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  5. EMERALD COAST AUTISM CENTER INC

EMERALD COAST AUTISM CENTER INC

Company Details

Entity Name: EMERALD COAST AUTISM CENTER INC
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 01 Jun 2009 (16 years ago)
Last Event: AMENDMENT
Event Date Filed: 19 Apr 2012 (13 years ago)
Document Number: N09000005339
FEI/EIN Number 27-0263926
Address: 80 College Blvd E, Niceville, FL 32578
Mail Address: 80 College Blvd E, Niceville, FL 32578
ZIP code: 32578
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972030617 2017-05-12 2017-05-12 80 COLLEGE BLVD E, NICEVILLE, FL, 325781343, US 80 COLLEGE BLVD E, NICEVILLE, FL, 325781343, US

Contacts
Phone +1 850-279-3000
Fax 8503892269

Authorized person
Name BETH LEEPER
Role OFFICE MANAGER
Phone 8502793000

Taxonomy
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number 0177772
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMERALD COAST AUTISM CENTER 401(K) PLAN 2023 270263926 2024-10-08 EMERALD COAST AUTISM CENTER, INC 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 611000
Sponsor’s telephone number 8502793000
Plan sponsor’s address 80 COLLEGE BOULEVARD E, NICEVILLE, FL, 32578

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing HEIDI BLALOCK
Valid signature Filed with authorized/valid electronic signature
EMERALD COAST AUTISM CENTER 401(K) PLAN 2022 270263926 2023-08-21 EMERALD COAST AUTISM CENTER, INC 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 611000
Sponsor’s telephone number 8502793000
Plan sponsor’s address 80 COLLEGE BOULEVARD E, NICEVILLE, FL, 32578

Signature of
Role Plan administrator
Date 2023-08-21
Name of individual signing HEIDI BLALOCK
Valid signature Filed with authorized/valid electronic signature
EMERALD COAST AUTISM CENTER 401(K) PLAN 2021 270263926 2022-06-30 EMERALD COAST AUTISM CENTER, INC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 611000
Sponsor’s telephone number 8502793000
Plan sponsor’s address 80 COLLEGE BOULEVARD E, NICEVILLE, FL, 32578

Signature of
Role Plan administrator
Date 2022-06-30
Name of individual signing HEIDI BLALOCK
Valid signature Filed with authorized/valid electronic signature
EMERALD COAST AUTISM CENTER 401(K) PLAN 2020 270263926 2021-05-14 EMERALD COAST AUTISM CENTER INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 611000
Sponsor’s telephone number 8502793000
Plan sponsor’s address 80 COLLEGE BLVD EAST, NICEVILLE, FL, 32578

Signature of
Role Plan administrator
Date 2021-05-14
Name of individual signing HEIDI BLALOCK
Valid signature Filed with authorized/valid electronic signature
EMERALD COAST AUTISM CENTER 401(K) PLAN 2019 270263926 2020-08-28 EMERALD COAST AUTISM CENTER INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 611000
Sponsor’s telephone number 8502793000
Plan sponsor’s address 80 COLLEGE BLVD EAST, NICEVILLE, FL, 32578

Signature of
Role Plan administrator
Date 2020-08-28
Name of individual signing HEIDI BLALOCK
Valid signature Filed with authorized/valid electronic signature
EMERALD COAST AUTISM CENTER 401(K) PLAN 2018 270263926 2019-10-10 EMERALD COAST AUTISM CENTER INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 611000
Sponsor’s telephone number 8502793000
Plan sponsor’s address 80 COLLEGE BLVD EAST, NICEVILLE, FL, 32578

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing HEIDI BLALOCK
Valid signature Filed with authorized/valid electronic signature
EMERALD COAST AUTISM CENTER 401(K) PLAN 2017 270263926 2018-09-06 EMERALD COAST AUTISM CENTER INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 611000
Sponsor’s telephone number 8502793000
Plan sponsor’s address 80 COLLEGE BLVD EAST, NICEVILLE, FL, 32578

Signature of
Role Plan administrator
Date 2018-09-06
Name of individual signing HEIDI BLALOCK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
COPUS, JENNIFER H Agent 25 Walter Martin Road NE, Suite 200, Fort Walton Beach, FL 32548

Director

Name Role Address
BERRYMAN, ALAN Director 159B Monahan Drive, Fort Walton Beach, FL 32547
BERRYMAN, STACI Director 159B Monahan Drive, Fort Walton Beach, FL 32547
BLALOCK, HEIDI Director 8012 Fox Head Branch Trail, Niceville, FL 32578
Copus, Jennifer Director 1186 Eglin Pkwy, Shalimar, FL 32579
Watson, Melissa Director 80 College Blvd E, Niceville, FL 32578
Denais, Bambi Director 80 College Blvd E, Niceville, FL 32578
White, Randy Director 80 College Blvd. E, NICEVILLE, FL 32578
Ashcraft, Pamela Director 201 Donaghey Ave., IHSB #415 Conway, AR 72035
Corriveau, Elizabeth Director 80 College Blvd E, Niceville, FL 32578
Arteaga, Sandy Director 80 College Blvd E, Niceville, FL 32578

Secretary

Name Role Address
BERRYMAN, STACI Secretary 159B Monahan Drive, Fort Walton Beach, FL 32547

Chief Executive Officer

Name Role Address
BLALOCK, HEIDI Chief Executive Officer 8012 Fox Head Branch Trail, Niceville, FL 32578

Treasurer

Name Role Address
BLALOCK, HEIDI Treasurer 8012 Fox Head Branch Trail, Niceville, FL 32578

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000097335 LIGHT IT UP BREW ACTIVE 2018-08-31 2028-12-31 No data 80 COLLEGE BOULEVARD E, ATTN: HEIDI BLALOCK, NICEVILLE, FL, 32578

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2020-01-24 25 Walter Martin Road NE, Suite 200, Fort Walton Beach, FL 32548 No data
CHANGE OF PRINCIPAL ADDRESS 2017-01-06 80 College Blvd E, Niceville, FL 32578 No data
CHANGE OF MAILING ADDRESS 2017-01-06 80 College Blvd E, Niceville, FL 32578 No data
AMENDMENT 2012-04-19 No data No data
REGISTERED AGENT NAME CHANGED 2012-04-19 COPUS, JENNIFER H No data
AMENDMENT 2011-03-02 No data No data
AMENDMENT 2010-10-18 No data No data
AMENDMENT 2010-09-10 No data No data
AMENDMENT 2009-11-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-05-06
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-03-10
AMENDED ANNUAL REPORT 2021-02-17
ANNUAL REPORT 2021-01-07
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-07-07

Related by officers

COPUS, JENNIFER H

COPUS & COPUS, P.A. HEALING PAWS FOR WARRIORS, INC. NICEVILLE HOUSING DEVELOPMENT CORPORATION EMERALD COAST LEARNING CENTER, INC. LATITUDE CHANGES, LLC EMERALD COAST GROUP OF NW FLORIDA, LLC EMERALD COAST MARINE CONSTRUCTION, LLC FREYGUY OF DESTIN, INC.

BERRYMAN, STACI

EMERALD COAST LEARNING CENTER, INC.

BLALOCK, HEIDI

EMERALD COAST LEARNING CENTER, INC.

Watson, Melissa

GAINESVILLE HIGH QUARTERBACK CLUB INC.

White, Randy

BONAIRE AT LONGBOAT KEY CONDOMINIUM ASSOCIATION, INC. 445 OLDE SOUTH CONTRACTOR'S STORAGE CENTER COMMERCIAL CONDOMINIUM ASSOCIATION, INC. FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION, INC.

Related by address

No related companies by address

Date of last update: 25 Jan 2025

Sources: Florida Department of State

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