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  5. LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC.

LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC. - Florida Company Profile

Company Details

Entity Name: LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, 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: 14 Jun 1977 (48 years ago)
Document Number: 739351
FEI/EIN Number 591769552

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 15629 NW CR 12, BRISTOL, FL, 32321
Mail Address: PO BOX 730, BRISTOL, FL, 32321
ZIP code: 32321
County: Liberty
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC. 2021 591769552 2022-03-29 LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 624200
Sponsor’s telephone number 8506435613
Plan sponsor’s address PO BOX 730, BRISTOL, FL, 323210730

Signature of
Role Plan administrator
Date 2022-03-29
Name of individual signing COLLEEN SHIVER
Valid signature Filed with authorized/valid electronic signature
403 (B) THRIFT PLAN OF LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC. 2020 591769552 2021-04-15 LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 624200
Sponsor’s telephone number 8506435613
Plan sponsor’s address PO BOX 730, BRISTOL, FL, 323210730

Signature of
Role Plan administrator
Date 2021-04-15
Name of individual signing COLLEEN SHIVER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC. 2019 591769552 2020-07-22 LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 624200
Sponsor’s telephone number 8506435613
Plan sponsor’s address PO BOX 730, BRISTOL, FL, 323210730

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing COLLEEN SHIVER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC. 2018 591769552 2020-07-22 LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 624200
Sponsor’s telephone number 8506435613
Plan sponsor’s address PO BOX 730, BRISTOL, FL, 323210730

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing COLLEEN SHIVER
Valid signature Filed with authorized/valid electronic signature
403 B THRIFT PLAN OF LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION INC 2017 591769552 2018-07-31 LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 8506435613
Plan sponsor’s address PO BOX 730, BRISTOL, FL, 323210730

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing ANN KINCAID
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC 2009 591769552 2010-04-28 LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC -
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 8506435613
Plan sponsor’s mailing address P.O. BOX 730, BRISTOL, FL, 32321
Plan sponsor’s address 15629 NW CR 12, BRISTOL, FL, 32321

Plan administrator’s name and address
Administrator’s EIN 591769552
Plan administrator’s name LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC
Plan administrator’s address P.O. BOX 730, BRISTOL, FL, 32321
Administrator’s telephone number 8506435613

Signature of
Role Plan administrator
Date 2010-04-28
Name of individual signing ANN KINCAID
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC. 2009 591769552 2010-07-19 LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC. 3
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 8506435613
Plan sponsor’s address PO BOX 730, BRISTOL, FL, 32321

Plan administrator’s name and address
Administrator’s EIN 591769552
Plan administrator’s name LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC.
Plan administrator’s address PO BOX 730, BRISTOL, FL, 32321
Administrator’s telephone number 8506435613

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing COLLEEN SHIVER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Phillips Brett Vice President 6840 NW Torreya Park Rd., Bristol, FL, 32321
SUMNER RUDY President HWY 65 S PO BOX 72, TELOGIA, FL, 32360
SHIVER PEGGY Director 2637 NW SR 270, BRISTOL, FL, 32321
Ford Stephen Secretary 11472 NW Ford Farm Trail, Bristol, FL, 32321
Money Walter Director 19061 NW ST Rd 12, Bristol, FL, 32321
Shepard Debbie Director 12729 NW Twin Oaks Drive, Bristol, FL, 32321
SUMNER RUDY Agent HWY 65 S BOX 72, TELOGIA, FL, 32360

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2009-02-10 15629 NW CR 12, BRISTOL, FL 32321 -
REGISTERED AGENT ADDRESS CHANGED 2008-01-31 HWY 65 S BOX 72, TELOGIA, FL 32360 -
CHANGE OF PRINCIPAL ADDRESS 2004-02-20 15629 NW CR 12, BRISTOL, FL 32321 -
REGISTERED AGENT NAME CHANGED 2002-04-16 SUMNER, RUDY -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-02-22
ANNUAL REPORT 2017-01-30
ANNUAL REPORT 2016-02-22
ANNUAL REPORT 2015-01-30

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-1769552 Corporation Unconditional Exemption PO BOX 730, BRISTOL, FL, 32321-0730 1980-02
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 2023-12
Asset 500,000 to 999,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 694205
Income Amount 721028
Form 990 Revenue Amount 691557
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 LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION INC
EIN 59-1769552
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION INC
EIN 59-1769552
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION INC
EIN 59-1769552
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION INC
EIN 59-1769552
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION INC
EIN 59-1769552
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION INC
EIN 59-1769552
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION INC
EIN 59-1769552
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4632067302 2020-04-29 0491 PPP 15629 NW CR 12, BRISTOL, FL, 32321
Loan Status Date 2021-07-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 63356.5
Loan Approval Amount (current) 63356.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address BRISTOL, LIBERTY, FL, 32321-0001
Project Congressional District FL-02
Number of Employees 14
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 64035.2
Forgiveness Paid Date 2021-06-02

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Companies related by address

No other companies in our directory share the same address as LIBERTY COUNTY SENIOR CITIZENS ASSOCIATION, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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