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EMBRACE COMMUNITY CENTER, INC.

Company Details

Entity Name: EMBRACE COMMUNITY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 18 Nov 2016 (8 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 26 Apr 2024 (9 months ago)
Document Number: N16000011137
FEI/EIN Number 81-4454637
Address: 4511 NE CR 219A, Melrose, FL 32666
Mail Address: PO Box 1180, KEYSTONE HEIGHTS, FL 32656
ZIP code: 32666
County: Putnam
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457871204 2017-06-22 2022-07-21 260 SW FAIRWAY DR, KEYSTONE HEIGHTS, FL, 326569506, US 260 SW FAIRWAY DR, KEYSTONE HEIGHTS, FL, 326569506, US

Contacts

Phone +1 352-727-9304

Authorized person

Name MRS. KASSANDRA BRYAN
Role CEO
Phone 3527279304

Taxonomy

Taxonomy Code 251C00000X - Developmentally Disabled Services Day Training Agency
State FL
Is Primary Yes
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
State FL
Is Primary No
Taxonomy Code 261QC1500X - Community Health Clinic/Center
State FL
Is Primary No
Taxonomy Code 261QX0100X - Occupational Medicine Clinic/Center
State FL
Is Primary No

Agent

Name Role Address
BRYAN, KASSANDRA Agent 4511 NE CR 219A, Melrose, FL 32666

Chief Operating Officer

Name Role Address
BRYAN, ZACHARY W Chief Operating Officer 4511 NE CR 219A, Melrose, FL 32666

Vice President

Name Role Address
BRYAN, ZACHARY W Vice President 4511 NE CR 219A, Melrose, FL 32666

Director

Name Role Address
BRYAN, ZACHARY W Director 4511 NE CR 219A, Melrose, FL 32666
BRYAN, KASSANDRA S Director 4511 NE CR 219A, Melrose, FL 32666
Connolly, Sean Director 4511 NE CR 219A, Melrose, FL 32666

Chief Executive Officer

Name Role Address
BRYAN, KASSANDRA S Chief Executive Officer 4511 NE CR 219A, Melrose, FL 32666

President

Name Role Address
BRYAN, KASSANDRA S President 4511 NE CR 219A, Melrose, FL 32666

Veteran Affairs

Name Role Address
Connolly, Sean Veteran Affairs 4511 NE CR 219A, Melrose, FL 32666

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-04-26 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-04-05 4511 NE CR 219A, Melrose, FL 32666 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-05 4511 NE CR 219A, Melrose, FL 32666 No data
CHANGE OF MAILING ADDRESS 2020-04-03 4511 NE CR 219A, Melrose, FL 32666 No data
REGISTERED AGENT NAME CHANGED 2017-04-17 BRYAN, KASSANDRA No data

Documents

Name Date
REINSTATEMENT 2024-04-26
ANNUAL REPORT 2022-03-28
ANNUAL REPORT 2021-04-05
ANNUAL REPORT 2020-04-03
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-02-19
ANNUAL REPORT 2017-04-17
Domestic Non-Profit 2016-11-18

Date of last update: 19 Jan 2025

Sources: Florida Department of State