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  5. FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC.

FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC.

Company Details

Entity Name: FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 17 Jan 1985 (40 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Sep 2007 (17 years ago)
Document Number: N07156
FEI/EIN Number 59-0768265
Address: 40 EAST ADAMS STREET, SUITE LL15, JACKSONVILLE, FL 32202
Mail Address: 40 EAST ADAMS STREET, SUITE LL15, JACKSONVILLE, FL 32202
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

Agent

Name Role Address
MILAM HOWARD NICANDRI DEES & GILLAM, P.A. Agent 14 EAST BAY ST, JACKSONVILLE, FL 32202

Chief Executive Officer

Name Role Address
Haley, William J Chief Executive Officer 40 EAST ADAMS STREET, SUITE LL15 JACKSONVILLE, FL 32202

President

Name Role Address
Haley, William J President 40 EAST ADAMS STREET, SUITE LL15 JACKSONVILLE, FL 32202

Finance Manager

Name Role Address
Kohn, Nigelle R Finance Manager 40 EAST ADAMS STREET, SUITE LL15 JACKSONVILLE, FL 32202

Vice Chairman

Name Role Address
Green, Andre Vice Chairman 40 EAST ADAMS STREET, SUITE LL15 JACKSONVILLE, FL 32202

Chairman

Name Role Address
Tate, Elizabeth Chairman 40 EAST ADAMS STREET, SUITE LL15 JACKSONVILLE, FL 32202

Secretary

Name Role Address
Thomas, Mary Anne Secretary 40 EAST ADAMS STREET, SUITE LL15 JACKSONVILLE, FL 32202

Treasurer

Name Role Address
Henry, Jr., Moses A Treasurer 40 EAST ADAMS STREET, SUITE LL15 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 No data
CHANGE OF PRINCIPAL ADDRESS 2024-01-09 40 EAST ADAMS STREET, SUITE LL15, JACKSONVILLE, FL 32202 No data
REINSTATEMENT 2007-09-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data
REGISTERED AGENT ADDRESS CHANGED 2007-01-30 14 EAST BAY ST, JACKSONVILLE, FL 32202 No data
AMENDED AND RESTATEDARTICLES/NAME CHANGE 2007-01-30 FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC. No data
REGISTERED AGENT NAME CHANGED 2007-01-30 MILAM HOWARD NICANDRI DEES & GILLAM, P.A. No data
CANCEL ADM DISS/REV 2005-10-07 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data
REINSTATEMENT 2004-10-21 No data No data

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

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Related by address

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Date of last update: 04 Feb 2025

Sources: Florida Department of State

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