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GOOD SHEPHERD HOSPICE, INC. - Florida Company Profile

Company Details

Entity Name: GOOD SHEPHERD HOSPICE, 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: 24 Jul 2006 (19 years ago)
Last Event: AMENDMENT
Event Date Filed: 15 Aug 2014 (11 years ago)
Document Number: N06000007799
FEI/EIN Number 205276923

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 12470 Telecom Drive, Temple Terrace, FL, 33637, US
Address: 3470 Lakeland Hills Blvd., Lakeland, FL, 33805, US
ZIP code: 33805
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720691017 2020-08-26 2021-03-15 12470 TELECOM DR STE 300W, ATTN: LEGAL, TEMPLE TERRACE, FL, 336370904, US 11400 OVERSEAS HWY STE 203, MARATHON, FL, 330503600, US

Contacts

Phone +1 813-871-8075
Fax 8138718076
Phone +1 305-396-8100

Authorized person

Name SHARON PAMELA SAUCIER
Role CHIEF COMPLIANCE OFFICER
Phone 8138718031

Taxonomy

Taxonomy Code 251G00000X - Community Based Hospice Care Agency
Is Primary Yes

Key Officers & Management

Name Role Address
Joiner James T Director 3470 Lakeland Hills Blvd., Lakeland, FL, 33805
Davis Cyndi E Non 12470 Telecom Drive, Temple Terrace, FL, 33637
Zolman Valerie Ex 12470 Telecom Drive, Temple Terrace, FL, 33637
Zolman Valerie Officer 12470 Telecom Drive, Temple Terrace, FL, 33637
Rhoades Clifford R Director 3470 Lakeland Hills Blvd., Lakeland, FL, 33805
Zenkner Manfred K Ex 3470 Lakeland Hills Blvd., Lakeland, FL, 33805
Molosky Andrew K Director 3470 Lakeland Hills Blvd., Lakeland, FL, 33805
Zenkner Manfred K Officer 3470 Lakeland Hills Blvd., Lakeland, FL, 33805
Molosky Andrew K Agent 12470 Telecom Drive, Temple Terrace, FL, 33637

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000025243 CHAPTERS HEALTH HOSPICE ACTIVE 2020-02-26 2025-12-31 - ATTN: LEGAL, 12470 TELECOM DRIVE, SUITE 300W, TEMPLE TERRACE, FL, 33637
G19000132146 CHAPTERS HOSPICE OF SOUTH FLORIDA ACTIVE 2019-12-13 2029-12-31 - 12470 TELECOM DR., SUITE 301, ATTN: LEGAL DEPT, TEMPLE TERRACE, FL, 33637
G17000013408 FORSYTHE HOSPICE HOUSE ACTIVE 2017-02-06 2027-12-31 - 12470 TELECOM DR., STE. 301, ATTN: LEGAL DEPT., TEMPLE TERRACE, FL, 33637
G17000013395 LAKELAND HOSPICE HOUSE ACTIVE 2017-02-06 2027-12-31 - 12470 TELECOM DR., STE. 301, ATTN: LEGAL DEPT., TEMPLE TERRACE, FL, 33637
G14000063513 BUD AND DONNA SOMERS HOSPICE HOUSE AND RESOURCE CENTER ACTIVE 2014-06-20 2029-12-31 - C/O CHAPTERS HEALTH SYSTEM - LEGAL DEPT., 12470 TELECOM DR., STE. 301, TEMPLE TERRACE, FL, 33637
G07302900231 THE BETHANY CENTER OF GOOD SHEPHERD HOSPICE ACTIVE 2007-10-29 2027-12-31 - C/O CHAPTERS HEALTH SYSTEM, INC., 12470 TELECOM DR STE 301, TEMPLE TERRACE, FL, 33637
G07302900501 GOOD SHEPHERD HOSPICE ACTIVE 2007-10-29 2027-12-31 - C/O CHAPTERS HEALTH SYSTEM, INC., 12470 TELECOM DR STE 301, TEMPLE TERRACE, FL, 33637

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-03-25 12470 Telecom Drive, Attn: Legal, Suite 301, Temple Terrace, FL 33637 -
CHANGE OF MAILING ADDRESS 2021-04-23 3470 Lakeland Hills Blvd., Lakeland, FL 33805 -
REGISTERED AGENT NAME CHANGED 2018-02-23 Molosky, Andrew K. -
CHANGE OF PRINCIPAL ADDRESS 2015-04-17 3470 Lakeland Hills Blvd., Lakeland, FL 33805 -
AMENDMENT 2014-08-15 - -
RESTATED ARTICLES 2012-12-17 - -
AMENDMENT 2011-01-24 - -

Court Cases

Title Case Number Docket Date Status
GOOD SHEPHERD HOSPICE, INC. VS FRANK MAURA, ESTATE OF: FRANCISCO J. MAURA 2D2017-2728 2017-06-22 Closed
Classification NOA Non Final - Circuit Civil - Other
Court 2nd District Court of Appeal
Originating Court Circuit Court for the Tenth Judicial Circuit, Polk County
2016CA-2664

Parties

Name GOOD SHEPHERD HOSPICE, INC.
Role Appellant
Status Active
Representations AMY L. DILDAY, ESQ., DEREK M. DANIELS, ESQ., MASON B. BINKLEY, ESQ.
Name FRANK MAURA
Role Appellee
Status Active
Representations MICHELLE N. DE LONG, ESQ.
Name ESTATE OF: FRANCISCO J. MAURA
Role Appellee
Status Active
Name POLK CLERK
Role Lower Tribunal Clerk
Status Active

Docket Entries

Docket Date 2017-07-11
Type Disposition by Order
Subtype Dismissed
Description ORDER GRANTING VOLUNTARY DISMISSAL
Docket Date 2017-07-11
Type Disposition
Subtype Dismissed
Description Dismissed - Order by Clerk
Docket Date 2017-07-10
Type Motions Other
Subtype Motion/Notice Voluntary Dismissal
Description Notice of Voluntary Dismissal ~ NOTICE OF STIPULATION FOR DISMISSAL
On Behalf Of GOOD SHEPHERD HOSPICE, INC.
Docket Date 2017-07-06
Type Letter
Subtype Acknowledgment Letter
Description Acknowledgment Letter 1
Docket Date 2017-07-06
Type Order
Subtype Nonfinal Appeals
Description nonfinal appeal order for initial brief
Docket Date 2017-06-22
Type Notice
Subtype Notice of Appeal
Description Notice of Appeal Filed
On Behalf Of GOOD SHEPHERD HOSPICE, INC.
Docket Date 2017-06-22
Type Misc. Events
Subtype Fee Status
Description HL:Fee Owed

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-04-07
AMENDED ANNUAL REPORT 2022-08-03
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-06-24
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-02-23
ANNUAL REPORT 2017-04-22
ANNUAL REPORT 2016-03-01

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
20-5276923 Corporation Unconditional Exemption 12470 TELECOM DR STE 300, TEMPLE TERR, FL, 33637-0904 2006-12
In Care of Name % LEGAL DEPARTMENT
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 17034849
Income Amount 34707832
Form 990 Revenue Amount 34707832
National Taxonomy of Exempt Entities Health Care: Nursing Services (General)
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Form 990-N (e-Postcard)

Organization Name Good Shepherd Hospice Inc
EIN 20-5276923
Tax Year 2007
Beginning of tax period 2007-01-01
End of tax period 2007-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 12973 telecom parkway, temple terrace, FL, 33637, US
Principal Officer's Name Good Shepherd Hospice Inc
Principal Officer's Address 12973 telecom parkway, temple terrace, FL, 33637, US

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name GOOD SHEPHERD HOSPICE INC
EIN 20-5276923
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name GOOD SHEPHERD HOSPICE INC
EIN 20-5276923
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name GOOD SHEPHERD HOSPICE INC
EIN 20-5276923
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name GOOD SHEPHERD HOSPICE INC
EIN 20-5276923
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name GOOD SHEPHERD HOSPICE INC
EIN 20-5276923
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name GOOD SHEPHERD HOSPICE INC
EIN 20-5276923
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name GOOD SHEPHERD HOSPICE INC
EIN 20-5276923
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name GOOD SHEPHERD HOSPICE INC
EIN 20-5276923
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name GOOD SHEPHERD HOSPICE INC
EIN 20-5276923
Tax Period 201512
Filing Type E
Return Type 990
File View File

Date of last update: 03 Mar 2025

Sources: Florida Department of State