| Entity Name: | JOYCE CARELOCK MINISTRIES, INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Non-Profit |
| Status: | Active |
| Date Filed: | 10 Jul 2017 (8 years ago) |
| Document Number: | F17000003083 |
| FEI/EIN Number | 45-1674585 |
| Address: | 13553 STATE RD 54 #206, ODESSA, FL, 33556, US |
| Mail Address: | 13553 STATE RD 54 #206, ODESSA, FL, 33556, US |
| ZIP code: | 33556 |
| County: | Hillsborough |
| Place of Formation: | VIRGINIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952812935 | 2017-10-18 | 2023-12-18 | 9180 OAKHURST RD STE 6, SEMINOLE, FL, 337762161, US | 7552 CONGRESS ST, NEW PORT RICHEY, FL, 346531106, US | |||||||||||||||||||||
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| Phone | +1 727-517-1046 |
| Fax | 7037387281 |
Authorized person
| Name | JOYCE L CARELOCK |
| Role | CEO |
| Phone | 7038013287 |
Taxonomy
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 687524 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOYCE CARELOCK MINISTRIES 401K | 2023 | 451674585 | 2024-09-25 | JOYCE CARELOCK MINISTRIES | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-25 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-07-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 7038013287 |
| Plan sponsor’s address | 1254 KETZAL DR, TRINITY, FL, 34655 |
Signature of
| Role | Plan administrator |
| Date | 2024-09-17 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-07-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 7038013287 |
| Plan sponsor’s address | 1254 KETZAL DR, TRINITY, FL, 34655 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-24 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-07-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 7038013287 |
| Plan sponsor’s address | 1254 KETZAL DR, TRINITY, FL, 34655 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-21 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-07-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 7038013287 |
| Plan sponsor’s address | 1254 KETZAL DR, TRINITY, FL, 34655 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-15 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CARELOCK JOYCE | Agent | 1254 Ketzal Drive, Trinity, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| CARELOCK Joyce L | President | 1254 Ketzal Dr, Trinity, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| HERRING DARLINA | Secretary | 2498 MADRID WAY SOUTH, ST. PETERSBURG, FL, 33712 |
| Name | Role | Address |
|---|---|---|
| Gribble Miriam | Treasurer | 3528 Buffalo Court, Woodbridge, VA, 22193 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-24 | 1254 Ketzal Drive, Trinity, FL 34655 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-18 | 13553 STATE RD 54 #206, ODESSA, FL 33556 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-18 | 13553 STATE RD 54 #206, ODESSA, FL 33556 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000329817 | TERMINATED | 1000000893776 | PINELLAS | 2021-06-28 | 2031-06-30 | $ 746.89 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-13 |
| Reg. Agent Change | 2020-06-18 |
| ANNUAL REPORT | 2020-03-11 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-05 |
| Foreign Non-Profit | 2017-07-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
