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TRI-COUNTY HUMAN SERVICES, INC. - Florida Company Profile

Company Details

Entity Name: TRI-COUNTY HUMAN SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 22 Oct 1976 (49 years ago)
Last Event: AMENDED AND RESTATEDARTICLES/NAME CHANGE
Event Date Filed: 14 Nov 1997 (27 years ago)
Document Number: 737117
FEI/EIN Number 591708182

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2026 Crystal Wood Drive, LAKELAND, FL, 33801-6884, US
Mail Address: 2026 Crystal Wood Drive, LAKELAND, FL, 33801-6884, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164485074 2006-04-11 2024-10-16 2026 CRYSTAL WOOD DR, LAKELAND, FL, 338016884, US 2340 COMMERCE POINT DR, LAKELAND, FL, 338016880, US

Contacts
Phone +1 863-709-9392
Fax 8637098923
Phone +1 863-709-8543

Authorized person
Name BECKY RAZAIRE
Role ADMIN DIRECTOR
Phone 8638999538

Taxonomy
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes
Taxonomy Code 261QC1500X - Community Health Clinic/Center
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 060397000
State FL

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300ESSQMZM451P673 737117 US-FL GENERAL ACTIVE -

Addresses
Legal C/O Cuniff, Linda, 1012 North Riverdale Road, Avon Park, US-FL, US, 33825
Headquarters 1815 Crystal Lake Drive, Lakeland, US-FL, US, 33801

Registration details
Registration Date 2015-02-14
Last Update 2023-08-04
Status LAPSED
Next Renewal 2016-02-12
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 737117

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRI-COUNTY HUMAN SERVICES, INC. HEALTH BENEFIT PLAN 2021 591708182 2022-07-19 TRI-COUNTY HUMAN SERVICES, INC. 201
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-12-01
Business code 624100
Plan sponsor’s mailing address 1815 CRYSTAL LAKE DRIVE, LAKELAND, FL, 338015979
Plan sponsor’s address 1815 CRYSTAL LAKE DRIVE, LAKELAND, FL, 338015979

Number of participants as of the end of the plan year
Active participants 216
TRI-COUNTY HUMAN SERVICES, INC. HEALTH BENEFIT PLAN 2020 591708182 2021-09-03 TRI-COUNTY HUMAN SERVICES, INC. 222
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-12-01
Business code 624100
Plan sponsor’s mailing address 1815 CRYSTAL LAKE DRIVE, LAKELAND, FL, 338015979
Plan sponsor’s address 1815 CRYSTAL LAKE DRIVE, LAKELAND, FL, 338015979

Number of participants as of the end of the plan year
Active participants 201
TRI-COUNTY HUMAN SERVICES, INC. HEALTH BENEFIT PLAN 2019 591708182 2020-10-05 TRI-COUNTY HUMAN SERVICES, INC. 172
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-12-01
Business code 624100
Plan sponsor’s mailing address 1815 CRYSTAL LAKE DRIVE, LAKELAND, FL, 338015979
Plan sponsor’s address 1815 CRYSTAL LAKE DRIVE, LAKELAND, FL, 338015979

Number of participants as of the end of the plan year
Active participants 222
TRI-COUNTY HUMAN SERVICES, INC. HEALTH BENEFIT PLAN 2018 591708182 2019-08-09 TRI-COUNTY HUMAN SERVICES, INC. 164
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1992-12-01
Business code 624100
Sponsor’s telephone number 8637099392
Plan sponsor’s mailing address 1815 CRYSTAL LAKE DRIVE, LAKELAND, FL, 338015979
Plan sponsor’s address 1815 CRYSTAL LAKE DRIVE, LAKELAND, FL, 338015979

Number of participants as of the end of the plan year
Active participants 172

Key Officers & Management

Name Role Address
Battle Leon Chairman 1015 Sikes Blvd., LAKELAND, FL, 33815
Phillips Tina Director 4255 Stafford Drive, Winter Haven, FL, 338801142
Beatty Brad Vice Chairman 137 Lake Otis Road, Winter Haven, FL, 33884
Vinesett Linda Director 2500 Laurel Glen Drive, Lakeland, FL, 33803
Battle Leon Agent 2026 Crystal Wood Drive, LAKELAND, FL, 338016884
Rihn Robert C Chief Executive Officer 1815 Crystal Lake Drive, Lakeland, FL, 338015979
Idell Jennifer Treasurer 856 Twin Oaks Lane, Winter Haven, FL, 33880

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000071356 MEADOWBROOK PSYCHIATRIC AND COUNSELING CENTRE EXPIRED 2019-06-26 2024-12-31 - 1409 MEADOWBROOK AVENUE, LAKELAND, FL, 33803
G11000046103 TRI COUNTY HUMAN SERVICES INC. EXPIRED 2011-05-13 2016-12-31 - 1815 CRYSTAL LAKE DR, LAKELAND, FL, 33801

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-08-09 2026 Crystal Wood Drive, LAKELAND, FL 33801-6884 -
CHANGE OF MAILING ADDRESS 2024-08-09 2026 Crystal Wood Drive, LAKELAND, FL 33801-6884 -
REGISTERED AGENT ADDRESS CHANGED 2024-08-09 2026 Crystal Wood Drive, LAKELAND, FL 33801-6884 -
REGISTERED AGENT NAME CHANGED 2023-01-24 Battle, Leon -
AMENDED AND RESTATEDARTICLES/NAME CHANGE 1997-11-14 TRI-COUNTY HUMAN SERVICES, INC. -
AMENDED AND RESTATEDARTICLES 1985-11-21 - -
NAME CHANGE AMENDMENT 1985-11-21 TRI-COUNTY ADDICTIONS REHABILITATION SERVICES, INC. -

Documents

Name Date
ANNUAL REPORT 2025-01-24
AMENDED ANNUAL REPORT 2024-08-09
ANNUAL REPORT 2024-01-26
AMENDED ANNUAL REPORT 2023-10-30
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-02-05
AMENDED ANNUAL REPORT 2019-02-26
AMENDED ANNUAL REPORT 2019-01-11

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
FL29B70-3002 Department of Housing and Urban Development 14.235 - SUPPORTIVE HOUSING PROGRAM 2011-08-26 - HOMELESS ASSISTANCE
Recipient TRI-COUNTY HUMAN SERVICES, INC.
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient UEI PJWXLFRH2EL6
Recipient DUNS 083193649
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
FL29B70-3004 Department of Housing and Urban Development 14.235 - SUPPORTIVE HOUSING PROGRAM 2011-08-26 - HOMELESS ASSISTANCE
Recipient TRI-COUNTY HUMAN SERVICES, INC.
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient UEI PJWXLFRH2EL6
Recipient DUNS 083193649
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
FL0057B4H030801 Department of Housing and Urban Development 14.235 - SUPPORTIVE HOUSING PROGRAM 2011-08-11 - HOMELESS ASSISTANCE
Recipient TRI-COUNTY HUMAN SERVICES, INC.
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient UEI PJWXLFRH2EL6
Recipient DUNS 083193649
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
FL0155B4H160801 Department of Housing and Urban Development 14.235 - SUPPORTIVE HOUSING PROGRAM 2011-08-11 - HOMELESS ASSISTANCE
Recipient TRI-COUNTY HUMAN SERVICES, INC.
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient UEI PJWXLFRH2EL6
Recipient DUNS 083193649
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
FL0057B4H031003 Department of Housing and Urban Development 14.235 - SUPPORTIVE HOUSING PROGRAM 2011-03-01 - HOMELESS ASSISTANCE
Recipient TRI-COUNTY HUMAN SERVICES, INC.
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient UEI PJWXLFRH2EL6
Recipient DUNS 083193649
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407, UNITED STATES
Obligated Amount 76052.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
FL0050B4H031002 Department of Housing and Urban Development 14.235 - SUPPORTIVE HOUSING PROGRAM 2011-03-01 - HOMELESS ASSISTANCE
Recipient TRI-COUNTY HUMAN SERVICES, INC.
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient UEI PJWXLFRH2EL6
Recipient DUNS 083193649
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407, UNITED STATES
Obligated Amount 96337.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
FL0050B4H030800 Department of Housing and Urban Development 14.231 - EMERGENCY SHELTER GRANTS PROGRAM 2010-07-19 - HOMELESS ASSISTANCE
Recipient TRI-COUNTY HUMAN SERVICES INC
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407, UNITED STATES
Obligated Amount 96337.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
FL0057B4H030802 Department of Housing and Urban Development 14.231 - EMERGENCY SHELTER GRANTS PROGRAM 2010-06-07 - HOMELESS ASSISTANCE
Recipient TRI-COUNTY HUMAN SERVICES INC
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407, UNITED STATES
Obligated Amount 76052.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
FL0050B4H030801 Department of Housing and Urban Development 14.231 - EMERGENCY SHELTER GRANTS PROGRAM 2010-05-13 - HOMELESS ASSISTANCE
Recipient TRI-COUNTY HUMAN SERVICES INC
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407, UNITED STATES
Obligated Amount 96337.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
FL0155B4H160802 Department of Housing and Urban Development 14.231 - EMERGENCY SHELTER GRANTS PROGRAM 2010-05-13 - HOMELESS ASSISTANCE
Recipient TRI-COUNTY HUMAN SERVICES INC
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407, UNITED STATES
Obligated Amount 76199.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient TRI-COUNTY HUMAN SERVICES, INC.
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient UEI PJWXLFRH2EL6
Recipient DUNS 083193649
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407
Obligated Amount 76052.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient TRI-COUNTY HUMAN SERVICES, INC.
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient UEI PJWXLFRH2EL6
Recipient DUNS 083193649
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407
Obligated Amount 76199.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient TRI-COUNTY HUMAN SERVICES, INC.
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient UEI PJWXLFRH2EL6
Recipient DUNS 083193649
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407
Obligated Amount -31497.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient TRI-COUNTY HUMAN SERVICES, INC.
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient UEI PJWXLFRH2EL6
Recipient DUNS 083193649
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407
Obligated Amount 74710.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Recipient TRI-COUNTY HUMAN SERVICES, INC.
Recipient Name Raw TRI-COUNTY HUMAN SERVICES INC
Recipient UEI PJWXLFRH2EL6
Recipient DUNS 083193649
Recipient Address 4683 E COUNTY ROAD 540A, LAKELAND, POLK, FLORIDA, 33813-4407
Obligated Amount 74999.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-1708182 Corporation Unconditional Exemption 2026 CRYSTAL WOOD DR, LAKELAND, FL, 33801-6884 1978-02
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-06
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 17378681
Income Amount 21599576
Form 990 Revenue Amount 20930038
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 202306
Filing Type E
Return Type 990T
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 202206
Filing Type E
Return Type 990T
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 202106
Filing Type E
Return Type 990T
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 202006
Filing Type P
Return Type 990T
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 201906
Filing Type P
Return Type 990T
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 201806
Filing Type P
Return Type 990T
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 201706
Filing Type P
Return Type 990
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 201706
Filing Type P
Return Type 990T
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 201606
Filing Type E
Return Type 990
File View File
Organization Name TRI-COUNTY HUMAN SERVICES INC
EIN 59-1708182
Tax Period 201606
Filing Type P
Return Type 990T
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3995517104 2020-04-12 0455 PPP 1815 CRYSTAL LAKE DR, LAKELAND, FL, 33801-5979
Loan Status Date 2022-06-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2517870
Loan Approval Amount (current) 1989157
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LAKELAND, POLK, FL, 33801-5979
Project Congressional District FL-18
Number of Employees 309
NAICS code 621420
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1670829.38
Forgiveness Paid Date 2021-05-27

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No other companies in our directory share the same address as TRI-COUNTY HUMAN SERVICES, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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