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THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC.

Company Details

Entity Name: THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 28 Apr 1981 (44 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 24 Oct 2007 (17 years ago)
Document Number: 757774
FEI/EIN Number 59-2559163
Address: 2340 HANSEN LANE, TALLAHASSEE, FL 32301
Mail Address: 2340 HANSEN LANE, TALLAHASSEE, FL 32301
ZIP code: 32301
County: Leon
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. 2021 592559163 2022-05-31 THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. 14
Three-digit plan number (PN) 002
Effective date of plan 2019-04-01
Sponsor’s telephone number 8509421822
Plan sponsor’s address 2340 HANSEN LN, TALLAHASSEE, FL, 323014884

Signature of

Role Plan administrator
Date 2022-05-31
Name of individual signing ANDREW BEHRMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. 2021 592559163 2022-06-01 THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-04-01
Business code 541990
Sponsor’s telephone number 8509421822
Plan sponsor’s address 2340 HANSEN LN, TALLAHASSEE, FL, 323014884

Signature of

Role Plan administrator
Date 2022-06-01
Name of individual signing ANDREW BEHRMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. 2021 592559163 2022-05-31 THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. 14
Three-digit plan number (PN) 002
Effective date of plan 2019-04-01
Sponsor’s telephone number 8509421822
Plan sponsor’s address 2340 HANSEN LN, TALLAHASSEE, FL, 323014884

Signature of

Role Plan administrator
Date 2022-05-31
Name of individual signing ANDREW BEHRMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. 2020 592559163 2021-04-15 THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-04-01
Sponsor’s telephone number 8509421822
Plan sponsor’s address 2340 HANSEN LN, TALLAHASSEE, FL, 323014884

Signature of

Role Plan administrator
Date 2021-04-15
Name of individual signing ANDREW BEHRMAN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. 2019 592559163 2020-07-31 THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-04-01
Sponsor’s telephone number 8509421822
Plan sponsor’s address 2340 HANSEN LN, TALLAHASSEE, FL, 323014884

Signature of

Role Plan administrator
Date 2020-07-31
Name of individual signing ANDREW BEHRMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Chapman, Jonathan Agent 2340 HANSEN LANE, TALLAHASSEE, FL 32301

Chief Financial Officer

Name Role Address
Schultz, Dana Chief Financial Officer 2340 Hansen Lane, Tallahassee, FL 32301

Board President

Name Role Address
Herremans, Brad Board President 13110 Elk Mountain Drive, Rivierview, FL 33579

North Regional Representative

Name Role Address
Spencer, Laura North Regional Representative 2315 West Jackson St, Pensacola, FL 32505

Director

Name Role Address
Dorso, Elodie Director 700 8th Ave. West, Suite 101, Palmetto, FL 34221
Soule, Vicki Director 1555 Indian River Blvd, Suite B210 Vero Beach, FL 32960
Spencer, Laura Director 2315 West Jackson St, Pensacola, FL 32505

Central Regional Representative

Name Role Address
Dorso, Elodie Central Regional Representative 700 8th Ave. West, Suite 101, Palmetto, FL 34221

Board Vice Chair

Name Role Address
Robinson, Temple, Dr. Board Vice Chair 1720 S. Gadsden Street, Tallahassee, FL 32301

Secretary

Name Role Address
Claussen, Ann Secretary 2330 South Congress Avenue, West Pam Beach, FL 33406

Chief Executive Officer

Name Role Address
Chapman, Jonathan Chief Executive Officer 2340 HANSEN LANE, TALLAHASSEE, FL 32301

Treasurer

Name Role Address
Resnick, Joseph Treasurer 2340 HANSEN LANE, TALLAHASSEE, FL 32301

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-09 Chapman, Jonathan No data
CHANGE OF PRINCIPAL ADDRESS 2007-10-24 2340 HANSEN LANE, TALLAHASSEE, FL 32301 No data
CANCEL ADM DISS/REV 2007-10-24 No data No data
REGISTERED AGENT ADDRESS CHANGED 2007-10-24 2340 HANSEN LANE, TALLAHASSEE, FL 32301 No data
CHANGE OF MAILING ADDRESS 2007-10-24 2340 HANSEN LANE, TALLAHASSEE, FL 32301 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data
NAME CHANGE AMENDMENT 2000-04-11 THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. No data
REINSTATEMENT 1997-05-21 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 No data No data
AMENDMENT 1988-06-02 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-30
AMENDED ANNUAL REPORT 2020-04-15
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-06-23
ANNUAL REPORT 2018-02-20
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-25

Date of last update: 05 Feb 2025

Sources: Florida Department of State