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CLEARWATER FREE CLINIC, INC. - Florida Company Profile

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Company Details

Entity Name: CLEARWATER FREE CLINIC, 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: 27 Jul 1977 (48 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 23 Nov 1998 (27 years ago)
Document Number: 739733
FEI/EIN Number 591852871

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1218 COURT STREET, CLEARWATER, FL, 33756, US
Mail Address: 1218 COURT STREET, CLEARWATER, FL, 33756, US
ZIP code: 33756
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Degina Anthony MJr. Agent 1218 Court Street, Clearwater, FL, 33756
Phillips Craig Director 611 Druid Rd E, Clearwater, FL, 33756
PHILLIPS DAVID Director 616 Pineland Avenue, Belleair, FL, 33756
Perno Joseph Director 4505 W. Melrose Avenue, Tampa, FL, 33629
Haug Catherine Treasurer 2450 Burnice Drive, Clearwater, FL, 33764
Lovgren Luke Chairman 3174 San Bernadino Street, Clearwater, FL, 33759
BOUTON STEPHEN Director 28619 N 45th Way, Cave Creek, AZ, 85331

National Provider Identifier

NPI Number:
1912271586
Certification Date:
2022-03-19

Authorized Person:

Name:
JEAN R SHAPIRO
Role:
C.E.O.
Phone:

Taxonomy:

Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7274420320

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-25 Degina, Anthony M., Jr. -
REGISTERED AGENT ADDRESS CHANGED 2018-03-26 1218 Court Street, Clearwater, FL 33756 -
CHANGE OF PRINCIPAL ADDRESS 2018-02-22 1218 COURT STREET, CLEARWATER, FL 33756 -
CHANGE OF MAILING ADDRESS 2018-02-22 1218 COURT STREET, CLEARWATER, FL 33756 -
REINSTATEMENT 1998-11-23 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 - -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-04-28
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-03-26
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-03-02

USAspending Awards / Financial Assistance

Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
200000.00
Total Face Value Of Loan:
200000.00

Tax Exempt

Employer Identification Number (EIN) :
59-1852871
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)
Ruling Date:
1982-08
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
200000
Current Approval Amount:
200000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
201744.44

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Date of last update: 01 Jun 2025

Sources: Florida Department of State