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  5. TAMPA FAMILY HEALTH CENTERS, INC.

TAMPA FAMILY HEALTH CENTERS, INC. - Florida Company Profile

Company Details

Entity Name: TAMPA FAMILY HEALTH CENTERS, 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: 08 Feb 1984 (41 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 11 Sep 2007 (18 years ago)
Document Number: N01318
FEI/EIN Number 592420282

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: PO BOX 82969, TAMPA, FL, 33682, US
Address: 302 W. Fletcher Avenue, TAMPA, FL, 33612, US
ZIP code: 33612
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154044204 2022-09-23 2023-07-17 PO BOX 82969, TAMPA, FL, 336822969, US 302 W FLETCHER AVE, TAMPA, FL, 336123415, US

Contacts
Phone +1 813-955-6447

Authorized person
Name MRS. SHERRY HOBACK
Role CEO/PRESIDENT
Phone 8138660930

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAX DEFERRED ANNUITY PLAN OF TAMPA FAMILY HEALTH CENTERS, INC. 2012 592420282 2013-07-31 TAMPA FAMILY HEALTH CENTERS, INC. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-07-01
Business code 624100
Plan sponsor’s address PO BOX 82969, TAMPA, FL, 33682

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF TAMPA FAMILY HEALTH CENTERS, INC. 2012 592420282 2013-07-31 TAMPA FAMILY HEALTH CENTERS, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-08-01
Business code 624100
Plan sponsor’s address PO BOX 82969, TAMPA, FL, 33682

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF TAMPA FAMILY HEALTH CENTERS, INC. 2011 592420282 2012-07-16 TAMPA FAMILY HEALTH CENTERS, INC. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-07-01
Business code 624100
Plan sponsor’s address PO BOX 82969, TAMPA, FL, 33682

Plan administrator’s name and address
Administrator’s EIN 592420282
Plan administrator’s name TAMPA FAMILY HEALTH CENTERS, INC.
Plan administrator’s address PO BOX 82969, TAMPA, FL, 33682

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF TAMPA FAMILY HEALTH CENTERS, INC. 2011 592420282 2012-07-16 TAMPA FAMILY HEALTH CENTERS, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-08-01
Business code 624100
Plan sponsor’s address PO BOX 82969, TAMPA, FL, 33682

Plan administrator’s name and address
Administrator’s EIN 592420282
Plan administrator’s name TAMPA FAMILY HEALTH CENTERS, INC.
Plan administrator’s address PO BOX 82969, TAMPA, FL, 33682

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF TAMPA FAMILY HEALTH CENTERS 2010 592420282 2011-07-13 TAMPA FAMILY HEALTH CENTERS 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-08-01
Business code 624100
Sponsor’s telephone number 8138660930
Plan sponsor’s address PO BOX 82969, TAMPA, FL, 33682

Plan administrator’s name and address
Administrator’s EIN 592420282
Plan administrator’s name TAMPA FAMILY HEALTH CENTERS
Plan administrator’s address PO BOX 82969, TAMPA, FL, 33682
Administrator’s telephone number 8138660930

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF TAMPA FAMILY HEALTH CENTERS, INC. 2010 592420282 2011-07-13 TAMPA FAMILY HEALTH CENTERS, INC. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-07-01
Business code 621410
Sponsor’s telephone number 8138660930
Plan sponsor’s address 1502 E FOWLER AVE, TAMPA, FL, 33612

Plan administrator’s name and address
Administrator’s EIN 592420282
Plan administrator’s name TAMPA FAMILY HEALTH CENTERS, INC.
Plan administrator’s address 1502 E FOWLER AVE, TAMPA, FL, 33612
Administrator’s telephone number 8138660930

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-13
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
403B THRIFT PLAN OF TAMPA FAMILY HEALTH CENTERS, INC. 2009 592420282 2010-09-03 TAMPA FAMILY HEALTH CENTERS, INC. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-08-01
Business code 621410
Sponsor’s telephone number 8138660930
Plan sponsor’s address PO BOX 82969, TAMPA, FL, 33612

Plan administrator’s name and address
Administrator’s EIN 592420282
Plan administrator’s name TAMPA FAMILY HEALTH CENTERS, INC.
Plan administrator’s address PO BOX 82969, TAMPA, FL, 33612
Administrator’s telephone number 8138660930

Signature of
Role Plan administrator
Date 2010-09-03
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF TAMPA FAMILY HEALTH CENTERS, INC. 2009 592420282 2010-07-19 TAMPA FAMILY HEALTH CENTERS, INC. 2
Three-digit plan number (PN) 003
Effective date of plan 2002-07-01
Business code 621410
Sponsor’s telephone number 8138660930
Plan sponsor’s address 1502 E FOWLER AVE, TAMPA, FL, 33612

Plan administrator’s name and address
Administrator’s EIN 592420282
Plan administrator’s name TAMPA FAMILY HEALTH CENTERS, INC.
Plan administrator’s address 1502 E FOWLER AVE, TAMPA, FL, 33612
Administrator’s telephone number 8138660930

Signature of
Role Plan administrator
Date 2010-07-13
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-13
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF TAMPA FAMILY HEALTH CENTERS, INC. 2009 592420282 2010-07-27 TAMPA FAMILY HEALTH CENTERS, INC. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-07-01
Business code 621410
Sponsor’s telephone number 8138660930
Plan sponsor’s address 1502 E FOWLER AVE, TAMPA, FL, 33612

Plan administrator’s name and address
Administrator’s EIN 592420282
Plan administrator’s name TAMPA FAMILY HEALTH CENTERS, INC.
Plan administrator’s address 1502 E FOWLER AVE, TAMPA, FL, 33612
Administrator’s telephone number 8138660930

Signature of
Role Plan administrator
Date 2010-07-27
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-27
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature
403B THRIFT PLAN OF TAMPA FAMILY HEALTH CENTERS, INC. 2009 592420282 2010-07-27 TAMPA FAMILY HEALTH CENTERS, INC. 7
Three-digit plan number (PN) 002
Effective date of plan 2003-08-01
Business code 621410
Sponsor’s telephone number 8138660930
Plan sponsor’s address PO BOX 82969, TAMPA, FL, 33612

Plan administrator’s name and address
Administrator’s EIN 592420282
Plan administrator’s name TAMPA FAMILY HEALTH CENTERS, INC.
Plan administrator’s address PO BOX 82969, TAMPA, FL, 33612
Administrator’s telephone number 8138660930

Signature of
Role Plan administrator
Date 2010-07-27
Name of individual signing P. DAVID BONHAM
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
HOBACK SHERRY Chief Executive Officer 302 W. Fletcher Avenue, TAMPA, FL, 33612
WHITE RODNEY Chairman 302 W. Fletcher Avenue, TAMPA, FL, 33612
STEWART LUCILA Vice Chairman 302 W. Fletcher Avenue, TAMPA, FL, 33612
Romeus Sophia Secretary 302 W. Fletcher Avenue, TAMPA, FL, 33612
JAMES ALFONSA Treasurer 302 W. Fletcher Avenue, TAMPA, FL, 33612
Van Pelt Thomas COO Agent 302 W. Fletcher Avenue, TAMPA, FL, 33612
DOSTER BRIAN Director 302 W. Fletcher Avenue, TAMPA, FL, 33612

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000102599 SILVER BLOSSOM SENIOR HEALTH OF TAMPA FAMILY HEALTH CENTERS ACTIVE 2022-08-30 2027-12-31 - 302 W. FLETCHER AVE, TAMPA, FL, 33612

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-10-27 Van Pelt, Thomas, COO -
REGISTERED AGENT ADDRESS CHANGED 2018-03-15 302 W. Fletcher Avenue, TAMPA, FL 33612 -
CHANGE OF PRINCIPAL ADDRESS 2015-01-21 302 W. Fletcher Avenue, TAMPA, FL 33612 -
CHANGE OF MAILING ADDRESS 2009-02-25 302 W. Fletcher Avenue, TAMPA, FL 33612 -
NAME CHANGE AMENDMENT 2007-09-11 TAMPA FAMILY HEALTH CENTERS, INC. -

Documents

Name Date
ANNUAL REPORT 2024-01-05
AMENDED ANNUAL REPORT 2023-10-30
AMENDED ANNUAL REPORT 2023-10-27
AMENDED ANNUAL REPORT 2023-10-17
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-07-25
AMENDED ANNUAL REPORT 2021-12-13
AMENDED ANNUAL REPORT 2021-12-09
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-01-15

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DO AWARD VA673C10794 2011-09-16 2012-08-03 2012-08-03
Unique Award Key CONT_AWD_VA673C10794_3600_VA248P1591_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROVIDE SHELTER TO HOMELESS VETERANS WITH SPECIAL NEEDS
NAICS Code 624190: OTHER INDIVIDUAL AND FAMILY SERVICES
Product and Service Codes G004: SOCIAL REHABILITATION SERVICES

Recipient Details
Recipient TAMPA FAMILY HEALTH CENTERS, INC.
UEI MTEMU55RVML6
Legacy DUNS 135749039
Recipient Address 1502 EAST FOWLER AVE, TAMPA, 336125416, UNITED STATES
DO AWARD VA24812J3580 2011-05-12 2012-09-30 2012-09-30
Unique Award Key CONT_AWD_VA24812J3580_3600_VA248P1591_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title TASK ORDER TO PROVIDE SHELTER TO HOMELESS VETERANS WITH SPECIAL NEEDS
NAICS Code 624190: OTHER INDIVIDUAL AND FAMILY SERVICES
Product and Service Codes G004: SOCIAL- SOCIAL REHABILITATION

Recipient Details
Recipient TAMPA FAMILY HEALTH CENTERS, INC.
UEI MTEMU55RVML6
Legacy DUNS 135749039
Recipient Address 1502 EAST FOWLER AVE, TAMPA, 336125416, UNITED STATES
- IDV VA248P1591 2010-09-16 - -
Unique Award Key CONT_IDV_VA248P1591_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROVIDE SHELTER TO HOMELESS VETERANS WITH SPECIAL NEEDS
NAICS Code 624190: OTHER INDIVIDUAL AND FAMILY SERVICES
Product and Service Codes G004: SOCIAL REHABILITATION SERVICES

Recipient Details
Recipient TAMPA FAMILY HEALTH CENTERS, INC.
UEI MTEMU55RVML6
Legacy DUNS 135749039
Recipient Address 1502 EAST FOWLER AVE, TAMPA, 336125416, UNITED STATES
DO AWARD VA673C00856 2010-09-16 2011-09-15 2011-09-15
Unique Award Key CONT_AWD_VA673C00856_3600_VA248P1591_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROVIDE SHELTER TO HOMELESS VETERANS WITH SPECIAL NEEDS
NAICS Code 624190: OTHER INDIVIDUAL AND FAMILY SERVICES
Product and Service Codes G004: SOCIAL REHABILITATION SERVICES

Recipient Details
Recipient TAMPA FAMILY HEALTH CENTERS, INC.
UEI MTEMU55RVML6
Legacy DUNS 135749039
Recipient Address 1502 EAST FOWLER AVE, TAMPA, 336125416, UNITED STATES
PO AWARD VA673C00680 2010-06-25 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_VA673C00680_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title HOMELSS SHELTER
NAICS Code 623220: RESIDENTIAL MENTAL HEALTH AND SUBSTANCE ABUSE FACILITIES
Product and Service Codes G004: SOCIAL REHABILITATION SERVICES

Recipient Details
Recipient TAMPA FAMILY HEALTH CENTERS, INC.
UEI MTEMU55RVML6
Legacy DUNS 135749039
Recipient Address 1502 EAST FOWLER AVE, TAMPA, 336125416, UNITED STATES
PO AWARD V673C00680 2010-06-25 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_V673C00680_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title RESPITE CARE FOR HOMELESS VETERANS
NAICS Code 333314: OPTICAL INSTRUMENT AND LENS MANUFACTURING
Product and Service Codes AN41: HEALTH SERVICES (BASIC)

Recipient Details
Recipient TAMPA FAMILY HEALTH CENTERS, INC.
UEI MTEMU55RVML6
Legacy DUNS 135749039
Recipient Address 1502 EAST FOWLER AVE, TAMPA, 336125416, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C80CS16988 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-12-09 2011-12-08 ARRA - FACILITY INVESTMENT PROGRAM
Recipient TAMPA FAMILY HEALTH CENTERS, INC.
Recipient Name Raw TAMPA FAMILY HEALTH CENTERS, INC
Recipient UEI MTEMU55RVML6
Recipient DUNS 135749039
Recipient Address P.O. BOX 82969, TAMPA, HILLSBOROUGH, FLORIDA, 33682-2969, UNITED STATES
Obligated Amount 2903145.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C81CS14368 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient TAMPA FAMILY HEALTH CENTERS, INC.
Recipient Name Raw TAMPA FAMILY HEALTH CENTERS, INC
Recipient UEI MTEMU55RVML6
Recipient DUNS 135749039
Recipient Address P.O. BOX 82969, TAMPA, HILLSBOROUGH, FLORIDA, 33682-2969, UNITED STATES
Obligated Amount 1283760.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS11588 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient TAMPA FAMILY HEALTH CENTERS, INC.
Recipient Name Raw TAMPA FAMILY HEALTH CENTERS, INC
Recipient UEI MTEMU55RVML6
Recipient DUNS 135749039
Recipient Address P.O. BOX 82969, TAMPA, HILLSBOROUGH, FLORIDA, 33682-2969, UNITED STATES
Obligated Amount 605225.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00407 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2002-04-01 2009-03-31 HEALTH CENTER CLUSTER
Recipient TAMPA FAMILY HEALTH CENTERS, INC.
Recipient Name Raw TAMPA FAMILY HEALTH CENTERS, INC
Recipient UEI MTEMU55RVML6
Recipient DUNS 135749039
Recipient Address POST OFFICE BOX 82969, TAMPA, HILLSBOROUGH, FLORIDA, 33682
Obligated Amount 56788249.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-2420282 Corporation Unconditional Exemption 302 W FLETCHER AVE, TAMPA, FL, 33612-3415 1985-10
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2024-03
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Mar
Asset Amount 90875909
Income Amount 78601385
Form 990 Revenue Amount 78601385
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)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name TAMPA FAMILY HEALTH CENTERS INC
EIN 59-2420282
Tax Period 202303
Filing Type E
Return Type 990
File View File
Organization Name TAMPA FAMILY HEALTH CENTERS INC
EIN 59-2420282
Tax Period 202203
Filing Type E
Return Type 990
File View File
Organization Name TAMPA FAMILY HEALTH CENTERS INC
EIN 59-2420282
Tax Period 202003
Filing Type E
Return Type 990
File View File
Organization Name TAMPA FAMILY HEALTH CENTERS INC
EIN 59-2420282
Tax Period 201903
Filing Type E
Return Type 990
File View File
Organization Name TAMPA FAMILY HEALTH CENTERS INC
EIN 59-2420282
Tax Period 201703
Filing Type E
Return Type 990
File View File
Organization Name TAMPA FAMILY HEALTH CENTERS INC
EIN 59-2420282
Tax Period 201603
Filing Type E
Return Type 990
File View File

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Companies related by address

PO BOX 82969, TAMPA, FL, 33682, US

EDUCATION INSTITUTE OF TAMPA FAMILY INC.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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