| Entity Name: | COMMUNITY COALITION ALLIANCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 27 Oct 2008 (16 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Jan 2018 (7 years ago) |
| Document Number: | N08000009955 |
| FEI/EIN Number | 264026115 |
| Address: | 11250 Old St. Augustine Road, Jacksonville, FL, 32257, US |
| Mail Address: | 11250 Old St. Augustine Road, Jacksonville, FL, 32257, US |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942633755 | 2013-08-15 | 2013-08-15 | 516 S 10TH ST, SUITE 211, FERNANDINA, FL, 320343530, US | 516 S 10TH ST, SUITE 211, FERNANDINA, FL, 320343530, US | |||||||||||||||
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| Phone | +1 904-277-3699 |
| Fax | 9042777043 |
Authorized person
| Name | DEBI MACINTYRE |
| Role | BOARD CHAIR |
| Phone | 3524082009 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Roberts Kathleen | Agent | 11250 Old St. Augustine Road, Jacksonville, FL, 32257 |
| Name | Role | Address |
|---|---|---|
| Hall Diane | BOAR | 11250 Old St. Augustine Road, Jacksonville, FL, 32257 |
| RICKARDS DANIEL | BOAR | 11250 Old St. Augustine Road, Jacksonville, FL, 32257 |
| Hewett Jenna | BOAR | 11250 Old St. Augustine Road, Jacksonville, FL, 32257 |
| VANAERNAM KATRINA | BOAR | 11250 Old St. Augustine Road, Jacksonville, FL, 32257 |
| Name | Role | Address |
|---|---|---|
| ROBERTS KATHLEEN | Chief Executive Officer | 11250 OLD ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2018-01-22 | No data | No data |
| AMENDMENT | 2017-11-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-17 | 11250 Old St. Augustine Road, 15 314, Jacksonville, FL 32257 | No data |
| CHANGE OF MAILING ADDRESS | 2017-06-17 | 11250 Old St. Augustine Road, 15 314, Jacksonville, FL 32257 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-25 | Roberts, Kathleen | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-25 | 11250 Old St. Augustine Road, #15, #314, Jacksonville, FL 32257 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-29 |
| AMENDED ANNUAL REPORT | 2022-08-18 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-22 |
| Amendment | 2018-01-22 |
| AMENDED ANNUAL REPORT | 2017-06-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
