Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Duval
    4. ›
  4. 32206
    5. ›
  5. FLORIDA PROTON THERAPY INSTITUTE, INC.

FLORIDA PROTON THERAPY INSTITUTE, INC. - Florida Company Profile

Company Details

Entity Name: FLORIDA PROTON THERAPY INSTITUTE, 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: 21 Dec 2001 (23 years ago)
Document Number: N02000000009
FEI/EIN Number 010554709

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2015 JEFFERSON STREET, JACKSONVILLE, FL, 32206
Mail Address: 2015 JEFFERSON STREET, JACKSONVILLE, FL, 32206
ZIP code: 32206
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891748257 2006-05-18 2019-11-05 2015 JEFFERSON ST, JACKSONVILLE, FL, 322063531, US 2015 JEFFERSON ST, JACKSONVILLE, FL, 322063531, US

Contacts
Phone +1 904-588-1239
Fax 9045881300
Phone +1 904-588-1263

Authorized person
Name NANCY MEDENHALL
Role DIRECTOR, ACTIVE, ATTENDING
Phone 9045881263

Taxonomy
Taxonomy Code 2085R0001X - Radiation Oncology Physician
License Number ME39054
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 2771470 00
State FL

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
254900JZDATMNVTU2937 N02000000009 US-FL GENERAL ACTIVE 2001-12-21

Addresses
Legal c/o C T Corporation System, 1200 South Pine Island Road, Plantation, US-FL, US, 33324
Headquarters 2015 Jefferson St, Jacksonville, US-FL, US, 32206

Registration details
Registration Date 2017-10-30
Last Update 2023-10-09
Status ISSUED
Next Renewal 2024-10-13
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As N02000000009

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORIDA PROTON THERAPY INSTITUTE, INC. 401(K) PLAN 2010 010554709 2011-09-01 FLORIDA PROTON THERAPY INSTITUTE, INC. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621399
Sponsor’s telephone number 9045881424
Plan sponsor’s address 2015 NORTH JEFFERSON STREET, JACKSONVILLE, FL, 32206

Plan administrator’s name and address
Administrator’s EIN 010554709
Plan administrator’s name FLORIDA PROTON THERAPY INSTITUTE, INC.
Plan administrator’s address 2015 NORTH JEFFERSON STREET, JACKSONVILLE, FL, 32206
Administrator’s telephone number 9045581424

Signature of
Role Plan administrator
Date 2011-09-01
Name of individual signing TOMMIE L. ALLEN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
HUNT JENNIFER LDr. Chairman 1515 SW Archer Rd, GAINESVILLE, FL, 32608
HEATH KRISTIN A Chief Executive Officer 2015 JEFFERSON STREET, JACKSONVILLE, FL, 32206
MENDENHALL, PM.D. NANCY Trustee 2015 JEFFERSON STREET, JACKSONVILLE, FL, 32206
OKUNIEFF, MD PAUL Secretary 2000 SW Archer Rd, GAINESVILLE, FL, 32608
MORRISON ALAN Trustee 23 SOUTH 23RD ST, PHILADELPHIA, PA, 19103
Walters Gae Phd Trustee 2007 Alaqua Lakes Blvd, Longwood, FL, 32779
C T CORPORATION SYSTEM Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000106963 UF HEALTH PROTON THERAPY INSTITUTE ACTIVE 2014-10-22 2029-12-31 - 2015 JEFFERSON ST, JACKSONVILLE, FL, 32206
G06257700001 UNIVERSITY OF FLORIDA PROTON THERAPY INSTITUTE ACTIVE 2006-09-14 2026-12-31 - 2015 JEFFERSON STREET, ATTN: TOMMIE ALLEN, JACKSONVILLE, FL, 32206

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-10-28 C T CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2020-10-28 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
CHANGE OF PRINCIPAL ADDRESS 2007-02-20 2015 JEFFERSON STREET, JACKSONVILLE, FL 32206 -
CHANGE OF MAILING ADDRESS 2007-02-20 2015 JEFFERSON STREET, JACKSONVILLE, FL 32206 -

Documents

Name Date
ANNUAL REPORT 2024-05-28
ANNUAL REPORT 2023-06-14
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-03-23
Reg. Agent Change 2020-10-28
ANNUAL REPORT 2020-03-11
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-03-22
ANNUAL REPORT 2017-02-06
ANNUAL REPORT 2016-02-22

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
01-0554709 Corporation Unconditional Exemption 2015 JEFFERSON ST, JACKSONVILLE, FL, 32206-3531 2002-06
In Care of Name % C CRAIG TISHER MD
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 Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-06
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 Jun
Asset Amount 137388571
Income Amount 54480725
Form 990 Revenue Amount 45555232
National Taxonomy of Exempt Entities Health Care: Hospital, Specialty
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 FLORIDA PROTON THERAPY INSTITUTE INC
EIN 01-0554709
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA PROTON THERAPY INSTITUTE INC
EIN 01-0554709
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA PROTON THERAPY INSTITUTE INC
EIN 01-0554709
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA PROTON THERAPY INSTITUTE INC
EIN 01-0554709
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA PROTON THERAPY INSTITUTE INC
EIN 01-0554709
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA PROTON THERAPY INSTITUTE INC
EIN 01-0554709
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA PROTON THERAPY INSTITUTE INC
EIN 01-0554709
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA PROTON THERAPY INSTITUTE INC
EIN 01-0554709
Tax Period 201606
Filing Type E
Return Type 990
File View File
Organization Name FLORIDA PROTON THERAPY INSTITUTE INC
EIN 01-0554709
Tax Period 201606
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5652417106 2020-04-13 0491 PPP 2015 North Jefferson Street, JACKSONVILLE, FL, 32206
Loan Status Date 2021-10-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2116658
Loan Approval Amount (current) 2116658
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32206-0001
Project Congressional District FL-04
Number of Employees 137
NAICS code 621340
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 760
Originating Lender Name First Source Federal Credit Union
Originating Lender Address Rome, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2147996.3
Forgiveness Paid Date 2021-10-06

Companies related by officers

MORRISON ALAN

ACCOUNTING & BOOKKEEPING PROFESSIONAL SERVICES, LLC - Inactive
Florida Limited Liability Co. (2014 - 2017)
SYMPHONY DIAGNOSTIC SERVICES NO. 1, INC. - Inactive
Foreign Profit (2003 - 2014)
U.S. LAB & RADIOLOGY, INC. - Inactive
Foreign Profit (2010 - 2020)
ABOVE AVERAGE GOODS, LLC - Inactive
Florida Limited Liability Co. (2015 - 2015)
ZELENKOFSKE AXELROD CONSULTING, L.L.C. - Inactive
Foreign Limited Liability Co. (1997 - 2004)

C T CORPORATION SYSTEM

BRENKA VIDEO US INC. - Inactive
Foreign Profit (1997 - 2000)
FFM HOLDING CORP. - Inactive
Foreign Profit (1997 - 2001)
GS SUNRISE, FL, LLC - Inactive
Foreign Limited Liability Co. (2004 - 2005)
HAMPTONS TOBACCO & NEWS, INC. - Inactive
Foreign Profit (1997 - 1998)
DHIR - ERIKSON PARKS, LLC - Active
Foreign Limited Liability Co. (2021 )
FLORIDA CENTRAL RAILROAD COMPANY, LLC - Active
Florida Limited Liability Co. (2021 )
TIMESHARE ADMINISTRATION GROUP, LLC - Active
Florida Limited Liability Co. (2017 )
MEMORIAL URGENT CARE - MANDARIN, LLC - Inactive
Florida Limited Liability Co. (2005 - 2010)
PILECAP, INCORPORATED - Inactive
Foreign Profit (1999 - 2004)
SOLARWINDS WORLDWIDE, LLC - Active
Foreign Limited Liability Co. (2023 )

Companies related by address

No other companies in our directory share the same address as FLORIDA PROTON THERAPY INSTITUTE, INC.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated