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SOCIETY OF ST. AGNES INCORPORATED

Company Details

Entity Name: SOCIETY OF ST. AGNES INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 02 Aug 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 03 Jan 2005 (20 years ago)
Document Number: N04000007600
FEI/EIN Number 770643878
Address: 6012 CASON WAY, LAKELAND, FL, 33812
Mail Address: P.O. BOX 7422, LAKELAND, FL, 33807
ZIP code: 33812
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598069718 2011-01-03 2011-01-03 PO BOX 7422, LAKELAND, FL, 338077422, US 6012 CASON WAY, LAKELAND, FL, 338123888, US

Contacts

Phone +1 863-644-6640
Fax 8637090595

Authorized person

Name MS. ATUKUZWE VICTOR NYIRENDA
Role DIRECTOR
Phone 8636446640

Taxonomy

Taxonomy Code 251C00000X - Developmentally Disabled Services Day Training Agency
License Number 14GH01357
State FL
Is Primary Yes
Taxonomy Code 251C00000X - Developmentally Disabled Services Day Training Agency
License Number 14GH01351
State FL
Is Primary No

Agent

Name Role Address
NYIRENDA ATUKUZWE S Agent 6012 CASON WAY, LAKELAND, FL, 33812

Director

Name Role Address
Maria Atukuzwe Nyirenda VSister Director 6012 CASON WAY, LAKELAND, FL, 33812

Officer

Name Role Address
Simba Shukuru S Officer 6012 Cason Way, LAKELAND, FL, 33812
Mlimira, Kafara RSister Officer 6012 Cason Way, LAKELAND, FL, 33812
GRAHAM JOHN MSister Officer 1302 S. HARTSELL AVENUE, LAKELAND, FL, 33803

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-05-27 6012 CASON WAY, LAKELAND, FL 33812 No data
REGISTERED AGENT ADDRESS CHANGED 2009-05-27 6012 CASON WAY, LAKELAND, FL 33812 No data
CHANGE OF MAILING ADDRESS 2006-03-24 6012 CASON WAY, LAKELAND, FL 33812 No data
AMENDMENT 2005-01-03 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-03-01
ANNUAL REPORT 2021-02-22
ANNUAL REPORT 2020-02-07
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-02-05
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-03-12
ANNUAL REPORT 2015-05-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State