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LEE MEMORIAL HOME HEALTH, INC. - Florida Company Profile

Company Details

Entity Name: LEE MEMORIAL HOME HEALTH, 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: 03 Jul 1979 (46 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 30 Oct 2024 (4 months ago)
Document Number: 747940
FEI/EIN Number 592186101

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

Address: 2776 CLEVELAND AVE., FORT MYERS, FL, 33902-2218, US
Mail Address: 2780 CLEVELAND AVE, LEGAL MOC 459, FORT MYERS, FL, 33901, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689672065 2005-07-11 2024-05-23 12771 WESTLINKS DR, SUITE 9, FORT MYERS, FL, 339138074, US 12801 WESTLINKS DR STE 101, FORT MYERS, FL, 339138001, US

Contacts

Phone +1 239-225-7700
Fax 2392257699
Fax 2393434103

Authorized person

Name JONATHAN HOLLANDAR
Role SYSTEM DIRECTOR/ADMINISTRATOR HOME
Phone 2392257688

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number HHA20643096
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 083918300
State FL
Issuer ACM - PROVIDER NUMBER
Number 1013546
State FL

Key Officers & Management

Name Role Address
CLARKE DONNA Chairman 2780 CLEVELAND AVE, FORT MYERS, FL, 33901
KLEIN DAVID Vice Chairman 2780 CLEVELAND AVE, FORT MYERS, FL, 33901
COLLINS DAVID Treasurer 2780 CLEVELAND AVE, FORT MYERS, FL, 33901
ALLEN DANE Secretary 2780 CLEVELAND AVE, FORT MYERS, FL, 33901
MCGILLICUDDY MARY Agent 2776 CLEVELAND AVENUE, FORT MYERS, FL, 33901

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2024-10-30 - -
REGISTERED AGENT ADDRESS CHANGED 2024-10-30 2776 CLEVELAND AVENUE, FORT MYERS, FL 33901 -
REGISTERED AGENT NAME CHANGED 2024-10-30 MCGILLICUDDY, MARY -
CHANGE OF MAILING ADDRESS 2016-02-23 2776 CLEVELAND AVE., FORT MYERS, FL 33902-2218 -
CHANGE OF PRINCIPAL ADDRESS 2016-02-23 2776 CLEVELAND AVE., FORT MYERS, FL 33902-2218 -
CANCEL ADM DISS/REV 2009-04-08 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -
CANCEL ADM DISS/REV 2007-11-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 - -
AMENDMENT 2002-09-20 - -

Documents

Name Date
Amended and Restated Articles 2024-10-30
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-03-10
Reg. Agent Change 2019-12-23
ANNUAL REPORT 2019-03-06
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-02-10

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-2186101 Corporation Unconditional Exemption 2776 CLEVELAND AVE, FORT MYERS, FL, 33901-5864 1979-09
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 normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period -
Asset 0
Income 0
Filing Requirement 990 - Not required to file (instrumentalities of states or political subdivisions)
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount -
Income Amount -
Form 990 Revenue Amount -
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)

Date of last update: 01 Mar 2025

Sources: Florida Department of State