FL, 32301

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing TRACI CASH
Valid signature Filed with authorized/valid electronic signature
FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH EASY 401(K) PLAN 2019 591657087 2020-09-02 FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 8502246048
Plan sponsor’s address 316 EAST PARK AVENUE, TALLAHASSE, FL, 32301

Signature of
Role Plan administrator
Date 2020-09-02
Name of individual signing TRACI CASH
Valid signature Filed with authorized/valid electronic signature
FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH EASY 401(K) PLAN 2018 591657087 2019-09-10 FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 8502246048
Plan sponsor’s address 316 EAST PARK AVENUE, TALLAHASSE, FL, 32301

Signature of
Role Plan administrator
Date 2019-09-10
Name of individual signing TRACI CASH
Valid signature Filed with authorized/valid electronic signature
FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH EASY 401(K) PLAN 2016 591657087 2017-06-13 FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 8502246048
Plan sponsor’s address 316 EAST PARK AVENUE, TALLAHASSE, FL, 32301

Signature of
Role Plan administrator
Date 2017-06-13
Name of individual signing KAREN E. SANCHEZ
Valid signature Filed with authorized/valid electronic signature
FLORIDA COUNCIL TAX SHELTERED ANNUITY PLAN 2016 591657087 2017-07-19 FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 813000
Sponsor’s telephone number 8502246048
Plan sponsor’s address 316 EAST PARK AVENUE, TALLAHASSEE, FL, 32301

Plan administrator’s name and address
Administrator’s EIN 591657087
Plan administrator’s name SAME
Plan administrator’s address 316 EAST PARK AVENUE, TALLAHASSEE, FL, 32301
Administrator’s telephone number 8502246048

Signature of
Role Plan administrator
Date 2017-07-19
Name of individual signing KAREN SANCHEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-19
Name of individual signing KAREN SANCHEZ
Valid signature Filed with authorized/valid electronic signature
FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH EASY 401(K) PLAN 2015 591657087 2016-10-16 FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 8502246048
Plan sponsor’s address 316 EAST PARK AVENUE, TALLAHASSE, FL, 32301

Signature of
Role Plan administrator
Date 2016-10-16
Name of individual signing KAREN E. SANCHEZ
Valid signature Filed with authorized/valid electronic signature
FLORIDA COUNCIL TAX SHELTERED ANNUITY PLAN 2015 591657087 2016-06-30 FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 813000
Sponsor’s telephone number 8502246048
Plan sponsor’s address 316 EAST PARK AVENUE, TALLAHASSEE, FL, 32301

Plan administrator’s name and address
Administrator’s EIN 591657087
Plan administrator’s name SAME
Plan administrator’s address 316 EAST PARK AVENUE, TALLAHASSEE, FL, 32301
Administrator’s telephone number 8502246048

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing KAREN SANCHEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-30
Name of individual signing KAREN SANCHEZ
Valid signature Filed with authorized/valid electronic signature
FLORIDA COUNCIL TAX SHELTERED ANNUITY PLAN 2014 591657087 2015-10-20 FLORIDA COUNCIL FOR COMMUNITY MENTAL HEALTH 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 813000
Sponsor’s telephone number 8502246048
Plan sponsor’s address 316 EAST PARK AVENUE, TALLAHASSEE, FL, 32301

Plan administrator’s name and address
Administrator’s EIN 591657087
Plan administrator’s name SAME
Plan administrator’s address 316 EAST PARK AVENUE, TALLAHASSEE, FL, 32301
Administrator’s telephone number 8502246048

Signature of
Role Plan administrator
Date 2015-10-20
Name of individual signing KAREN SANCHEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-20
Name of individual signing KAREN SANCHEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Brown-Woofter Melanie Agent 316 EAST PARK AVE, TALLAHASSEE, FL, 32301

Othe

Name Role Address
DAIRE BARBARA Othe 4024 Central Avenue, St. Petersburg, FL, 33733
Ronik Steven Othe 4740 N State Rd 7, Ft. Lauderdale, FL, 33319
Reeve Jay Othe 2634 Capital Circle NE, TALLAHASSEE, FL, 32308
Burgess Scott Othe 6075 Bathey Lane, Naples, FL, 34104
Jardon Mario Othe 4175 West 20th Avenue, Hialeah, FL, 33012

Chief Executive Officer

Name Role Address
Brown-Woofter Melanie Chief Executive Officer 316 E PARK AVE, TALLAHASSEE, FL, 32301

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000068381 FLORIDA BEHAVIORAL HEALTH ASSOCIATION ACTIVE 2019-06-17 2029-12-31 No data 316 EAST PARK AVENUE, TALLAHASSEE, FL, 32301

Events

Event Type Filed Date Value Description
MERGER 2019-01-02 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000189027

Related by officers

DAIRE BARBARA

BEHAVIORAL HEALTH PARTNERS OF FLORIDA, LLC INTEGRATED CARE NETWORK OF FLORIDA, LLC FOUNDATION FOR MENTAL HEALTH IN PINELLAS, INC. PASCO-PINELLAS LONG TERM CARE PARTNERSHIP, INC.

Ronik Steven

HBH CSU SUPPORT CORPORATION HENDERSON BEHAVIORAL HEALTH, INC. HENDERSON CENTER RESIDENTIAL SERVICES, INC.

Burgess Scott

AVEX XII, LLC AVEX XVII, LLC G200 LEASING, LLC DAVID LAWRENCE MENTAL HEALTH CENTER, INC.

Jardon Mario

INNOVATIVE SOLUTIONS FOR HEALTHCARE, INC. CORAL CARE, LLC THE FLORIDA COUNCIL FOR BEHAVIORAL HEALTHCARE, INC.

Brown-Woofter Melanie

FLORIDA PREMIER HEALTH PLAN, INC. FLORIDA ALCOHOL AND DRUG ABUSE ASSOCIATION, INC. THE FLORIDA COUNCIL FOR BEHAVIORAL HEALTHCARE, INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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