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GIRLS EMPOWERED MENTALLY FOR SUCCESS, INC.

Company Details

Entity Name: GIRLS EMPOWERED MENTALLY FOR SUCCESS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 21 Feb 2005 (20 years ago)
Last Event: AMENDMENT
Event Date Filed: 09 Nov 2005 (19 years ago)
Document Number: N05000001797
FEI/EIN Number 202375049
Address: 5107 N22 st, TAMPA, FL, 33610, US
Mail Address: PO BOX 292814, TAMPA, FL, 33687
ZIP code: 33610
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043792765 2018-08-29 2018-08-29 PO BOX 292814, TAMPA, FL, 336872814, US 5001 N NEBRASKA AVE, TAMPA, FL, 336032304, US

Contacts

Phone +1 813-300-2891

Authorized person

Name MS. CRYSTAL BAILES
Role CEO
Phone 8134955730

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
State FL
Is Primary Yes

Agent

Name Role Address
Crystal Petersen Dr. Agent 750 Grand Cypress Lane, Tarpon Springs, FL, 34689

Director

Name Role Address
Davis Shandra Dr. Director 10901 Brighton Bay Blvd NE apt 1104, St Petersburg, FL, 33716
Pesano Phala Dr. Director 1404 Tatiana Pl, Valrico, FL, 33596
Janelle Jacques Director 1239 Amazon Lane, Kissimmee, FL, 34759

Chief Executive Officer

Name Role Address
Petersen CRYSTAL Chief Executive Officer 750 Grand Cypress Ln, Tarpon Springs, FL, 34689

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000122746 TRANSITIONS CANDLES ACTIVE 2019-11-15 2029-12-31 No data 5107 N. 22ND STREET, TAMPA, FL, 33610
G08189900175 THE EMPOWERMENT CENTER EXPIRED 2008-07-06 2013-12-31 No data 1304B BUSCH BLVD, TAMPA, FL, 33612

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-22 5107 N22 st, TAMPA, FL 33610 No data
REGISTERED AGENT ADDRESS CHANGED 2023-05-16 750 Grand Cypress Lane, Tarpon Springs, FL 34689 No data
REGISTERED AGENT NAME CHANGED 2022-03-01 Crystal, Petersen, Dr. No data
CHANGE OF MAILING ADDRESS 2010-04-23 5107 N22 st, TAMPA, FL 33610 No data
AMENDMENT 2005-11-09 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-05-16
ANNUAL REPORT 2022-03-01
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-04-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State