| Entity Name: | FIRST COAST - BRAIN INJURY SUPPORT GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Mar 2002 (23 years ago) |
| Date of dissolution: | 25 Sep 2009 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (16 years ago) |
| Document Number: | N02000001655 |
| FEI/EIN Number |
030401723
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4401 WESCONETT BLVD, 2ND FLOOR, JACKSONVILLE, FL, 32210 |
| Mail Address: | 4401 WESCONETT BLVD, 2ND FLOOR, JACKSONVILLE, FL, 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MERCER-ELKINS JANE | Executive Director | 4401 WESCONNETT BLVD, JACKSONVILLE, FL, 32210 |
| BELOT DANIEL | Vice President | 4401 WESCONNETT BLVD, JACKSONVILLE, FL, 32210 |
| BLACKMON DAVID | President | 4401 WESCONNETT BLVD, JACKSONVILLE, FL, 32210 |
| NAZWORTH SHANNON | Chief Financial Officer | 4401 WESCONNETT BLVD, JACKSONVILLE, FL, 32210 |
| MERCER-ELKINS JANE | Agent | 4401 WESCONNETT BLVD., JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| CHANGE OF MAILING ADDRESS | 2008-02-11 | 4401 WESCONETT BLVD, 2ND FLOOR, JACKSONVILLE, FL 32210 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2008-02-11 | 4401 WESCONNETT BLVD., JACKSONVILLE, FL 32210 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-27 | 4401 WESCONETT BLVD, 2ND FLOOR, JACKSONVILLE, FL 32210 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-02-11 |
| ANNUAL REPORT | 2007-01-12 |
| ANNUAL REPORT | 2006-07-25 |
| ANNUAL REPORT | 2005-04-27 |
| ANNUAL REPORT | 2004-03-19 |
| ANNUAL REPORT | 2003-02-03 |
| Domestic Non-Profit | 2002-03-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
