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BROOKS HOME CARE ADVANTAGE, INC. - Florida Company Profile

Company Details

Entity Name: BROOKS HOME CARE ADVANTAGE, 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 Mar 2008 (17 years ago)
Last Event: AMENDMENT
Event Date Filed: 16 Aug 2010 (15 years ago)
Document Number: N08000002782
FEI/EIN Number 262216181

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

Mail Address: 3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216, US
Address: 6676 Corporate Center Parkway, JACKSONVILLE, FL, 32216, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568041333 2021-04-07 2024-09-20 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164252, US 1673 MASON AVE STE 207, DAYTONA BEACH, FL, 321175516, US

Contacts

Phone +1 904-345-7291
Fax 9043457284
Phone +1 386-274-3199
Fax 3862743197

Authorized person

Name KELLI CAMERON
Role DIRECTOR OF MANAGED CARE
Phone 9043457158

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
5493005UFKCTWL6XZP11 N08000002782 US-FL GENERAL ACTIVE -

Addresses

Legal C/O Pritchard, Robert H, 1301 Riverplace Boulevard, Suite 1500, Jacksonville, US-FL, US, 32207
Headquarters C/O Pritchard, Robert H, 1301 Riverplace Boulevard, Suite 1500, Jacksonville, US-FL, US, 32207

Registration details

Registration Date 2013-04-09
Last Update 2023-08-04
Status LAPSED
Next Renewal 2014-04-09
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As N08000002782

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROOKS HOME CARE ADVANTAGE RETIREMENT PLAN 2012 593448263 2013-07-26 BROOKS HOME CARE ADVANTAGE 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621610
Sponsor’s telephone number 9043069729
Plan sponsor’s address 5836 RICHARD ST, JACKSONVILLE, FL, 322165990

Signature of

Role Plan administrator
Date 2013-07-26
Name of individual signing KAREN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing KAREN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
BROOKS HOME CARE ADVANTAGE RETIREMENT PLAN 2011 593448263 2012-07-17 BROOKS HOME CARE ADVANTAGE 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621610
Sponsor’s telephone number 9043069729
Plan sponsor’s address 5836 RICHARD ST, JACKSONVILLE, FL, 322165990

Plan administrator’s name and address

Administrator’s EIN 593448263
Plan administrator’s name BROOKS HOME CARE ADVANTAGE
Plan administrator’s address 5836 RICHARD ST, JACKSONVILLE, FL, 322165990
Administrator’s telephone number 9043069729

Signature of

Role Plan administrator
Date 2012-07-17
Name of individual signing KAREN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-17
Name of individual signing KAREN GALLAGHER
Valid signature Filed with authorized/valid electronic signature
BROOKS HOME CARE ADVANTAGE RETIREMENT PLAN 2010 593448263 2011-07-25 BROOKS HOME CARE ADVANTAGE 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621610
Sponsor’s telephone number 9043069729
Plan sponsor’s address 5836 RICHARD ST, JACKSONVILLE, FL, 322165990

Plan administrator’s name and address

Administrator’s EIN 593448263
Plan administrator’s name BROOKS HOME CARE ADVANTAGE
Plan administrator’s address 5836 RICHARD ST, JACKSONVILLE, FL, 322165990
Administrator’s telephone number 9043069729

Signature of

Role Plan administrator
Date 2011-07-25
Name of individual signing NICOLE MOATS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-25
Name of individual signing NICOLE MOATS
Valid signature Filed with authorized/valid electronic signature
BROOKS HOME CARE ADVANTAGE RETIREMENT PLAN 2010 593448263 2011-05-17 BROOKS HOME CARE ADVANTAGE 107
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621610
Sponsor’s telephone number 9043069729
Plan sponsor’s address 5836 RICHARD ST, JACKSONVILLE, FL, 322165990

Plan administrator’s name and address

Administrator’s EIN 593448263
Plan administrator’s name BROOKS HOME CARE ADVANTAGE
Plan administrator’s address 5836 RICHARD ST, JACKSONVILLE, FL, 322165990
Administrator’s telephone number 9043069729

Signature of

Role Plan administrator
Date 2011-05-17
Name of individual signing ERIC NIXON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-17
Name of individual signing NICOLE MOATS
Valid signature Filed with authorized/valid electronic signature
BROOKS HOME CARE ADVANTAGE RETIREMENT PLAN 2009 593448263 2010-10-08 BROOKS HOME CARE ADVANTAGE 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621610
Sponsor’s telephone number 9043069729
Plan sponsor’s address 5836 RICHARD ST, JACKSONVILLE, FL, 322165990

Plan administrator’s name and address

Administrator’s EIN 593448263
Plan administrator’s name BROOKS HOME CARE ADVANTAGE
Plan administrator’s address 5836 RICHARD ST, JACKSONVILLE, FL, 322165990
Administrator’s telephone number 9043069729

Signature of

Role Plan administrator
Date 2010-10-08
Name of individual signing ERIC NIXON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing ERIC NIXON
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SERKIN HOWARD C Vice President 3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216
BAER DOUGLAS M Director 3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216
BAER DOUGLAS M President 3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216
Lomax Lee Director 3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216
ROBERTS KRIS Director 3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216
BROTT THOMAS CM.D. Director 3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216
SERKIN HOWARD C Director 3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216
JOHNSON BRUCE M Director 3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216
URS AGENTS, LLC Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000056046 BROOKS REHABILITATION CUSTOM CARE ACTIVE 2018-05-07 2028-12-31 - 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 32216
G18000004026 BROOKS REHABILITATION HOME HEALTH ACTIVE 2018-01-08 2028-12-31 - 3599 UNIVERSITY BLVD. S., JACKSONVILLE, FL, 32216
G15000053540 BROOKS AMERICARE HOME HEALTH EXPIRED 2015-06-02 2020-12-31 - 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-08-19 URS AGENTS, LLC -
REGISTERED AGENT ADDRESS CHANGED 2020-08-19 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 -
CHANGE OF PRINCIPAL ADDRESS 2019-04-26 6676 Corporate Center Parkway, Suite 104, JACKSONVILLE, FL 32216 -
AMENDMENT 2010-08-16 - -
CHANGE OF MAILING ADDRESS 2009-04-27 6676 Corporate Center Parkway, Suite 104, JACKSONVILLE, FL 32216 -

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-26
AMENDED ANNUAL REPORT 2021-09-22
AMENDED ANNUAL REPORT 2021-08-17
ANNUAL REPORT 2021-03-30
Reg. Agent Change 2020-08-19
AMENDED ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2020-04-03
ANNUAL REPORT 2019-04-26

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
26-2216181 Corporation Unconditional Exemption 3599 UNIVERSITY BLVD S, JACKSONVILLE, FL, 32216-4252 2009-05
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, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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 normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 18396564
Income Amount 31415104
Form 990 Revenue Amount 31415104
National Taxonomy of Exempt Entities Health Care: Rehabilitative Medical Services
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)

Determination Letter

Final Letter(s) FinalLetter_26-2216181_BROOKSHOMECAREADVANTAGEINC_08292008_01.tif
FinalLetter_26-2216181_BROOKSHOMECAREADVANTAGEINC_08292008_02.tif

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

Organization Name BROOKS HOME CARE ADVANTAGE INC
EIN 26-2216181
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name BROOKS HOME CARE ADVANTAGE INC
EIN 26-2216181
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name BROOKS HOME CARE ADVANTAGE INC
EIN 26-2216181
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name BROOKS HOME CARE ADVANTAGE INC
EIN 26-2216181
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name BROOKS HOME CARE ADVANTAGE INC
EIN 26-2216181
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name BROOKS HOME CARE ADVANTAGE INC
EIN 26-2216181
Tax Period 201812
Filing Type P
Return Type 990T
File View File
Organization Name BROOKS HOME CARE ADVANTAGE INC
EIN 26-2216181
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name BROOKS HOME CARE ADVANTAGE INC
EIN 26-2216181
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name BROOKS HOME CARE ADVANTAGE INC
EIN 26-2216181
Tax Period 201512
Filing Type E
Return Type 990
File View File

Date of last update: 01 Apr 2025

Sources: Florida Department of State