| Entity Name: | FAMILY LIFE SERVICES MINISTRIES & TCM, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 May 2016 (9 years ago) |
| Date of dissolution: | 08 Mar 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Mar 2020 (5 years ago) |
| Document Number: | N16000005328 |
| FEI/EIN Number | 81-2694114 |
| Address: | 721 Oak Commons Blvd,, Suite A, KISSIMMEE, FL 34741 |
| Mail Address: | 721 Oak Commons Blvd, SUITE A, KISSIMMEE, FL 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760830640 | 2016-06-01 | 2018-03-17 | 721 OAK COMMONS BLVD STE A, KISSIMMEE, FL, 347414186, US | 721 OAK COMMONS BLVD STE A, KISSIMMEE, FL, 347414186, US | |||||||||||||||||||||||||
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| Phone | +1 407-518-9505 |
| Fax | 4075189507 |
Authorized person
| Name | MISS ALICIA L HENINGBURG |
| Role | CEO |
| Phone | 4075189506 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH 11963 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Figueroa, David I | Agent | 721 Oak Commons Blvd, SUITE A, KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| HENINGBURG, ALICIA L | President | 721 Oak Commons Blvd, Suite A KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| Heningburg, Arnold | Executive Director | 721 Oak Commons Blvd, Suite A KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| Jones-Butler, Tony | SUP | 721 Oak Commons Blvd, Suite A KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| CASTRO, ADRIANA M, BS | Vice President | 721 Oak Commons Blvd, Suite A KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| FIGUEROA, DAVID | Chief Financial Officer | 721 Oak Commons Blvd, Suite A KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| FIGUEROA, DAVID | Treasurer | 721 Oak Commons Blvd, Suite A KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| FIGUEROA, DAVID | Secretary | 721 Oak Commons Blvd, Suite A KISSIMMEE, FL 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-16 | Figueroa, David I | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-12-07 | 721 Oak Commons Blvd,, Suite A, KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2017-12-07 | 721 Oak Commons Blvd,, Suite A, KISSIMMEE, FL 34741 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-12-07 | 721 Oak Commons Blvd, SUITE A, KISSIMMEE, FL 34741 | No data |
| REINSTATEMENT | 2017-12-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2016-10-25 | FAMILY LIFE SERVICES MINISTRIES & TCM, INC | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-03-08 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-02-16 |
| REINSTATEMENT | 2017-12-07 |
| Amendment and Name Change | 2016-10-25 |
| Domestic Non-Profit | 2016-05-25 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
