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  5. SENIORS IN SERVICE OF TAMPA BAY, INC.

SENIORS IN SERVICE OF TAMPA BAY, INC. - Florida Company Profile

Company Details

Entity Name: SENIORS IN SERVICE OF TAMPA BAY, 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: 20 Mar 1984 (41 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 29 Sep 1997 (28 years ago)
Document Number: N02055
FEI/EIN Number 592422975

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1306 W SLIGH AVE, TAMPA, FL, 33604, US
Mail Address: 1306 W SLIGH AVE, TAMPA, FL, 33604, US
ZIP code: 33604
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669781258 2010-09-29 2010-09-29 1306 W. SLIGH AVENUE, TAMPA, FL, 336045902, US 1306 W. SLIGH AVENUE, TAMPA, FL, 336045902, US

Contacts
Phone +1 813-932-5228
Fax 8139329604

Authorized person
Name MRS. GRACE H. PUTERMAN
Role PRESIDENT & CEO
Phone 8139325228

Taxonomy
Taxonomy Code 372600000X - Adult Companion
License Number 5776
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 672457400
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF SENIORS IN SERVICE OF TAMPA BAY, INC. 2022 592422975 2023-09-06 SENIORS IN SERVICE OF TAMPA BAY, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624200
Sponsor’s telephone number 8139325228
Plan sponsor’s address 1306 W SLIGH AVE, TAMPA, FL, 336045902

Signature of
Role Plan administrator
Date 2023-09-06
Name of individual signing HEATHER ROGERS
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SENIORS IN SERVICE OF TAMPA BAY, INC. 2021 592422975 2022-10-07 SENIORS IN SERVICE OF TAMPA BAY, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624200
Sponsor’s telephone number 8139325228
Plan sponsor’s address 1306 W SLIGH AVE, TAMPA, FL, 336045902

Signature of
Role Plan administrator
Date 2022-10-07
Name of individual signing HEATHER ROGERS
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SENIORS IN SERVICE OF TAMPA BAY, INC. 2020 592422975 2021-06-25 SENIORS IN SERVICE OF TAMPA BAY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624200
Sponsor’s telephone number 8139325228
Plan sponsor’s address 1306 W SLIGH AVE, TAMPA, FL, 336045902

Signature of
Role Plan administrator
Date 2021-06-25
Name of individual signing HEATHER ROGERS
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SENIORS IN SERVICE OF TAMPA BAY, INC. 2019 592422975 2020-07-30 SENIORS IN SERVICE OF TAMPA BAY, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 624200
Sponsor’s telephone number 8139325228
Plan sponsor’s address 1306 W SLIGH AVE, TAMPA, FL, 336045902

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing HEATHER ROGERS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Hall Mark Director 1306 W SLIGH AVE, TAMPA, FL, 33604
Choundas Marina AEsq. Director 1306 W SLIGH AVE, TAMPA, FL, 33604
Heizer David Director 1306 W SLIGH AVE, TAMPA, FL, 33604
Ingles Robin Officer 1306 W SLIGH AVE, TAMPA, FL, 33604
Bergman Tracie Director 1306 W SLIGH AVE, TAMPA, FL, 33604
Fudge Daphne Dr. Director 1306 W SLIGH AVE, TAMPA, FL, 33604
Ingles Robin Agent 1306 W SLIGH AVE, TAMPA, FL, 33604

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-08-30 Ingles, Robin -
CHANGE OF PRINCIPAL ADDRESS 1998-05-12 1306 W SLIGH AVE, TAMPA, FL 33604 -
CHANGE OF MAILING ADDRESS 1998-05-12 1306 W SLIGH AVE, TAMPA, FL 33604 -
REGISTERED AGENT ADDRESS CHANGED 1998-05-12 1306 W SLIGH AVE, TAMPA, FL 33604 -
AMENDMENT AND NAME CHANGE 1997-09-29 SENIORS IN SERVICE OF TAMPA BAY, INC. -

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-03-03
ANNUAL REPORT 2020-05-13
AMENDED ANNUAL REPORT 2019-08-30
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-02-08
ANNUAL REPORT 2016-03-28

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD VA673C00235 2009-12-08 2009-12-08 2010-03-30
Unique Award Key CONT_AWD_VA673C00235_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SERVICES TO SENIORS
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes R499: OTHER PROFESSIONAL SERVICES

Recipient Details
Recipient SENIORS IN SERVICE OF TAMPA BAY, INC.
UEI LJW9JUBDSQD5
Legacy DUNS 145728010
Recipient Address 1306 W SLIGH AVE, TAMPA, 336045902, UNITED STATES
PO AWARD VA673C90279 2009-07-17 2009-07-17 2009-07-17
Unique Award Key CONT_AWD_VA673C90279_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SERVICE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes G005: GERIATRIC SERVICES

Recipient Details
Recipient SENIORS IN SERVICE OF TAMPA BAY, INC.
UEI LJW9JUBDSQD5
Legacy DUNS 145728010
Recipient Address 1306 W SLIGH AVE, TAMPA, 336045902, UNITED STATES
PO AWARD VA673C90623 2009-07-08 2009-07-08 2009-07-08
Unique Award Key CONT_AWD_VA673C90623_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title GERIATRIC/VETERANS SERVICE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes G005: GERIATRIC SERVICES

Recipient Details
Recipient SENIORS IN SERVICE OF TAMPA BAY, INC.
UEI LJW9JUBDSQD5
Legacy DUNS 145728010
Recipient Address 1306 W SLIGH AVE, TAMPA, 336045902, UNITED STATES
PO AWARD VA673C90353 2009-02-02 2009-03-02 2009-03-02
Unique Award Key CONT_AWD_VA673C90353_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title QUARTERLY CONTRIBUTION
NAICS Code 541990: ALL OTHER PROFESSIONAL, SCIENTIFIC, AND TECHNICAL SERVICES
Product and Service Codes R499: OTHER PROFESSIONAL SERVICES

Recipient Details
Recipient SENIORS IN SERVICE OF TAMPA BAY, INC.
UEI LJW9JUBDSQD5
Legacy DUNS 145728010
Recipient Address 1306 W SLIGH AVE, TAMPA, 336045902, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
10SFSFL005 Corporation for National and Community Service 94.011 - FOSTER GRANDPARENT PROGRAM 2010-01-01 2012-12-31 FOSTER GRANDPARENT PROGRAM
Recipient SENIORS IN SERVICE OF TAMPA BAY INC
Recipient Name Raw SENIORS IN SERVICE OF TAMPA BAY INC
Recipient DUNS 044471311
Recipient Address 1306 W SLIGH AVE, TAMPA, HILLSBOROUGH, FLORIDA, 33604-5902
Obligated Amount 1962161.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
10SCSFL005 Corporation for National and Community Service 94.016 - SENIOR COMPANION PROGRAM 2010-01-01 2012-12-31 SENIOR COMPANION PROGRAM
Recipient SENIORS IN SERVICE OF TAMPA BAY INC
Recipient Name Raw SENIORS IN SERVICE OF TAMPA BAY INC
Recipient DUNS 044471311
Recipient Address 1306 W SLIGH AVE, TAMPA, HILLSBOROUGH, FLORIDA, 33604-5902
Obligated Amount 811779.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
07SFSFL003 Corporation for National and Community Service 94.011 - FOSTER GRANDPARENT PROGRAM 2007-01-01 2009-12-31 FOSTER GRANDPARENT PROGRAM
Recipient SENIORS IN SERVICE OF TAMPA BAY INC
Recipient Name Raw SENIORS IN SERVICE OF TAMPA BAY INC
Recipient DUNS 044471311
Recipient Address 1306 W SLIGH AVE, TAMPA, HILLSBOROUGH, FLORIDA, 33604-5902
Obligated Amount 1863014.00
Non-Federal Funding 338335.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
07SCSFL001 Corporation for National and Community Service 94.016 - SENIOR COMPANION PROGRAM 2007-01-01 2009-12-31 SENIOR COMPANION PROGRAM
Recipient SENIORS IN SERVICE OF TAMPA BAY INC
Recipient Name Raw SENIORS IN SERVICE OF TAMPA BAY INC
Recipient DUNS 044471311
Recipient Address 1306 W SLIGH AVE, TAMPA, HILLSBOROUGH, FLORIDA, 33604-5902
Obligated Amount 1213893.00
Non-Federal Funding 242540.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-2422975 Corporation Unconditional Exemption 1306 W SLIGH AVE, TAMPA, FL, 33604-5902 1984-08
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 2023-12
Asset 500,000 to 999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 943054
Income Amount 3613991
Form 990 Revenue Amount 3606149
National Taxonomy of Exempt Entities -
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 SENIORS IN SERVICE OF TAMPA BAY INC
EIN 59-2422975
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name SENIORS IN SERVICE OF TAMPA BAY INC
EIN 59-2422975
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name SENIORS IN SERVICE OF TAMPA BAY INC
EIN 59-2422975
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name SENIORS IN SERVICE OF TAMPA BAY INC
EIN 59-2422975
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name SENIORS IN SERVICE OF TAMPA BAY INC
EIN 59-2422975
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name SENIORS IN SERVICE OF TAMPA BAY INC
EIN 59-2422975
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name SENIORS IN SERVICE OF TAMPA BAY INC
EIN 59-2422975
Tax Period 201512
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
2448107204 2020-04-16 0455 PPP 1306 SLIGH AVE, TAMPA, FL, 33604-5902
Loan Status Date 2021-04-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 162200
Loan Approval Amount (current) 162200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39232
Servicing Lender Name Hancock Whitney Bank
Servicing Lender Address 2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33604-5902
Project Congressional District FL-14
Number of Employees 11
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 39232
Originating Lender Name Hancock Whitney Bank
Originating Lender Address GULFPORT, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 163650.79
Forgiveness Paid Date 2021-03-15

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Companies related by address

No other companies in our directory share the same address as SENIORS IN SERVICE OF TAMPA BAY, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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