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SAMARITAN HEALTH AND WELLNESS CENTER, INC. - Florida Company Profile

Company Details

Entity Name: SAMARITAN HEALTH AND WELLNESS CENTER, 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: 29 Nov 2012 (12 years ago)
Last Event: AMENDMENT
Event Date Filed: 06 May 2014 (11 years ago)
Document Number: N12000011194
FEI/EIN Number 460922358

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

Address: 643 Cape Coral Parkway East, CAPE CORAL, FL, 33904, US
Mail Address: 643 Cape Coral Parkway East, CAPE CORAL, FL, 33904, US
ZIP code: 33904
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902427644 2020-05-05 2020-08-27 643 CAPE CORAL PKWY E STE B, CAPE CORAL, FL, 339048549, US 643 CAPE CORAL PKWY E STE B, CAPE CORAL, FL, 339048549, US

Contacts

Phone +1 239-257-3094
Fax 2394712870

Authorized person

Name SUSAN KAY HOOK
Role EXECUTIVE DIRECTOR
Phone 2392573094

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No

Key Officers & Management

Name Role Address
HOOK SUSAN C Chief Executive Officer 643 CAPE CORAL PARKWAY EAST, CAPE CORAL, FL, 33904
Tolmen Hillary Director 630 NW 15th Way, Bell Florida 32619, Cape Coral, FL, 33909
Furlong Brett Director 1306 SW 18 St, CAPE CORAL, FL, 33991
O'Berski Dan President 3940 Rogers Street, Fort Myers, FL 33901, Estero, FL, 33928
Paul Meeuwsen Treasurer 13013 Lapis Ct, Fort Myers, FL, 33913
Compton Michael C Prac 643 Cape Coral Pkwy East, cape coral, FL, 33904
HOOK SUSAN K Agent 643 Cape Coral Parkway East, CAPE CORAL, FL, 33991

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-02-03 643 Cape Coral Parkway East, Unit B, CAPE CORAL, FL 33904 -
CHANGE OF MAILING ADDRESS 2021-02-03 643 Cape Coral Parkway East, Unit B, CAPE CORAL, FL 33904 -
REGISTERED AGENT ADDRESS CHANGED 2021-02-03 643 Cape Coral Parkway East, Unit B, CAPE CORAL, FL 33991 -
AMENDMENT 2014-05-06 - -
REINSTATEMENT 2014-03-03 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -

Documents

Name Date
ANNUAL REPORT 2025-02-06
AMENDED ANNUAL REPORT 2024-06-06
ANNUAL REPORT 2024-01-19
AMENDED ANNUAL REPORT 2023-11-27
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-02-06
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-03-13

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
46-0922358 Corporation Unconditional Exemption 643 CAPE CORAL PKWY E STE B, CAPE CORAL, FL, 33904-8549 2016-02
In Care of Name % SUSAN K HOOK
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 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 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 2022-12
Asset 100,000 to 499,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 488382
Income Amount 853996
Form 990 Revenue Amount 853996
National Taxonomy of Exempt Entities Health Care: Ambulatory Health Center, Community Clinic
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)

Auto-Revocation List

Description Organizations whose federal tax exempt status was automatically revoked for not filing a Form 990-series return or notice for three consecutive years. Important note: Just because an organization appears on this list, it does not mean the organization is currently revoked, as they may have been reinstated.
Exemption Type 501(c)(3): Religious, educational, charitable, scientific, literary, testing for public safety, fostering national or international amateur sports competition, or prevention of cruelty to children or animals organizations
Revocation Date 2015-05-15
Revocation Posting Date 2015-08-10
Exemption Reinstatement Date 2015-05-15

Determination Letter

Final Letter(s) FinalLetter_46-0922358_SAMARITANHEALTHANDWELLNESSCENTERINC_05282014.tif
FinalLetter_46-0922358_SAMARITANHEALTHANDWELLNESSCENTERINC_05282014.tif
FinalLetter_46-0922358_SAMARITANHEALTH&WELLNESSCENTERINC_01062016_02.tif
FinalLetter_46-0922358_SAMARITANHEALTH&WELLNESSCENTERINC_01062016_01.tif

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

Organization Name SAMARITAN HEALTH AND WELLNESS CENTER INC
EIN 46-0922358
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN HEALTH AND WELLNESS CENTER INC
EIN 46-0922358
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN HEALTH AND WELLNESS CENTER INC
EIN 46-0922358
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN HEALTH AND WELLNESS CENTER INC
EIN 46-0922358
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN HEALTH AND WELLNESS CENTER INC
EIN 46-0922358
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN HEALTH AND WELLNESS CENTER INC
EIN 46-0922358
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name SAMARITAN HEALTH AND WELLNESS CENTER INC
EIN 46-0922358
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5888927309 2020-04-30 0455 PPP 643 CAPE CORAL PKWY EAST SUITE B, CAPE CORAL, FL, 33904
Loan Status Date 2021-04-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 89320
Loan Approval Amount (current) 89320
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CAPE CORAL, LEE, FL, 33904-0001
Project Congressional District FL-19
Number of Employees 10
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 90059.03
Forgiveness Paid Date 2021-03-05

Date of last update: 02 Apr 2025

Sources: Florida Department of State