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  5. SPACE COAST HEALTH FOUNDATION, INC.

SPACE COAST HEALTH FOUNDATION, INC. - Florida Company Profile

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Company Details

Entity Name: SPACE COAST HEALTH FOUNDATION, 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: 13 Aug 1984 (41 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 13 Nov 2024 (8 months ago)
Document Number: N04669
FEI/EIN Number 592432318

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1100 ROCKLEDGE BLVD., Suite 100, ROCKLEDGE, FL, 32955, US
Mail Address: 1100 ROCKLEDGE BLVD., Suite 100, ROCKLEDGE, FL, 32955, US
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Dwight James Boar 1100 ROCKLEDGE BLVD., ROCKLEDGE, FL, 32955
Dale Linda Boar 1100 ROCKLEDGE BLVD., ROCKLEDGE, FL, 32955
Pilate Patrice Boar 1100 ROCKLEDGE BLVD., ROCKLEDGE, FL, 32955
Bird Adam Treasurer 1100 ROCKLEDGE BLVD., ROCKLEDGE, FL, 32955
Yasin Khalid Vice President 1100 ROCKLEDGE BLVD., ROCKLEDGE, FL, 32955
Benton Jane Dr. Secretary 1100 Rockledge Blvd. Suite 100, Rockledge, FL, 32955
GINDLING JOHNETTE Agent 1100 ROCKLEDGE BLVD., ROCKLEDGE, FL, 32955

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
GTFLGRUBPDJ7
CAGE Code:
6KN49
UEI Expiration Date:
2025-07-17

Business Information

URL:
https://www.schfbrevard.org/
Division Name:
SPACE COAST HEALTH FOUNDATION
Activation Date:
2024-07-19
Initial Registration Date:
2011-10-24

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
6KN49
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-07-19
CAGE Expiration:
2029-07-19
SAM Expiration:
2025-07-17

Contact Information

POC:
SHANNON RENNEMANN
Corporate URL:
https://www.schfbrevard.org/

National Provider Identifier

NPI Number:
1538406566
Certification Date:
2021-09-15
Link:
View on NPI website

Authorized Person:

Name:
MS. JOHNETTE GINDLING
Role:
EXECUTIVE DIRECTOR
Phone:
3216372606

Taxonomy:

Selected Taxonomy:
251K00000X - Public Health or Welfare Agency
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Phone:
+1 321-241-6600
Fax:
3216906621
Phone:
+1 321-632-5792
Fax:
3216325796

Legal Entity Identifier

LEI Number:
254900GML405PNQJ2780

Registration Details:

Initial Registration Date:
2019-05-17
Next Renewal Date:
2025-04-26
Registration Status:
ISSUED
Validation Source:
FULLY_CORROBORATED

Form 5500 Series

Employer Identification Number (EIN):
592432318
Plan Year:
2023
Number Of Participants:
81
Sponsors Telephone Number:
3212416600
File:
View File
Plan Year:
2022
Number Of Participants:
91
Sponsors Telephone Number:
3212416600
File:
View File
Plan Year:
2021
Number Of Participants:
88
Sponsors Telephone Number:
3212416600
File:
View File
Plan Year:
2020
Number Of Participants:
82
Sponsors Telephone Number:
3212416600
File:
View File
Plan Year:
2019
Number Of Participants:
69
Sponsors Telephone Number:
3212416600

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000034390 CHILDREN'S ADVOCACY CENTER OF BREVARD ACTIVE 2025-03-10 2030-12-31 - 1100 ROCKLEDGE BLVD, SUITE 100, ROCKLEDGE, FL, 32955
G17000098989 LIFETIME COUNSELING CENTER ACTIVE 2017-08-30 2027-12-31 - 1100 ROCKLEDGE BLVD., ROCKLEDGE, FL, 32955

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2024-11-13 - -
CHANGE OF PRINCIPAL ADDRESS 2019-03-25 1100 ROCKLEDGE BLVD., Suite 100, ROCKLEDGE, FL 32955 -
REGISTERED AGENT ADDRESS CHANGED 2019-03-25 1100 ROCKLEDGE BLVD., Suite 100, ROCKLEDGE, FL 32955 -
CHANGE OF MAILING ADDRESS 2019-03-25 1100 ROCKLEDGE BLVD., Suite 100, ROCKLEDGE, FL 32955 -
REGISTERED AGENT NAME CHANGED 2010-11-08 GINDLING, JOHNETTE -
AMENDED AND RESTATEDARTICLES/NAME CHANGE 2010-09-27 SPACE COAST HEALTH FOUNDATION, INC. -
AMENDMENT 2001-05-16 - -
AMENDMENT 2000-09-18 - -
AMENDMENT 1996-10-08 - -
AMENDMENT 1994-06-07 - -

Documents

Name Date
Amended and Restated Articles 2024-11-13
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-03-14
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-04-05

USAspending Awards / Financial Assistance

Date:
2020-04-14
Link:
View on USAspending
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:
611200.00
Total Face Value Of Loan:
611200.00

Tax Exempt

Employer Identification Number (EIN) :
59-2432318
In Care Of Name:
% JOY BLAZEK
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:
1997-12
National Taxonomy Of Exempt Entities:
Health Care: Community Health Systems
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
611200
Current Approval Amount:
611200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
617040.36

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Companies related by address

1100 ROCKLEDGE BLVD., Suite 100, ROCKLEDGE, FL, 32955, US

SCHF PHYSICIAN PRACTICES WIND-DOWN, INC.

1100 ROCKLEDGE BLVD., Suite 100, ROCKLEDGE, FL, 32955, US

SCHF PHYSICIAN PRACTICES WIND-DOWN, INC.

Date of last update: 03 Jun 2025

Sources: Florida Department of State

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