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FORGOTTEN MOM, INC. - Florida Company Profile

Company Details

Entity Name: FORGOTTEN MOM, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 22 Sep 2016 (9 years ago)
Date of dissolution: 27 Sep 2024 (7 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (7 months ago)
Document Number: N16000009338
FEI/EIN Number 81-3927817

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

Address: 2574 TREANOR TERRACE, WELLINGTON, FL, 33414, US
Mail Address: 2574 TREANOR TERRACE, WELLINGTON, FL, 33414, US
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720722945 2022-04-25 2022-04-25 2574 TREANOR TER, WELLINGTON, FL, 334146407, US 2574 TREANOR TER, WELLINGTON, FL, 334146407, US

Contacts

Phone +1 561-704-9558

Authorized person

Name DR. BIANCA S GERENA
Role ADMINISTRATION
Phone 5617049558

Taxonomy

Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary Yes

Key Officers & Management

Name Role Address
Dallal farid President 2574 TREANOR TERRACE, WELLINGTON, FL, 33414
DALLAL FARID Agent 2574 TREANOR TERRACE, WELLINGTON, FL, 33414

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2022-02-01 2574 TREANOR TERRACE, WELLINGTON, FL 33414 -
CHANGE OF MAILING ADDRESS 2021-01-13 2574 TREANOR TERRACE, WELLINGTON, FL 33414 -
REGISTERED AGENT ADDRESS CHANGED 2021-01-13 2574 TREANOR TERRACE, WELLINGTON, FL 33414 -
AMENDMENT 2016-12-23 - -

Documents

Name Date
ANNUAL REPORT 2023-03-16
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-18
ANNUAL REPORT 2019-02-07
AMENDED ANNUAL REPORT 2018-10-09
ANNUAL REPORT 2018-02-13
ANNUAL REPORT 2017-01-06
Amendment 2016-12-23
Domestic Non-Profit 2016-09-22

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
81-3927817 Corporation Unconditional Exemption 2574 TREANOR TER, WELLINGTON, FL, 33414-6407 2016-09
In Care of Name -
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 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 2021-12
Asset 1 to 9,999
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 462
Income Amount 0
Form 990 Revenue Amount 0
National Taxonomy of Exempt Entities Human Services: Single Parent Agencies
Sort Name FORGOTTEN MOM

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_81-3927817_FORGOTTENMOMINC_09232016.tif

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

Organization Name FORGOTTEN MOM INC
EIN 81-3927817
Tax Period 202112
Filing Type E
Return Type 990EZ
File View File
Organization Name FORGOTTEN MOM INC
EIN 81-3927817
Tax Period 202012
Filing Type E
Return Type 990EZ
File View File
Organization Name FORGOTTEN MOM INC
EIN 81-3927817
Tax Period 201912
Filing Type E
Return Type 990EZ
File View File
Organization Name FORGOTTEN MOM INC
EIN 81-3927817
Tax Period 201912
Filing Type E
Return Type 990EZ
File View File
Organization Name FORGOTTEN MOM INC
EIN 81-3927817
Tax Period 201812
Filing Type E
Return Type 990EZ
File View File

Date of last update: 03 Apr 2025

Sources: Florida Department of State