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THE GOOD SAMARITAN CLINIC OF WEST VOLUSIA COUNTY, INC. - Florida Company Profile

Company Details

Entity Name: THE GOOD SAMARITAN CLINIC OF WEST VOLUSIA COUNTY, 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: 19 Feb 2007 (18 years ago)
Document Number: N07000001780
FEI/EIN Number 300408193

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

Address: 136 E. Plymouth Avenue, DELAND, FL, 32724, US
Mail Address: 136 E. Plymouth Avenue, DELAND, FL, 32724, US
ZIP code: 32724
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Fairgrieve Fabiola Officer 136 E. Plymouth Avenue, DELAND, FL, 32720
Francis Frank Officer 136 E. Plymouth Avenue, DELAND, FL, 32724
DeLouis Mary Officer 136 E. Plymouth Avenue, DELAND, FL, 32724
Hibel Taylor Officer 136 E. Plymouth Avenue, DELAND, FL, 32724
Yannone Shannon Officer 136 E. Plymouth Avenue, DELAND, FL, 32724
Feyk William Agent 136 E. Plymouth Avenue, DELAND, FL, 32724
Feyk William Officer 136 E. Plymouth Avenue, DELAND, FL, 32724

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000076843 GOOD SAMARITAN CLINIC ACTIVE 2024-06-24 2029-12-31 - 136 E. PLYMOUTH AVENUE, DELAND, FL, 32724

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-06 Feyk, William -
REGISTERED AGENT ADDRESS CHANGED 2022-04-01 136 E. Plymouth Avenue, DELAND, FL 32724 -
CHANGE OF MAILING ADDRESS 2019-02-11 136 E. Plymouth Avenue, DELAND, FL 32724 -
CHANGE OF PRINCIPAL ADDRESS 2013-01-09 136 E. Plymouth Avenue, DELAND, FL 32724 -

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-04-01
Reg. Agent Change 2021-07-26
ANNUAL REPORT 2021-02-03
Reg. Agent Change 2020-03-16
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-18

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
30-0408193 Corporation Unconditional Exemption 136 E PLYMOUTH AVE, DELAND, FL, 32724-2871 2007-12
In Care of Name % MARY CATHERINE PUHR
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 1,000,000 to 4,999,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 1780915
Income Amount 412636
Form 990 Revenue Amount 412636
National Taxonomy of Exempt Entities Health Care: Ambulatory Health Center, Community Clinic
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)

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

Organization Name GOOD SAMARITAN CLINIC OF WEST VOLUSIA INC
EIN 30-0408193
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN CLINIC OF WEST VOLUSIA INC
EIN 30-0408193
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN CLINIC OF WEST VOLUSIA INC
EIN 30-0408193
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN CLINIC OF WEST VOLUSIA INC
EIN 30-0408193
Tax Period 201812
Filing Type P
Return Type 990
File View File
Organization Name GOOD SAMARITAN CLINIC OF WEST VOLUSIA INC
EIN 30-0408193
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name GOOD SAMARITAN CLINIC OF WEST VOLUSIA INC
EIN 30-0408193
Tax Period 201612
Filing Type P
Return Type 990
File View File

Date of last update: 01 Apr 2025

Sources: Florida Department of State