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  5. BIG BEND COMMUNITY BASED CARE, INC.

BIG BEND COMMUNITY BASED CARE, INC.

Company Details

Entity Name: BIG BEND COMMUNITY BASED CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
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
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

Agent

Name Role Address
WATKINS MIKE Agent 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301

Treasurer

Name Role Address
Smith Bambi Treasurer 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301

Director

Name Role Address
Holifield Liz Dr. Director 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301
Johns Reggie Director 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301

Secretary

Name Role Address
Roberts Teresa Secretary 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301

President

Name Role Address
Waters Gerald President 525 N MLK JR BLVD, TALLAHASSEE, FL, 32301

Vice President

Name Role Address
Pickett Ronald Vice President 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 No data 525 N. MARTIN LUTHER KING JR. BLVD., TALLAHASSEE, FL, 32301
G11000069245 INDEPENDENCE VILLAGE EXPIRED 2011-07-11 2016-12-31 No data 525 NORTH MARTIN LUTHER KING BLVD, TALLAHASSEE, FL, 32301
G11000068130 INDEPENDENCE VILLAGE, LLC EXPIRED 2011-07-07 2016-12-31 No data 525 NORTH MARTIN LUTHER KING BLVD, TALLAHASSEE, FL, 32301

Events

Event Type Filed Date Value Description
AMENDMENT 2013-05-03 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-11-07 525 N MLK JR BLVD, TALLAHASSEE, FL 32301 No data
REINSTATEMENT 2012-11-07 No data No data
REGISTERED AGENT ADDRESS CHANGED 2012-11-07 525 N MLK JR BLVD, TALLAHASSEE, FL 32301 No data
CHANGE OF MAILING ADDRESS 2012-11-07 525 N MLK JR BLVD, TALLAHASSEE, FL 32301 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
REGISTERED AGENT NAME CHANGED 2006-06-26 WATKINS, MIKE No data
AMENDED AND RESTATEDARTICLES 2003-08-08 No data No data
AMENDED AND RESTATEDARTICLES 2002-07-30 No data No data
NAME CHANGE AMENDMENT 2002-07-30 BIG BEND COMMUNITY BASED CARE, INC. No data

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

Related by officers

Roberts Teresa

ADVANCED INTEGRATED SERVICES, INCORPORATED

WATKINS MIKE

INDEPENDENCE VILLAGE LLC SMART JUSTICE FOUNDATION, INC. FLORIDA ASSOCIATION OF MANAGING ENTITIES, INC. LEON HSC, LLC NWF PARTNERSHIP FOR BETTER COMMUNITIES, INC. JOEY POTTER MISSIONS, INC. WASHINGTON HSC, LLC JACKSON HSC, LLC OLD BAINBRIDGE SQUARE COMMERCIAL CONDOMINIUMS ASSOCIATION, INC.

Related by address

525 N MLK JR BLVD, TALLAHASSEE, FL, 32301

INDEPENDENCE VILLAGE LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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