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CLEARWATER FREE CLINIC, INC. - Florida Company Profile

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 (26 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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912271586 2012-02-29 2022-03-19 CLEARWATER FREE CLINIC, INC., 1218 COURT STREET, CLEARWATER, FL, 33756, US CLEARWATER FREE CLINIC, INC., 1218 COURT STREET, CLEARWATER, FL, 33756, US

Contacts

Phone +1 727-447-3041
Fax 7274420320

Authorized person

Name JEAN R SHAPIRO
Role C.E.O.
Phone 7273318150

Taxonomy

Taxonomy Code 261QC1500X - Community Health Clinic/Center
License Number AC#5951154
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
Phillips Craig Director 611 Druid Rd E, Clearwater, FL, 33756
BOUTON STEPHEN Director 28619 N 45th Way, Cave Creek, AZ, 85331
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
Degina Anthony MJr. Agent 1218 Court Street, Clearwater, FL, 33756

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

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-1852871 Corporation Unconditional Exemption 1218 COURT STREET, CLEARWATER, FL, 33756-5809 1982-08
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 2024-06
Asset 5,000,000 to 9,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 9139856
Income Amount 7415302
Form 990 Revenue Amount 7034275
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 CLEARWATER FREE CLINIC INC
EIN 59-1852871
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name CLEARWATER FREE CLINIC INC
EIN 59-1852871
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name CLEARWATER FREE CLINIC INC
EIN 59-1852871
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name CLEARWATER FREE CLINIC INC
EIN 59-1852871
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name CLEARWATER FREE CLINIC INC
EIN 59-1852871
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name CLEARWATER FREE CLINIC INC
EIN 59-1852871
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name CLEARWATER FREE CLINIC INC
EIN 59-1852871
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name CLEARWATER FREE CLINIC INC
EIN 59-1852871
Tax Period 201606
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
5325377208 2020-04-27 0455 PPP 1218 Court Street, Clearwater, FL, 33756
Loan Status Date 2021-04-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 200000
Loan Approval Amount (current) 200000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 45120
Servicing Lender Name Valley National Bank
Servicing Lender Address 615 Main Ave, PASSAIC, NJ, 07055-5066
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Clearwater, PINELLAS, FL, 33756-0001
Project Congressional District FL-13
Number of Employees 18
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 45120
Originating Lender Name Valley National Bank
Originating Lender Address PASSAIC, NJ
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 201744.44
Forgiveness Paid Date 2021-03-18

Date of last update: 01 Mar 2025

Sources: Florida Department of State