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  5. BOND COMMUNITY HEALTH CENTER, INC.

BOND COMMUNITY HEALTH CENTER, INC.

Company Details

Entity Name: BOND COMMUNITY HEALTH CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 22 Jun 1984 (41 years ago)
Document Number: N03847
FEI/EIN Number 592426414
Address: 1720 S GADSDEN ST, TALLAHASSEE, FL, 32301, US
Mail Address: 1720 S GADSDEN ST, TALLAHASSEE, FL, 32301, US
ZIP code: 32301
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972214419 2022-12-06 2023-04-18 1720 S GADSDEN ST, TALLAHASSEE, FL, 323015506, US 2813 RIDGEWAY ST, TALLAHASSEE, FL, 323105003, US

Contacts
Phone +1 850-576-4073

Authorized person
Name TEMPLE O ROBINSON
Role CEO
Phone 8505764073

Taxonomy
Taxonomy Code 261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF BOND COMMUNITY HEALTH CENTER, INC. 2023 592426414 2024-05-28 BOND COMMUNITY HEALTH CENTER, INC. 152
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 8505764073
Plan sponsor’s address 1720 S GADSDEN ST, TALLAHASSEE, FL, 323015506

Signature of
Role Plan administrator
Date 2024-05-28
Name of individual signing DANA SCHULTZ
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF BOND COMMUNITY HEALTH CENTER, INC. 2022 592426414 2023-12-06 BOND COMMUNITY HEALTH CENTER, INC. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 8505764073
Plan sponsor’s address 1720 S GADSDEN ST, TALLAHASSEE, FL, 323015506

Signature of
Role Plan administrator
Date 2023-12-06
Name of individual signing DANA SCHULTZ
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF BOND COMMUNITY HEALTH CENTER, INC. 2021 592426414 2022-07-28 BOND COMMUNITY HEALTH CENTER, INC. 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 8505764073
Plan sponsor’s address 1720 S GADSDEN ST, TALLAHASSEE, FL, 323015506

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing DANA SCHULTZ
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF BOND COMMUNITY HEALTH CENTER, INC. 2020 592426414 2021-10-14 BOND COMMUNITY HEALTH CENTER, INC. 120
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 8505764073
Plan sponsor’s address 1720 S GADSDEN ST, TALLAHASSEE, FL, 323015506

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing DANA SCHULTZ
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF BOND COMMUNITY HEALTH CENTER, INC. 2019 592426414 2020-10-14 BOND COMMUNITY HEALTH CENTER, INC. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 8505764073
Plan sponsor’s address 1720 S GADSDEN ST, TALLAHASSEE, FL, 323015506

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing JOHN GRAYSON
Valid signature Filed with authorized/valid electronic signature
BOND COMMUNITY HEALTH CENTER, INC. 2014 592426414 2015-06-24 BOND COMMUNITY HEALTH CENTER, INC. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 8505764073
Plan sponsor’s address 1720 S. GADSDEN STREET, TALLAHASSEE, FL, 32301

Signature of
Role Plan administrator
Date 2015-06-24
Name of individual signing DEBRA STOKES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-24
Name of individual signing DEBRA STOKES
Valid signature Filed with authorized/valid electronic signature
BOND COMMUNITY HEALTH CENTER, INC. 2013 592426414 2014-07-01 BOND COMMUNITY HEALTH CENTER, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 8505764073
Plan sponsor’s address 1720 S. GADSDEN STREET, TALLAHASSEE, FL, 32301

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing DEBRA STOKES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-01
Name of individual signing DEBRA STOKES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROBINSON TEMPLE O Agent 1720 S GADSDEN ST, TALLAHASSEE, FL, 32301

Chief Executive Officer

Name Role Address
Robinson Temple ODr. Chief Executive Officer 1720 S GADSDEN ST, TALLAHASSEE, FL, 32301

Treasurer

Name Role Address
Brodie William Treasurer 1720 S GADSDEN ST, TALLAHASSEE, FL, 32301

Vice Chairman

Name Role Address
BRONSON SEVILLA Vice Chairman 1720 S GADSDEN ST, TALLAHASSEE, FL, 32301

Director

Name Role Address
Rosario Mia Dr. Director 1720 S GADSDEN ST, TALLAHASSEE, FL, 32301

Chief Operating Officer

Name Role Address
Deane Marshun Chief Operating Officer 1720 S GADSDEN ST, TALLAHASSEE, FL, 32301

Chairman

Name Role Address
Parks Darryl OEsq. Chairman 1720 S GADSDEN ST, TALLAHASSEE, FL, 32301

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000060376 THE SMILE CONNECTION AT SABAL PALM ACTIVE 2023-05-13 2028-12-31 No data 1720 S. GADSDEN STREET, TALLAHASSEE, FL, 32301
G23000053464 THE SMILE CONNECTION AT SABLE PALM ACTIVE 2023-04-27 2028-12-31 No data 1720 S. GADSDEN STREET, TALLAHASSEE, FL, 32301
G12000011832 BOND-PUBLIC HOUSING PRIMARY CARE CENTER EXPIRED 2012-02-02 2017-12-31 No data 1704 JOE LOUIS STREET, TALLAHASSEE, FL, 32304
G11000071620 BOND/APALACHEE WELLNESS INTEGRATION CENTER EXPIRED 2011-07-18 2016-12-31 No data 2634-J CAPITAL CIRCLE NE, TALLAHASSEE, FL, 32308
G11000071616 KAY FREEMAN HEALTH CENTER EXPIRED 2011-07-18 2016-12-31 No data 2729-8 MUNICIPAL WAY, TALLAHASSEE, FL, 32304

Events

Event Type Filed Date Value Description
REINSTATEMENT 1996-10-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 No data No data
AMENDED AND RESTATEDARTICLES/NAME CHANGE 1995-04-14 BOND COMMUNITY HEALTH CENTER, INC. No data
REINSTATEMENT 1989-04-03 No data No data
INVOLUNTARILY DISSOLVED 1988-11-04 No data No data
AMENDMENT 1985-11-25 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J03000015919 LAPSED 01-008989 (C) CIRCUIT COURT HILLSBOROUGH COU 2002-12-31 2008-01-15 $17103.69 LABORATORY CORPORATION OF AMERICA, 5610 WEST LASALLE STREET, TAMPA FL 33607

Related by officers

Robinson Temple ODr.

BOND COMMUNITY HEALTHCARE FOUNDATION, INC.

Brodie William

VIGILANT BIOSCIENCES, INC.

BRONSON SEVILLA

VISIONS OF HOPE AND PROMISE OF FLORIDA, INC. C O R INNOVATIONS, INC.

Related by address

1720 S GADSDEN ST, TALLAHASSEE, FL, 32301, US

BOND COMMUNITY HEALTHCARE FOUNDATION, INC.

1720 S GADSDEN ST, TALLAHASSEE, FL, 32301, US

BOND COMMUNITY HEALTHCARE FOUNDATION, INC.

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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