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  5. BIG BEND COMMUNITY BASED CARE, INC.

BIG BEND COMMUNITY BASED CARE, INC. - Florida Company Profile

Company Details

Entity Name: BIG BEND COMMUNITY BASED CARE, 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 Mar 2002 (23 years ago)
Last Event: AMENDMENT
Event Date Filed: 03 May 2013 (12 years ago)
Document Number: N02000002215
FEI/EIN Number 030423156

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301
Mail Address: 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301
ZIP code: 32301
County: Leon
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BIG BEND COMMUNITY BASED CARE, INC HMO HEALTH PLAN 2023 030423156 2024-05-16 BIG BEND COMMUNITY BASED CARE, INC. 139
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2006-10-01
Business code 624100
Sponsor’s telephone number 8504101020
Plan sponsor’s DBA name NWF HEALTH NETWORK
Plan sponsor’s mailing address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054
Plan sponsor’s address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054

Number of participants as of the end of the plan year
Active participants 123
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
BIG BEND COMMUNITY BASED CARE, INC HMO HEALTH PLAN 2023 030423156 2024-05-16 BIG BEND COMMUNITY BASED CARE, INC. 108
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2006-10-01
Business code 624100
Sponsor’s telephone number 8504101020
Plan sponsor’s DBA name NWF HEALTH NETWORK
Plan sponsor’s mailing address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054
Plan sponsor’s address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054

Number of participants as of the end of the plan year
Active participants 139
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
BIG BEND COMMUNITY BASED CARE, INC HMO HEALTH PLAN 2023 030423156 2024-05-16 BIG BEND COMMUNITY BASED CARE, INC. 96
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2006-10-01
Business code 624100
Sponsor’s telephone number 8504101020
Plan sponsor’s DBA name NWF HEALTH NETWORK
Plan sponsor’s mailing address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054
Plan sponsor’s address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054

Number of participants as of the end of the plan year
Active participants 108
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
BIG BEND COMMUNITY BASED CARE, INC ANCILLARY PLAN 2023 030423156 2024-05-16 BIG BEND COMMUNITY BASED CARE, INC. 94
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2006-10-01
Business code 624100
Sponsor’s telephone number 8504101020
Plan sponsor’s DBA name NWF HEALTH NETWORK
Plan sponsor’s mailing address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054
Plan sponsor’s address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054

Number of participants as of the end of the plan year
Active participants 162
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
BIG BEND COMMUNITY BASED CARE, INC ANCILLARY PLAN 2023 030423156 2024-05-16 BIG BEND COMMUNITY BASED CARE, INC. 162
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2006-10-01
Business code 624100
Sponsor’s telephone number 8504101020
Plan sponsor’s DBA name NWF HEALTH NETWORK
Plan sponsor’s mailing address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054
Plan sponsor’s address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054

Number of participants as of the end of the plan year
Active participants 170
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
BIG BEND COMMUNITY BASED CARE HEALTH PLAN 2022 030423156 2024-05-16 BIG BEND COMMUNITY BASED CARE, INC. 50
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-10-01
Business code 624100
Sponsor’s telephone number 8504101020
Plan sponsor’s DBA name NWF HEALTH NETWORK
Plan sponsor’s mailing address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054
Plan sponsor’s address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054

Number of participants as of the end of the plan year
Active participants 139
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
BIG BEND COMMUNITY BASED CARE HMO HEALTH PLAN 2022 030423156 2024-05-16 BIG BEND COMMUNITY BASED CARE, INC. 130
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2018-10-01
Business code 624100
Sponsor’s telephone number 8504101020
Plan sponsor’s DBA name NWF HEALTH NETWORK
Plan sponsor’s mailing address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054
Plan sponsor’s address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054

Number of participants as of the end of the plan year
Active participants 146
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
BIG BEND COMMUNITY BASED CARE HEALTH PLAN 2022 030423156 2024-05-16 BIG BEND COMMUNITY BASED CARE, INC. 50
Three-digit plan number (PN) 501
Effective date of plan 2018-10-01
Business code 624100
Sponsor’s telephone number 8504101020
Plan sponsor’s DBA name NWF HEALTH NETWORK
Plan sponsor’s mailing address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054
Plan sponsor’s address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054

Number of participants as of the end of the plan year
Active participants 139
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
BIG BEND COMMUNITY BASED CARE ANCILLARY PLAN 2022 030423156 2024-05-16 BIG BEND COMMUNITY BASED CARE, INC. 152
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2006-10-01
Business code 624100
Sponsor’s telephone number 8504101020
Plan sponsor’s DBA name NWF HEALTH NETWORK
Plan sponsor’s mailing address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054
Plan sponsor’s address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054

Number of participants as of the end of the plan year
Active participants 299
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
BIG BEND COMMUNITY BASED CARE, INC HMO HEALTH PLAN 2021 030423156 2024-05-16 BIG BEND COMMUNITY BASED CARE, INC. 123
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2006-10-01
Business code 624100
Sponsor’s telephone number 8504101020
Plan sponsor’s DBA name NWF HEALTH NETWORK
Plan sponsor’s mailing address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054
Plan sponsor’s address 525 N M L KING JR BLVD, TALLAHASSEE, FL, 323011054

Number of participants as of the end of the plan year
Active participants 130
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-16
Name of individual signing FELICSA SIMS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Smith Bambi Treasurer 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301
Holifield Liz Dr. Director 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301
Roberts Teresa Secretary 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301
Waters Gerald President 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301
Pickett Ronald Vice President 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301
Johns Reggie Director 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301
WATKINS MIKE Agent 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000116310 NORTHWEST FLORIDA HEALTH NETWORK ACTIVE 2020-09-08 2025-12-31 - 525 N. MARTIN LUTHER KING JR. BLVD., TALLAHASSEE, FL, 32301
G11000069245 INDEPENDENCE VILLAGE EXPIRED 2011-07-11 2016-12-31 - 525 NORTH MARTIN LUTHER KING BLVD, TALLAHASSEE, FL, 32301
G11000068130 INDEPENDENCE VILLAGE, LLC EXPIRED 2011-07-07 2016-12-31 - 525 NORTH MARTIN LUTHER KING BLVD, TALLAHASSEE, FL, 32301

Events

Event Type Filed Date Value Description
AMENDMENT 2013-05-03 - -
CHANGE OF PRINCIPAL ADDRESS 2012-11-07 525 N MLK JR BLVD, TALLAHASSEE, FL 32301 -
REINSTATEMENT 2012-11-07 - -
REGISTERED AGENT ADDRESS CHANGED 2012-11-07 525 N MLK JR BLVD, TALLAHASSEE, FL 32301 -
CHANGE OF MAILING ADDRESS 2012-11-07 525 N MLK JR BLVD, TALLAHASSEE, FL 32301 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
REGISTERED AGENT NAME CHANGED 2006-06-26 WATKINS, MIKE -
AMENDED AND RESTATEDARTICLES 2003-08-08 - -
AMENDED AND RESTATEDARTICLES 2002-07-30 - -
NAME CHANGE AMENDMENT 2002-07-30 BIG BEND COMMUNITY BASED CARE, INC. -

Documents

Name Date
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-30
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-25
AMENDED ANNUAL REPORT 2017-02-20
ANNUAL REPORT 2017-01-29
ANNUAL REPORT 2016-03-21

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
03-0423156 Corporation Unconditional Exemption 525 N MARTIN LUTHER KING JR BLVD, TALLAHASSEE, FL, 32301-1054 2002-08
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 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 10,000,000 to 49,999,999
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 48390933
Income Amount 217465430
Form 990 Revenue Amount 217326443
National Taxonomy of Exempt Entities Health Care: Health Support Services
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 BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 202306
Filing Type E
Return Type 990T
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 202206
Filing Type E
Return Type 990T
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 202106
Filing Type E
Return Type 990T
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name NORTHWEST FLORIDA HEALTH NETWORK INC
EIN 03-0423156
Tax Period 202006
Filing Type P
Return Type 990T
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 201906
Filing Type P
Return Type 990T
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 201806
Filing Type P
Return Type 990T
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 201706
Filing Type P
Return Type 990T
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
Tax Period 201606
Filing Type P
Return Type 990T
File View File
Organization Name BIG BEND COMMUNITY BASED CARE INC
EIN 03-0423156
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
1192877202 2020-04-15 0491 PPP 525 North MLK Jr. Blvd, TALLAHASSEE, FL, 32301
Loan Status Date 2021-02-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1500000
Loan Approval Amount (current) 1500000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19595
Servicing Lender Name Ameris Bank
Servicing Lender Address 3490 Piedmont Rd NE, Ste 124, ATLANTA, GA, 30305
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TALLAHASSEE, LEON, FL, 32301-0001
Project Congressional District FL-02
Number of Employees 166
NAICS code 624110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 19595
Originating Lender Name Ameris Bank
Originating Lender Address ATLANTA, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1510068.49
Forgiveness Paid Date 2021-01-07

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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