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FLORIDA PROTON THERAPY INSTITUTE, INC. - Florida Company Profile

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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 (24 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

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 -

National Provider Identifier

NPI Number:
1891748257
Certification Date:
2024-12-05

Authorized Person:

Name:
NANCY MEDENHALL
Role:
DIRECTOR, ACTIVE, ATTENDING
Phone:

Taxonomy:

Selected Taxonomy:
2085R0001X - Radiation Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
9045881437
Fax:
9045881300

Legal Entity Identifier

LEI Number:
254900JZDATMNVTU2937

Registration Details:

Initial Registration Date:
2017-10-30
Next Renewal Date:
2024-10-13
Registration Status:
ISSUED
Validation Source:
FULLY_CORROBORATED

Form 5500 Series

Employer Identification Number (EIN):
010554709
Plan Year:
2010
Number Of Participants:
95
Sponsors Telephone Number:

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

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
2116658.00
Total Face Value Of Loan:
2116658.00

Trademarks

Serial Number:
85142884
Mark:
PLAY GOLF. FIGHT CANCER.
Status:
The registration has been renewed.
Mark Type:
Service Mark
Application Filing Date:
2010-10-01
Mark Drawing Type:
5 - AN ILLUSTRATION DRAWING WITH WORD(S)/LETTER(S)/NUMBER(S) IN STYLIZED FORM
Mark Literal Elements:
PLAY GOLF. FIGHT CANCER.

Goods And Services

For:
Charitable foundation services, namely, providing fundraising activities to support medical research and procedures for those in need; Charitable fundraising; Charitable fundraising services; Charitable fundraising services by means of a golf event; Charitable fundraising services by means of an ent...
First Use:
2004-05-01
International Classes:
036 - Primary Class
Class Status:
ACTIVE
Serial Number:
85142871
Mark:
PLAY GOLF. FIGHT CANCER.
Status:
The registration has been renewed.
Mark Type:
Service Mark
Application Filing Date:
2010-10-01
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
PLAY GOLF. FIGHT CANCER.

Goods And Services

For:
Charitable foundation services, namely, providing fundraising activities to support medical research and procedures for those in need; Charitable fundraising; Charitable fundraising services; Charitable fundraising services by means of a golf event; Charitable fundraising services by means of an ent...
First Use:
2004-05-01
International Classes:
036 - Primary Class
Class Status:
ACTIVE

Tax Exempt

Employer Identification Number (EIN) :
01-0554709
In Care Of Name:
% C CRAIG TISHER MD
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:
2002-06
National Taxonomy Of Exempt Entities:
Health Care: Hospital, Specialty
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
2116658
Current Approval Amount:
2116658
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
2147996.3

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Date of last update: 03 Jun 2025

Sources: Florida Department of State