| Entity Name: | MID-FLORIDA AREA AGENCY ON AGING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Jul 1977 (48 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 07 Jan 2013 (12 years ago) |
| Document Number: | 739573 |
| FEI/EIN Number | 59-1777567 |
| Address: | 100 SW 75TH STREET - SUITE 301, GAINESVILLE, FL 32607 |
| Mail Address: | 100 SW 75TH STREET - SUITE 301, GAINESVILLE, FL 32607 |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639439128 | 2012-05-18 | 2022-04-12 | 100 SW 75TH ST, SUITE 301, GAINESVILLE, FL, 326075779, US | 100 SW 75TH ST, SUITE 301, GAINESVILLE, FL, 326075779, US | |||||||||||||||||||||||||
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| Phone | +1 352-695-5222 |
| Fax | 3523781256 |
Authorized person
| Name | MS. KRISTEN GRIFFIS |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 3523786649 |
Taxonomy
| Taxonomy Code | 251K00000X - Public Health or Welfare Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 860111900 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MID-FLORIDA AREA AGENCY ON AGING , INC. | 2009 | 591777567 | 2010-07-22 | MID-FLORIDA AREA AGENCY ON AGING, INC. | 36 | |||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 591777567 |
| Plan administrator’s name | BARBARA ZIEBART |
| Plan administrator’s address | 5700 SW 34TH STREET, SUITE 222, GAINESVILLE, FL, 32608 |
| Administrator’s telephone number | 3523786649 |
Number of participants as of the end of the plan year
| Active participants | 37 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-22 |
| Name of individual signing | BARBARA ZIEBART |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-22 |
| Name of individual signing | KRISTEN LONGMORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Mustipher, Katina | Agent | 100 SW 75TH STREET - SUITE 301, GAINESVILLE, FL 32607 |
| Name | Role | Address |
|---|---|---|
| Esseck, Richard | President | 100 SW 75TH STREET - SUITE 301, GAINESVILLE, FL 32607 |
| Name | Role | Address |
|---|---|---|
| Dukes, Mary | Vice President | 100 SW 75TH STREET - SUITE 301, GAINESVILLE, FL 32607 |
| Name | Role | Address |
|---|---|---|
| Milligan, Mildred | Secretary | 100 SW 75th STREET - SUITE 301, GAINESVILLE, FL 32607 |
| Name | Role | Address |
|---|---|---|
| Greenspan, Jeff | Treasurer | 100 SW 75TH STREET - SUITE 301, GAINESVILLE, FL 32607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G07173700086 | ELDER OPTIONS | ACTIVE | 2007-06-22 | 2027-12-31 | No data | 100 SW 75TH STREET, SUITE 301, GAINESVILLE, FL, 32607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-05 | Mustipher, Katina | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-07 | 100 SW 75TH STREET - SUITE 301, GAINESVILLE, FL 32607 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-07 | 100 SW 75TH STREET - SUITE 301, GAINESVILLE, FL 32607 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-07 | 100 SW 75TH STREET - SUITE 301, GAINESVILLE, FL 32607 | No data |
| AMENDMENT | 2013-01-07 | No data | No data |
| AMENDMENT | 1995-08-29 | No data | No data |
| NAME CHANGE AMENDMENT | 1986-04-16 | MID-FLORIDA AREA AGENCY ON AGING, INC. | No data |
| NAME CHANGE AMENDMENT | 1979-02-15 | DISTRICT III BOARD ON AGING, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
