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HENDERSON HAVEN, INC. - Florida Company Profile

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Company Details

Entity Name: HENDERSON HAVEN, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 13 Aug 2003 (22 years ago)
Document Number: N03000006945
FEI/EIN Number 571181811
Address: 772 Foxridge Center Dr, ORANGE PARK, FL, 32065, US
Mail Address: 772 Foxridge Center Dr, ORANGE PARK, FL, 32065, US
ZIP code: 32065
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HENDERSON SHERRI A Director 2554 MOODY AVE, ORANGE PARK, FL, 32073
HENDERSON LEE Director 2554 MOODY AVE, ORANGE PARK, FL, 32073
Merwin Keith Director 5110 Siesta del Rio Dr, Jacksonville, FL, 32258
Pender Vanessa Director 309 Marisco Way, Jacksonville, FL, 32220
HENDERSON LEE . Agent 2554 MOODY AVE, ORANGE PARK, FL, 32073

National Provider Identifier

NPI Number:
1427013655

Authorized Person:

Name:
LEE HENDERSON
Role:
PRES CEO
Phone:

Taxonomy:

Selected Taxonomy:
251V00000X - Voluntary or Charitable Agency
Is Primary:
No
Selected Taxonomy:
305S00000X - Point of Service
Is Primary:
No
Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
Yes

Contacts:

Fax:
9042157338

Form 5500 Series

Employer Identification Number (EIN):
571181811
Plan Year:
2024
Number Of Participants:
45
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
36
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
33
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
31
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000086636 METAMORPHOSES ACTIVE 2012-09-04 2027-12-31 - 772 FOXRIDGE CENTER DR, ORANGE PARK, FL, 32065
G11000080069 FREE 2 BE ME ACTIVE 2011-08-11 2025-12-31 - 772 FOXRIDGE CENTER DR, ORANGE PARK, FL, 32065

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-01-28 772 Foxridge Center Dr, ORANGE PARK, FL 32065 -
CHANGE OF MAILING ADDRESS 2015-01-28 772 Foxridge Center Dr, ORANGE PARK, FL 32065 -
REGISTERED AGENT NAME CHANGED 2004-01-05 HENDERSON, LEE . -

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-25
ANNUAL REPORT 2020-02-04
ANNUAL REPORT 2019-02-01
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-28

USAspending Awards / Financial Assistance

Date:
2020-05-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
100000.00
Total Face Value Of Loan:
400000.00
Date:
2020-04-20
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
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:
84390.00
Total Face Value Of Loan:
84390.00
Date:
2020-04-07
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:
84390.00
Total Face Value Of Loan:
84390.00

Tax Exempt

Employer Identification Number (EIN) :
57-1181811
In Care Of Name:
% LEE HENDERSON
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:
2004-01
National Taxonomy Of Exempt Entities:
Human Services: Developmentally Disabled Centers
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
30
Initial Approval Amount:
$84,390
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$84,390
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$85,269.06
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $63,293
Utilities: $10,549
Mortgage Interest: $10,548

Motor Carrier Census

Carrier Operation:
Intrastate Non-Hazmat
Fax:
(904) 264-2522
Add Date:
2014-03-23
Operation Classification:
Priv. Pass. (Business)
power Units:
1
Drivers:
2
Inspections:
0
FMCSA Link:

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Date of last update: 02 Aug 2025

Sources: Florida Department of State