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LAKELAND VOLUNTEERS IN MEDICINE, INC. - Florida Company Profile

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Company Details

Entity Name: LAKELAND VOLUNTEERS IN MEDICINE, 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: 26 Oct 2001 (24 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Oct 2011 (14 years ago)
Document Number: N01000007636
FEI/EIN Number 522351630

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

Address: 600 West Peachtree St, LAKELAND, FL, 33815, US
Mail Address: 600 West Peachtree St., LAKELAND, FL, 33815, US
ZIP code: 33815
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Smith Jaqualann Director 600 West Peachtree St, LAKELAND, FL, 33815
KOEHLER ALICE V Agent 600 W PEACHTREE ST, LAKELAND, FL, 33815
Petersen Steve Director 600 West Peachtree St, LAKELAND, FL, 33815
Regan Tim Director 600 West Peachtree St, LAKELAND, FL, 33815
Khan Adil Chairman 600 West Peachtree St, LAKELAND, FL, 33815
Link Ashley Imme 600 West Peachtree St, LAKELAND, FL, 33815
Sheets Sandy Director 600 West Peachtree St, LAKELAND, FL, 33815

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
QSHMFP1LWCJ3
CAGE Code:
0KUQ2
UEI Expiration Date:
2025-12-04

Business Information

Doing Business As:
LAKELAND VOLUNTEERS IN MEDICINE
Activation Date:
2024-12-05
Initial Registration Date:
2024-12-03

National Provider Identifier

NPI Number:
1487981262

Authorized Person:

Name:
MS. SUE RUSSELL
Role:
EXECUTUVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8636885846

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2020-02-14 600 West Peachtree St, LAKELAND, FL 33815 -
REGISTERED AGENT ADDRESS CHANGED 2020-01-13 600 W PEACHTREE ST, LAKELAND, FL 33815 -
REGISTERED AGENT NAME CHANGED 2020-01-13 KOEHLER, ALICE V -
CHANGE OF PRINCIPAL ADDRESS 2019-04-16 600 West Peachtree St, LAKELAND, FL 33815 -
REINSTATEMENT 2011-10-02 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -
REINSTATEMENT 2002-10-29 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 - -

Documents

Name Date
ANNUAL REPORT 2025-01-17
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-01-31
AMENDED ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-02-14
Reg. Agent Change 2020-01-13
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-03-08

USAspending Awards / Financial Assistance

Date:
2021-01-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
240647.00
Total Face Value Of Loan:
240647.00
Date:
2020-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
227133.97
Total Face Value Of Loan:
227133.97

Tax Exempt

Employer Identification Number (EIN) :
52-2351630
In Care Of Name:
% ALICE KOEHLER
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)
Ruling Date:
2002-03
National Taxonomy Of Exempt Entities:
Health Care: Ambulatory Health Center, Community Clinic
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2021-01-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
240647
Current Approval Amount:
240647
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
241562.8
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
227133.97
Current Approval Amount:
227133.97
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
228389.52

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Date of last update: 02 Jun 2025

Sources: Florida Department of State