| Entity Name: | WEST COAST AIDS FOUNDATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 31 Aug 2007 (17 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | N07000008604 |
| FEI/EIN Number | 26-1113931 |
| Address: | 7624 Congress St, New Port Richey, FL 34653 |
| Mail Address: | 7624 Congress St, New Port Richey, FL 34653 |
| ZIP code: | 34653 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467610113 | 2008-05-29 | 2008-05-29 | 1840 MEASE DRIVE, SUITE 319, SAFETY HARBOR, FL, 346956605, US | 8607 EASTHAVEN COURT, SUITE 101, NEW PORT RICHEY, FL, 346555217, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 727-669-6800 |
Authorized person
| Name | BRENT W LAARTZ |
| Role | PRESIDENT |
| Phone | 7276696800 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | 6817831-00 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 6932118-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Geoit, Brandi | Agent | 7624 Congress St, New Port Richey, FL 34653 |
| Name | Role | Address |
|---|---|---|
| Geoit, Brandi | Executive Director | 7624 Congress St, New Port Richey, FL 34653 |
| Name | Role | Address |
|---|---|---|
| Birdsong, Angela | Chairman | 7624 Congress St, New Port Richey, FL 34653 |
| Name | Role | Address |
|---|---|---|
| Kane, John | Vice Chairman | 7624 Congress St, New Port Richey, FL 34653 |
| Name | Role | Address |
|---|---|---|
| McDougle, Mac | Board Member | 7624 Congress St, New Port Richey, FL 34653 |
| Thompson, Kevin | Board Member | 7624 Congress St, New Port Richey, FL 34653 |
| Hicks, Shawn | Board Member | 7624 Congress St, New Port Richey, FL 34653 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-20 | 7624 Congress St, New Port Richey, FL 34653 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-20 | 7624 Congress St, New Port Richey, FL 34653 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-01-20 | Geoit, Brandi | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-20 | 7624 Congress St, New Port Richey, FL 34653 | No data |
| AMENDMENT | 2007-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-03 |
| ANNUAL REPORT | 2016-01-04 |
| ANNUAL REPORT | 2015-01-05 |
| ANNUAL REPORT | 2014-01-20 |
| ANNUAL REPORT | 2013-04-01 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-04-18 |
| ANNUAL REPORT | 2010-01-28 |
| ANNUAL REPORT | 2009-04-14 |
| ANNUAL REPORT | 2008-01-14 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
