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HALIFAX HOSPICE, INC. - Florida Company Profile

Company Details

Entity Name: HALIFAX 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: 21 Dec 1984 (40 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 11 Sep 2009 (16 years ago)
Document Number: N06783
FEI/EIN Number 592661284

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

Address: 3800 WOODBRIAR TRAIL, PORT ORANGE, FL, 32119, US
Mail Address: 303 N. CLYDE MORRIS BLVD., ATTN: LEGAL DEPT., DAYTONA BEACH, FL, 32114, US
ZIP code: 32119
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376510065 2006-03-02 2011-04-14 3800 WOODBRIAR TRAIL, PORT ORANGE, FL, 321299626, US 3800 WOODBRIAR TRAIL, PORT ORANGE, FL, 321299626, US

Contacts

Phone +1 386-322-4701
Fax 3863224702

Authorized person

Name MRS. FRANCES F DAVIS
Role EXECUTIVE DIRECTOR
Phone 3863224701

Taxonomy

Taxonomy Code 251G00000X - Community Based Hospice Care Agency
License Number 5034096
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 087523600
State FL

Key Officers & Management

Name Role Address
RITCHEY GLENN Director 551 NORTH NOVA ROAD, DAYTONA BEACH, FL, 32114
GOODEMOTE HAROLD Director 619 NORTH BEACH STREET, DAYTONA BEACH, FL, 32114
FEASEL JEFF President 303 NORTH CLYDE MORRIS BLVD., DAYTONA BEACH, FL, 32114
MCCALL TOM Director 2379 BEVILLE ROAD, DAYTONA BEACH, FL, 32119
LENTZ CARL WIII Director 570 John Anderson Drive, Ormond Beach, FL, 32176
Florez Alan Director 225 Landmark Cr., Ormond Beach, FL, 32176
KWIATEK KELLY Agent 303 N. CLYDE MORRIS BLVD, DAYTONA BEACH, FL, 32114

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000104434 HALIFAX HEALTH HOSPICE ACTIVE 2014-10-15 2029-12-31 - 3800 WOODBRIAR TRAIL, PORT ORANGE, FL, 32129
G09000106894 LAWRENCE E. WHELAN BEGINAGAIN CHILDREN'S GRIEF CENTER ACTIVE 2009-05-13 2029-12-31 - C/O LEGAL DEPARTMENT, 303 NORTH CLYDE MORRIS BOULEVARD, DAYTONA BEACH, FL, 32114
G08121700057 HALIFAX HEALTH HOSPICE OF VOLUSIA/FLAGLER ACTIVE 2008-04-30 2028-12-31 - 303 NORTH CLYDE MORRIS BOULEVARD, DAYTONA BEACH, FL, 32114
G04245700058 FAMILY CAREGIVER PROGRAM ACTIVE 2004-09-01 2029-12-31 - C/O HMC LEGAL DEPARTMENT, 303 N. CLYDE MORRIS, DAYTONA BEACH, FL, 32114

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-26 KWIATEK, KELLY -
AMENDED AND RESTATEDARTICLES 2009-09-11 - -
CHANGE OF PRINCIPAL ADDRESS 2002-04-11 3800 WOODBRIAR TRAIL, PORT ORANGE, FL 32119 -
CHANGE OF MAILING ADDRESS 2000-02-04 3800 WOODBRIAR TRAIL, PORT ORANGE, FL 32119 -
REGISTERED AGENT ADDRESS CHANGED 1993-05-01 303 N. CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114 -
REINSTATEMENT 1987-12-15 - -
INVOLUNTARILY DISSOLVED 1987-11-16 - -
AMENDMENT 1987-06-25 - -
AMENDMENT 1985-09-04 - -

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-02-26
ANNUAL REPORT 2023-03-21
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-03-02
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-04-05
ANNUAL REPORT 2017-03-08
ANNUAL REPORT 2016-03-14

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-2661284 Corporation Unconditional Exemption PO BOX 2830, DAYTONA BEACH, FL, 32120-2830 1987-09
In Care of Name % PAYROLL
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period -
Asset 1,000,000 to 4,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 - Not required to file (instrumentalities of states or political subdivisions)
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount -
Income Amount -
Form 990 Revenue Amount -
National Taxonomy of Exempt Entities -
Sort Name HOSPICE OF VOLUSIA

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)

Date of last update: 01 Apr 2025

Sources: Florida Department of State