Entity Name: | AVOW HOSPICE, 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: | 05 Apr 1982 (43 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 13 Nov 2015 (9 years ago) |
Document Number: | 762720 |
FEI/EIN Number |
592201250
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 1095 WHIPPOORWILL LN., NAPLES, FL, 34105, US |
Mail Address: | 1095 WHIPPOORWILL LN., NAPLES, FL, 34105, US |
ZIP code: | 34105 |
County: | Collier |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003872276 | 2006-04-25 | 2023-03-10 | 1205 WHIPPOORWILL LN, NAPLES, FL, 341055028, US | 1095 WHIPPOORWILL LN, NAPLES, FL, 341053847, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 239-304-1600 |
Fax | 2392805998 |
Phone | +1 239-261-4404 |
Authorized person
Name | MS. PHYLLIS HALL |
Role | CFO |
Phone | 2392614404 |
Taxonomy
Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
License Number | 5022096 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS BLUE SHIELD # |
Number | U02 |
State | FL |
Issuer | MEDICAID |
Number | 087537600 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
AVOW HOSPICE WELFARE PLAN | 2014 | 592201250 | 2015-07-28 | AVOW HOSPICE | 126 | |||||||||||||||||||||||||||||||||||||||||||||||
|
Active participants | 120 |
Retired or separated participants receiving benefits | 6 |
Other retired or separated participants entitled to future benefits | 0 |
File | View Page |
Three-digit plan number (PN) | 502 |
Effective date of plan | 2004-11-01 |
Business code | 621420 |
Sponsor’s telephone number | 2392614404 |
Plan sponsor’s mailing address | 1095 WHIPOORWILL LANE, NAPLES, FL, 341053847 |
Plan sponsor’s address | AVOW HOSPICE, 1095 WHIPOORWILL LANE, NAPLES, FL, 341053847 |
Number of participants as of the end of the plan year
Active participants | 136 |
Retired or separated participants receiving benefits | 4 |
File | View Page |
Three-digit plan number (PN) | 502 |
Effective date of plan | 2004-11-01 |
Business code | 621420 |
Sponsor’s telephone number | 2392614404 |
Plan sponsor’s mailing address | 1095 WHIPOORWILL LANE, NAPLES, FL, 341053847 |
Plan sponsor’s address | AVOW HOSPICE, 1095 WHIPOORWILL LANE, NAPLES, FL, 341053847 |
Number of participants as of the end of the plan year
Active participants | 144 |
Retired or separated participants receiving benefits | 9 |
Signature of
Role | Plan administrator |
Date | 2013-07-31 |
Name of individual signing | KAREN ROLLINS |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2013-07-31 |
Name of individual signing | KAREN ROLLINS |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 502 |
Effective date of plan | 2004-11-01 |
Business code | 621420 |
Sponsor’s telephone number | 2392614404 |
Plan sponsor’s mailing address | 1095 WHIPOORWILL LANE, NAPLES, FL, 341053847 |
Plan sponsor’s address | AVOW HOSPICE, 1095 WHIPOORWILL LANE, NAPLES, FL, 341053847 |
Plan administrator’s name and address
Administrator’s EIN | 592201250 |
Plan administrator’s name | AVOW HOSPICE |
Plan administrator’s address | 1095 WHIPOORWILL LANE, NAPLES, FL, 341053847 |
Administrator’s telephone number | 2392614404 |
Number of participants as of the end of the plan year
Active participants | 132 |
Retired or separated participants receiving benefits | 5 |
Signature of
Role | Plan administrator |
Date | 2012-07-31 |
Name of individual signing | KAREN ROLLINS |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2012-07-31 |
Name of individual signing | KAREN ROLLINS |
Valid signature | Filed with authorized/valid electronic signature |
Three-digit plan number (PN) | 502 |
Effective date of plan | 2004-11-01 |
Business code | 621420 |
Sponsor’s telephone number | 2392614404 |
Plan sponsor’s mailing address | 1095 WHIPOORWILL LANE, NAPLES, FL, 341053847 |
Plan sponsor’s address | AVOW HOSPICE, 1095 WHIPOORWILL LANE, NAPLES, FL, 341053847 |
Plan administrator’s name and address
Administrator’s EIN | 592201250 |
Plan administrator’s name | AVOW HOSPICE |
Plan administrator’s address | 1095 WHIPOORWILL LANE, NAPLES, FL, 341053847 |
Administrator’s telephone number | 2392614404 |
Signature of
Role | Plan administrator |
Date | 2012-07-31 |
Name of individual signing | KAREN ROLLINS |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2012-07-31 |
Name of individual signing | KAREN ROLLINS |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 002 |
Effective date of plan | 1987-06-01 |
Business code | 623000 |
Sponsor’s telephone number | 2392614404 |
Plan sponsor’s mailing address | 1095 WHIPPOORWILL LANE, NAPLES, FL, 34105 |
Plan sponsor’s address | AVOW HOSPICE, INC., 1095 WHIPPOORWILL LANE, NAPLES, FL, 34105 |
Plan administrator’s name and address
Administrator’s EIN | 592201250 |
Plan administrator’s name | AVOW HOSPICE, INC. |
Plan administrator’s address | 1095 WHIPPOORWILL LANE, NAPLES, FL, 34105 |
Administrator’s telephone number | 2392614404 |
Number of participants as of the end of the plan year
Active participants | 164 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 114 |
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Number of participants with account balances as of the end of the plan year | 229 |
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 8 |
Signature of
Role | Plan administrator |
Date | 2011-05-27 |
Name of individual signing | VIVIAN SEELY-TROIANO |
Valid signature | Filed with authorized/valid electronic signature |
Three-digit plan number (PN) | 002 |
Effective date of plan | 1987-06-01 |
Business code | 623000 |
Sponsor’s telephone number | 2392614404 |
Plan sponsor’s mailing address | 1095 WHIPPOORWILL LANE, NAPLES, FL, 34105 |
Plan sponsor’s address | AVOW HOSPICE, INC., 1095 WHIPPOORWILL LANE, NAPLES, FL, 34105 |
Plan administrator’s name and address
Administrator’s EIN | 592201250 |
Plan administrator’s name | AVOW HOSPICE, INC. |
Plan administrator’s address | 1095 WHIPPOORWILL LANE, NAPLES, FL, 34105 |
Administrator’s telephone number | 2392614404 |
Number of participants as of the end of the plan year
Active participants | 164 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 114 |
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Number of participants with account balances as of the end of the plan year | 229 |
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 8 |
Signature of
Role | Plan administrator |
Date | 2010-10-14 |
Name of individual signing | VIVIAN SEELY-TROIANO |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
HALL PHYLLIS | Chief Financial Officer | 1095 WHIPPOORWILL LN., NAPLES, FL, 34105 |
ROA JAYSEN | President | 1095 WHIPPOORWILL LN., NAPLES, FL, 34105 |
ROA JAYSEN | Chief Executive Officer | 1095 WHIPPOORWILL LN., NAPLES, FL, 34105 |
Lanz Gerald | Director | 1095 WHIPPOORWILL LN., NAPLES, FL, 34105 |
Gatian Rebecca | Chie | 1095 WHIPPOORWILL LN., NAPLES, FL, 34105 |
Ervin Kerri | Chie | 1095 WHIPPOORWILL LN., NAPLES, FL, 34105 |
Gersch Darren | Treasurer | 1095 WHIPPOORWILL LN., NAPLES, FL, 34105 |
ROA JAYSEN | Agent | 1095 WHIPPOORWILL LN., NAPLES, FL, 34105 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G10000076410 | AVOW CARE SERVICES | EXPIRED | 2010-08-19 | 2015-12-31 | - | 1095 WHIPPOORWILL LANE, NAPLES, FL, 34105 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDED AND RESTATEDARTICLES | 2016-02-02 | - | - |
AMENDMENT | 2015-11-13 | - | - |
REGISTERED AGENT NAME CHANGED | 2015-11-12 | ROA, JAYSEN | - |
AMENDED AND RESTATEDARTICLES/NAME CHANGE | 2007-09-10 | AVOW HOSPICE, INC. | - |
CHANGE OF MAILING ADDRESS | 2001-01-30 | 1095 WHIPPOORWILL LN., NAPLES, FL 34105 | - |
MERGER | 2000-04-20 | - | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000028807 |
REGISTERED AGENT ADDRESS CHANGED | 1997-01-30 | 1095 WHIPPOORWILL LN., NAPLES, FL 34105 | - |
CHANGE OF PRINCIPAL ADDRESS | 1997-01-30 | 1095 WHIPPOORWILL LN., NAPLES, FL 34105 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-18 |
ANNUAL REPORT | 2023-04-25 |
ANNUAL REPORT | 2022-04-27 |
ANNUAL REPORT | 2021-04-27 |
ANNUAL REPORT | 2020-05-20 |
ANNUAL REPORT | 2019-04-25 |
ANNUAL REPORT | 2018-01-02 |
ANNUAL REPORT | 2017-03-31 |
ANNUAL REPORT | 2016-03-18 |
ANNUAL REPORT | 2015-03-05 |
EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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59-2201250 | Corporation | Unconditional Exemption | 1095 WHIPPOORWILL LN, NAPLES, FL, 34105-3800 | 1983-06 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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 | AVOW HOSPICE INC |
EIN | 59-2201250 |
Tax Period | 202212 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | AVOW HOSPICE INC |
EIN | 59-2201250 |
Tax Period | 202112 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | AVOW HOSPICE INC |
EIN | 59-2201250 |
Tax Period | 201912 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | AVOW HOSPICE INC |
EIN | 59-2201250 |
Tax Period | 201812 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | AVOW HOSPICE INC |
EIN | 59-2201250 |
Tax Period | 201612 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | AVOW HOSPICE INC |
EIN | 59-2201250 |
Tax Period | 201512 |
Filing Type | E |
Return Type | 990 |
File | View File |
Date of last update: 01 Mar 2025
Sources: Florida Department of State