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  5. FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC.

FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. - Florida Company Profile

Company Details

Entity Name: FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, 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: 17 Jan 1985 (40 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Sep 2007 (18 years ago)
Document Number: N07156
FEI/EIN Number 590768265

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 40 EAST ADAMS STREET, JACKSONVILLE, FL, 32202, US
Mail Address: 40 EAST ADAMS STREET, JACKSONVILLE, FL, 32202, US
ZIP code: 32202
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154873016 2016-10-26 2024-02-08 40 E ADAMS ST STE LL15, JACKSONVILLE, FL, 322023353, US 40 E ADAMS ST STE LL15, JACKSONVILLE, FL, 322023353, US

Contacts
Phone +1 904-396-4846
Fax 9043986649

Authorized person
Name MR. WILLIAM JOSEPH HALEY
Role PRESIDENT & CEO
Phone 9043968127

Taxonomy
Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No
Taxonomy Code 106H00000X - Marriage & Family Therapist
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY FOUNDATIONS 401(K) PLAN 2022 590768265 2023-12-06 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 9043968129
Plan sponsor’s address 40 EAST ADAMS STREET SUITE 120, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2023-12-06
Name of individual signing NIGELLE KOHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-12-06
Name of individual signing NIGELLE KOHN
Valid signature Filed with authorized/valid electronic signature
FAMILY FOUNDATIONS 401(K) PLAN 2021 590768265 2023-06-22 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 9043964846
Plan sponsor’s address 40 EAST ADAMS STREET SUITE 120, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2023-06-22
Name of individual signing NIGELLE KOHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-22
Name of individual signing NIGELLE KOHN
Valid signature Filed with authorized/valid electronic signature
FAMILY FOUNDATIONS 401(K) PLAN 2020 590768265 2021-10-08 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 9043964846
Plan sponsor’s address 40 EAST ADAMS STREET SUITE 120, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing WILLIAM HALEY
Valid signature Filed with authorized/valid electronic signature
FAMILY FOUNDATIONS 401(K) PLAN 2019 590768265 2020-05-13 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 9043964846
Plan sponsor’s address 40 EAST ADAMS STREET SUITE 120, JACKSONVILLE, FL, 32202
FAMILY FOUNDATIONS 401(K) PLAN 2018 590768265 2019-10-09 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 9043964846
Plan sponsor’s address 40 EAST ADAMS STREET SUITE 120, JACKSONVILLE, FL, 32202
FAMILY FOUNDATIONS 401(K) PLAN 2017 590768265 2018-10-10 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 9043964846
Plan sponsor’s address 40 EAST ADAMS STREET SUITE 320, JACKSONVILLE, FL, 32202
FAMILY FOUNDATIONS 401(K) PLAN 2016 590768265 2017-07-27 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 9043964846
Plan sponsor’s address 40 EAST ADAMS STREET SUITE 320, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing VICKI ROCKHILL
Valid signature Filed with authorized/valid electronic signature
FAMILY FOUNDATIONS 401(K) PLAN 2015 590768265 2016-07-26 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 9043964846
Plan sponsor’s address 40 EAST ADAMS STREET SUITE 320, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing DOUGLAS E. PICKETT
Valid signature Filed with authorized/valid electronic signature
FAMILY FOUNDATIONS 401(K) PLAN 2014 590768265 2015-06-09 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 9043964846
Plan sponsor’s address 40 EAST ADAMS STREET SUITE 320, JACKSONVILLE, FL, 32202

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing DOUGLAS E. PICKETT
Valid signature Filed with authorized/valid electronic signature
FAMILY FOUNDATIONS 401(K) PLAN 2013 590768265 2014-06-09 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 624100
Sponsor’s telephone number 9043964846
Plan sponsor’s address 1639 ATLANTIC BLVD., JACKSONVILLE, FL, 32207

Signature of
Role Plan administrator
Date 2014-06-09
Name of individual signing DOUGLAS E. PICKETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-09
Name of individual signing DOUGLAS E. PICKETT
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Kohn Nigelle R Fina 40 EAST ADAMS STREET, JACKSONVILLE, FL, 32202
Green Andre Vice Chairman 40 EAST ADAMS STREET, JACKSONVILLE, FL, 32202
Tate Elizabeth Chairman 40 EAST ADAMS STREET, JACKSONVILLE, FL, 32202
Thomas Mary Anne Secretary 40 EAST ADAMS STREET, JACKSONVILLE, FL, 32202
Henry, Jr. Moses J Treasurer 40 EAST ADAMS STREET, JACKSONVILLE, FL, 32202
Haley William J Chief Executive Officer 40 EAST ADAMS STREET, JACKSONVILLE, FL, 32202
MILAM HOWARD NICANDRI DEES & GILLAM, P.A. Agent 14 EAST BAY ST, JACKSONVILLE, FL, 32202

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-01-09 40 EAST ADAMS STREET, SUITE LL15, JACKSONVILLE, FL 32202 -
CHANGE OF PRINCIPAL ADDRESS 2024-01-09 40 EAST ADAMS STREET, SUITE LL15, JACKSONVILLE, FL 32202 -
REINSTATEMENT 2007-09-19 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 - -
REGISTERED AGENT ADDRESS CHANGED 2007-01-30 14 EAST BAY ST, JACKSONVILLE, FL 32202 -
AMENDED AND RESTATEDARTICLES/NAME CHANGE 2007-01-30 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. -
REGISTERED AGENT NAME CHANGED 2007-01-30 MILAM HOWARD NICANDRI DEES & GILLAM, P.A. -
CANCEL ADM DISS/REV 2005-10-07 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -
REINSTATEMENT 2004-10-21 - -

Documents

Name Date
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-06
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-07
ANNUAL REPORT 2019-01-04
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-02-01
AMENDED ANNUAL REPORT 2016-12-16
ANNUAL REPORT 2016-01-12

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
90EI0573 Department of Health and Human Services 93.602 - ASSETS FOR INDEPENDENCE DEMONSTRATION PROGRAM 2009-04-01 2014-03-31 INDIVIDUAL DEVELOPMENT ACCONTS PROGRAM FOR JACKSONVILLE FLORIDA
Recipient FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC.
Recipient Name Raw FAMILY FOUNDATION OF NORTHEAST FLORIDA INC.
Recipient UEI D4ASGCGR5BM3
Recipient DUNS 121970156
Recipient Address 1639 ATLANTIC BLVD., JACKSONVILLE, DUVAL, FLORIDA, 32207, UNITED STATES
Obligated Amount 287500.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-0768265 Corporation Unconditional Exemption 40 E ADAMS STREET LL15, JACKSONVILLE, FL, 32202-3353 1964-08
In Care of Name -
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 2023-06
Asset 100,000 to 499,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 371579
Income Amount 1746901
Form 990 Revenue Amount 1744288
National Taxonomy of Exempt Entities Human Services: Human Service Organizations
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 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA INC
EIN 59-0768265
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name FAMILY FOUNDATIONS OF NORTHEAST FLORIDA INC
EIN 59-0768265
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name FAMILY FOUNDATIONS OF NORTHEAST FLORIDA INC
EIN 59-0768265
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name FAMILY FOUNDATIONS OF NORTHEAST FLORIDA INC
EIN 59-0768265
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name FAMILY FOUNDATIONS OF NORTHEAST FLORIDA INC
EIN 59-0768265
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name FAMILY FOUNDATIONS OF NORTHEAST FLORIDA INC
EIN 59-0768265
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name FAMILY FOUNDATIONS OF NORTHEAST FLORIDA INC
EIN 59-0768265
Tax Period 201706
Filing Type P
Return Type 990
File View File
Organization Name FAMILY FOUNDATIONS OF NORTHEAST FLORIDA INC
EIN 59-0768265
Tax Period 201606
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5590128908 2021-04-30 0491 PPS 40 E Adams St Ste 120, Jacksonville, FL, 32202-3354
Loan Status Date 2021-05-13
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 246932.5
Loan Approval Amount (current) 246932.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Jacksonville, DUVAL, FL, 32202-3354
Project Congressional District FL-04
Number of Employees 23
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 249436.12
Forgiveness Paid Date 2022-05-04
8639257007 2020-04-08 0491 PPP 40 E ADAMS ST STE 120, JACKSONVILLE, FL, 32202-3302
Loan Status Date 2021-03-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 226700
Loan Approval Amount (current) 226700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32202-3302
Project Congressional District FL-04
Number of Employees 26
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 228469.52
Forgiveness Paid Date 2021-02-01

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Date of last update: 02 Apr 2025

Sources: Florida Department of State

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