Search icon

PHOENIX CM INCORPORATED - Florida Company Profile

Company Details

Entity Name: PHOENIX CM INCORPORATED
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: 07 Jun 2011 (14 years ago)
Last Event: AMENDMENT
Event Date Filed: 02 Nov 2012 (12 years ago)
Document Number: N11000005560
FEI/EIN Number 452522877

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

Address: 1318 ARDMORE ST, SAINT AUGUSTINE, FL, 32092
Mail Address: 1318 Ardmore Street, SAINT AUGUSTINE, FL, 32092, US
ZIP code: 32092
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740687664 2014-11-20 2014-11-20 52 TUSCAN WAY STE 202-142, STE. 202-142, SAINT AUGUSTINE, FL, 320921850, US 1225 W BEAVER ST STE 101, JACKSONVILLE, FL, 322041415, US

Contacts

Phone +1 904-377-6735

Authorized person

Name ELLA B RUSSELL
Role EXECUTIVE DIRECTOR
Phone 9043776735

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 006238200
State FL

Key Officers & Management

Name Role Address
Phillips Bertha Othe 524 Douglas Fir Lane, Columbia, SC, 29229
MCGHEE CASSANDRA Treasurer 1535 BLANDING BLVD APT. 904, MIDDLEBURG, FL, 32068
Huntley Alice Secretary 1495 shadow Creek Drive, Orange Park, FL, 32065
RUSSELL ELLA B Agent 1318 ARDMORE ST, SAINT AUGUSTINE, FL, 32092
Canopii Michele Director 1701 Greentree Drive, Salisbury, MD, 21804
STAPLEFOOTE LIONEL President 8670 JEREMY DAVID CT, JACKSONVILLE, FL, 32244
STAPLEFOOTE LIONEL Director 8670 JEREMY DAVID CT, JACKSONVILLE, FL, 32244
Canopii Michele Vice President 1701 Greentree Drive, Salisbury, MD, 21804

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2017-01-16 1318 ARDMORE ST, SAINT AUGUSTINE, FL 32092 -
AMENDMENT 2012-11-02 - -

Documents

Name Date
ANNUAL REPORT 2024-03-08
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-03-23
ANNUAL REPORT 2020-03-12
ANNUAL REPORT 2019-01-26
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-01-09

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
45-2522877 Corporation Unconditional Exemption 1318 ARDMORE ST, ST AUGUSTINE, FL, 32092-3442 2011-12
In Care of Name % ELLA RUSSELL
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 2023-12
Asset 0
Income 0
Filing Requirement 990 - Required to file Form 990-N - Income less than $50,000 per year
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 0
Income Amount 0
Form 990 Revenue Amount 0
National Taxonomy of Exempt Entities Voluntary Health Associations & Medical Disciplines: AIDS
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_45-2522877_PHOENIXCMINCORPORATED_10152011_01.tif

Form 990-N (e-Postcard)

Organization Name PHOENIX CM INCORPORATED
EIN 45-2522877
Tax Year 2023
Beginning of tax period 2023-01-01
End of tax period 2023-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 1318 Ardmore Street, Saint Augustine, FL, 32092, US
Principal Officer's Name Ella Russell
Principal Officer's Address 1318 Ardmore Street, SAINT AUGUSTINE, FL, 32092, US
Organization Name PHOENIX CM INCORPORATED
EIN 45-2522877
Tax Year 2022
Beginning of tax period 2022-01-01
End of tax period 2022-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 1318 Ardmore Street, Saint Augustine, FL, 32092, US
Principal Officer's Name Ella Russell
Principal Officer's Address 1318 Ardmore Street, Saint Augustine, FL, 32092, US
Organization Name PHOENIX CM INCORPORATED
EIN 45-2522877
Tax Year 2021
Beginning of tax period 2021-01-01
End of tax period 2021-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 1318 Ardmore street, Saint Augustine, FL, 32092, US
Principal Officer's Name Ella B Russell
Principal Officer's Address 1318 Ardmore Street, Saint Augustine, FL, 32092, US
Website URL Phoenix CM Inc.
Organization Name PHOENIX CM INCORPORATED
EIN 45-2522877
Tax Year 2020
Beginning of tax period 2020-01-01
End of tax period 2020-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 1318 Ardmore Street, Saint Augustine, FL, 32092, US
Principal Officer's Name Ella Russell
Principal Officer's Address 1318, Saint Augustine, FL, 32092, US
Organization Name PHOENIX CM INCORPORATED
EIN 45-2522877
Tax Year 2019
Beginning of tax period 2019-01-01
End of tax period 2019-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 1318 Ardmore Street, Saint Augustine, FL, 32092, US
Principal Officer's Name Ella Barton Russell
Principal Officer's Address 1318 Ardmore Street, Saint Augustine, FL, 32092, US
Organization Name PHOENIX CM INCORPORATED
EIN 45-2522877
Tax Year 2018
Beginning of tax period 2018-01-01
End of tax period 2018-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 1318 Ardmore Street, Saint Augsutine, FL, 32092, US
Principal Officer's Name Ella Russell
Principal Officer's Address 1318 Ardmore Street, Saint Augustine, FL, 32092, US
Organization Name PHOENIX CM INCORPORATED
EIN 45-2522877
Tax Year 2013
Beginning of tax period 2013-01-01
End of tax period 2013-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 52 Tuscan Way Ste 202-142, Saint Augustine, FL, 32092, US
Principal Officer's Name Ella B Russell
Principal Officer's Address 1318 Ardmore Street, Saint Augustine, FL, 32092, US
Organization Name PHOENIX CM INCORPORATED
EIN 45-2522877
Tax Year 2012
Beginning of tax period 2012-01-01
End of tax period 2012-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 52 Tuscan Way Ste 202-142, Saint Augustine, FL, 32092, US
Principal Officer's Name Ella B Russell
Principal Officer's Address 1318 Ardmore Street, Saint Augustine, FL, 32092, US
Organization Name PHOENIX CM INCORPORATED
EIN 45-2522877
Tax Year 2011
Beginning of tax period 2011-01-01
End of tax period 2011-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address POBox 4101, Saint Augustine, FL, 320854101, US
Principal Officer's Name Ella B Russell
Principal Officer's Address 1318 Ardmore Street, Saint Augustine, FL, 32092, US

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

Organization Name PHOENIX CM INC
EIN 45-2522877
Tax Period 201712
Filing Type P
Return Type 990EZ
File View File
Organization Name PHOENIX CM INC
EIN 45-2522877
Tax Period 201612
Filing Type P
Return Type 990EZ
File View File

Date of last update: 01 Apr 2025

Sources: Florida Department of State