| Entity Name: | AUTISM AWARENESS SHOP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 06 Aug 2015 (10 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 25 Jan 2016 (9 years ago) |
| Document Number: | N15000007682 |
| FEI/EIN Number | 47-4899006 |
| Address: | 5483 WEST WATER AVE, TAMPA, FL, 33634, US |
| Mail Address: | 5483 W Waters Ave, TAMPA, FL, 33634, US |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316607849 | 2021-12-24 | 2022-07-06 | 2908 W HILLSBOROUGH AVE, TAMPA, FL, 336146055, US | 2908 W HILLSBOROUGH AVE, TAMPA, FL, 336146055, US | |||||||||||||||||||
|
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| Phone | +1 813-879-6770 |
Authorized person
| Name | MR. TYLER RUSSO |
| Role | GENERAL MANAGER |
| Phone | 6314131616 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1780737999 |
| State | NY |
| Name | Role | Address |
|---|---|---|
| BAND JENIFER | Agent | 607 Leisure av, TAMPA, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| BAND JENIFER | President | 607 Leisure av, TAMPA, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| Band Scott | Director | 607 Leisure av, TAMPA, FL, 33613 |
| Schott Ryan | Director | 5483 W Waters Ave, Tampa, FL, 33634 |
| Atkinson Janet | Director | 5483 W Waters Ave, Tampa, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| Maitre Nicole | Secretary | 5483 W Waters Ave, Tampa, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| Russo Tyler | dire | 5483 W Waters Ave, Tampa, FL, 33634 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000023907 | THAT FUNNY SHIRT | EXPIRED | 2018-02-15 | 2023-12-31 | No data | 607 LEISURE AVE, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-04 | 5483 WEST WATER AVE, SUITE 1200 N, TAMPA, FL 33634 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-09 | 5483 WEST WATER AVE, SUITE 1200 N, TAMPA, FL 33634 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-05 | 607 Leisure av, TAMPA, FL 33613 | No data |
| AMENDMENT | 2016-01-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-02-20 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-01-05 |
| ANNUAL REPORT | 2016-03-05 |
| Amendment | 2016-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
