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  5. BRAIN INJURY ASSOCIATION OF FLORIDA, INC.

BRAIN INJURY ASSOCIATION OF FLORIDA, INC. - Florida Company Profile

Company Details

Entity Name: BRAIN INJURY ASSOCIATION OF FLORIDA, 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: 26 Sep 1985 (40 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 31 Oct 2019 (5 years ago)
Document Number: N11295
FEI/EIN Number 592611863

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 111 N Lakemont Ave., WINTER PARK, FL, 32792, US
Mail Address: P.O. Box 1182, Winter Park, FL, 32790, US
ZIP code: 32792
County: Orange
Place of Formation: FLORIDA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
630V1 Active Non-Manufacturer 2010-07-30 2023-06-23 - -

Contact Information
POC DJENABA A. BURNS
Phone +1 850-410-0103
Fax +1 850-410-0105
Address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308 3946, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAX DEFERRED ANNUITY PLAN OF BRAIN INJURY ASSOCIATION OF FLORIDA INC 2017 592611863 2018-07-26 BRAIN INJURY ASSOCIATION OF FLORIDA INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 624100
Sponsor’s telephone number 8504100103
Plan sponsor’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 323083946

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing DJENABA A BURNS
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF BRAIN INJURY ASSOCIATION OF FLORIDA, INC. 2016 592611863 2017-07-25 BRAIN INJURY ASSOCIATION OF FLORIDA , INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 624100
Sponsor’s telephone number 8504100103
Plan sponsor’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing DJENABA BURNS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-25
Name of individual signing DJENABA BURNS
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF BRAIN INJURY ASSOCIATION OF FLORIDA, INC. 2015 592611863 2016-08-30 BRAIN INJURY ASSOCIATION OF FLORIDA , INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 624100
Sponsor’s telephone number 8504100103
Plan sponsor’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2016-08-30
Name of individual signing DJENABA BURNS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-30
Name of individual signing DJENABA BURNS
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF BRAIN INJURY ASSOCIATION OF FLORIDA, INC. 2014 592611863 2015-08-27 BRAIN INJURY ASSOCIATION OF FLORIDA , INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 624100
Sponsor’s telephone number 8504100103
Plan sponsor’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2015-08-27
Name of individual signing DJENABA BURNS
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF BRAIN INJURY ASSOCIATION OF FLORIDA, INC. 2013 592611863 2014-07-21 BRAIN INJURY ASSOCIATION OF FLORIDA , INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 624100
Sponsor’s telephone number 8504100103
Plan sponsor’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2014-07-21
Name of individual signing DJENABA BURNS
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF BRAIN INJURY ASSOCIATION OF FLORIDA, INC. 2012 592611863 2013-07-15 BRAIN INJURY ASSOCIATION OF FLORIDA , INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 624100
Sponsor’s telephone number 8504100103
Plan sponsor’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing DJENABA BURNS
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF BRAIN INJURY ASSOCIATION OF FLORIDA, INC. 2011 592611863 2012-05-01 BRAIN INJURY ASSOCIATION OF FLORIDA , INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 624100
Sponsor’s telephone number 8504100103
Plan sponsor’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308

Plan administrator’s name and address
Administrator’s EIN 592611863
Plan administrator’s name BRAIN INJURY ASSOCIATION OF FLORIDA , INC.
Plan administrator’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308
Administrator’s telephone number 8504100103

Signature of
Role Plan administrator
Date 2012-05-01
Name of individual signing JUDITH MADSEN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF BRAIN INJURY ASSOCIATION OF FLORIDA, INC. 2010 592611863 2011-07-07 BRAIN INJURY ASSOCIATION OF FLORIDA , INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 624100
Sponsor’s telephone number 8504100103
Plan sponsor’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308

Plan administrator’s name and address
Administrator’s EIN 592611863
Plan administrator’s name BRAIN INJURY ASSOCIATION OF FLORIDA , INC.
Plan administrator’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308
Administrator’s telephone number 8504100103

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing JUDITH MADSEN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF BRAIN INJURY ASSOCIATION OF FLORIDA, INC. 2009 592611863 2010-07-28 BRAIN INJURY ASSOCIATION OF FLORIDA , INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 624100
Sponsor’s telephone number 8504100103
Plan sponsor’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308

Plan administrator’s name and address
Administrator’s EIN 592611863
Plan administrator’s name BRAIN INJURY ASSOCIATION OF FLORIDA , INC.
Plan administrator’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308
Administrator’s telephone number 8504100103

Signature of
Role Plan administrator
Date 2010-07-14
Name of individual signing JUDITH MADSEN
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF BRAIN INJURY ASSOCIATION OF FLORIDA, INC. 2009 592611863 2010-07-19 BRAIN INJURY ASSOCIATION OF FLORIDA , INC. 10
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 624100
Sponsor’s telephone number 8504100103
Plan sponsor’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308

Plan administrator’s name and address
Administrator’s EIN 592611863
Plan administrator’s name BRAIN INJURY ASSOCIATION OF FLORIDA , INC.
Plan administrator’s address 1637 METROPOLITAN BLVD STE B, TALLAHASSEE, FL, 32308
Administrator’s telephone number 8504100103

Signature of
Role Plan administrator
Date 2010-07-14
Name of individual signing JUDITH MADSEN
Valid signature Filed with incorrect/unrecognized electronic signature

Key Officers & Management

Name Role Address
BECK MICHAEL Chairman P.O. Box 1182, Winter Park, FL, 32790
CAUFFIELD CHRISTINE Secretary P.O. Box 1182, Winter Park, FL, 32790
Jallad Johnny Agent 111 N Lakemont Ave., Winter Park, FL, 32792

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-10-31 111 N Lakemont Ave., Suite D, WINTER PARK, FL 32792 -
REINSTATEMENT 2019-10-31 - -
REGISTERED AGENT ADDRESS CHANGED 2019-10-31 111 N Lakemont Ave., Suite D, Winter Park, FL 32792 -
REGISTERED AGENT NAME CHANGED 2019-10-31 Jallad, Johnny -
CHANGE OF MAILING ADDRESS 2019-10-31 111 N Lakemont Ave., Suite D, WINTER PARK, FL 32792 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
NAME CHANGE AMENDMENT 1995-12-27 BRAIN INJURY ASSOCIATION OF FLORIDA, INC. -
NAME CHANGE AMENDMENT 1993-11-22 FLORIDA HEAD INJURY ASSOCIATION, INC. -
AMENDMENT 1986-05-29 - -

Documents

Name Date
ANNUAL REPORT 2024-09-19
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-05-14
ANNUAL REPORT 2021-05-07
ANNUAL REPORT 2020-06-30
REINSTATEMENT 2019-10-31
ANNUAL REPORT 2018-04-28
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-04-04
ANNUAL REPORT 2015-02-23

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-2611863 Corporation Unconditional Exemption 4401 W ESTRELLA ST, TAMPA, FL, 33629-5513 1986-10
In Care of Name % DJENABA BURNS
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 Intermediate - This code is used if the organization is an intermediate organization (no group exemption) of a National, Regional or Geographic grouping of organizations (such as a state headquarters of a national organization).
Classification Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
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 2023-06
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 Jun
Asset Amount 0
Income Amount 0
Form 990 Revenue Amount 0
National Taxonomy of Exempt Entities -
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)

Form 990-N (e-Postcard)
Organization Name BRAIN INJURY ASSN OF FLORIDA INC
EIN 59-2611863
Tax Year 2022
Beginning of tax period 2022-07-01
End of tax period 2023-06-30
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 4401 W ESTRELLA STREET, TAMPA, FL, 33629, US
Principal Officer's Name MICHAEL BECK
Principal Officer's Address 4401 W ESTRELLA STREET, TAMPA, FL, 33629, US
Website URL WWW.BIAF.ORG

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name BRAIN INJURY ASSN OF FLORIDA INC
EIN 59-2611863
Tax Period 202206
Filing Type E
Return Type 990EZ
File View File
Organization Name BRAIN INJURY ASSN OF FLORIDA INC
EIN 59-2611863
Tax Period 202106
Filing Type E
Return Type 990EZ
File View File
Organization Name BRAIN INJURY ASSN OF FLORIDA INC
EIN 59-2611863
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name BRAIN INJURY ASSN OF FLORIDA INC
EIN 59-2611863
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name BRAIN INJURY ASSN OF FLORIDA INC
EIN 59-2611863
Tax Period 201706
Filing Type P
Return Type 990
File View File
Organization Name BRAIN INJURY ASSN OF FLORIDA INC
EIN 59-2611863
Tax Period 201606
Filing Type P
Return Type 990
File View File

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CAUFFIELD CHRISTINE

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FLORIDA BRAIN INJURY ASSOCIATION, INC. - Inactive
Domestic Non-Profit (2012 - 2019)
ANCHORCARE OF FLORIDA INC. - Inactive
Domestic Non-Profit (2013 - 2023)
ANCHORCARE OF FLORIDA INC. - Inactive
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Jallad Johnny

UNITED SAFETY COUNCIL, INC. - Active
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Companies related by address

No other companies in our directory share the same address as BRAIN INJURY ASSOCIATION OF FLORIDA, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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