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IMPACT'S TRANSITIONAL LIFE-SKILL CENTER INC. - Florida Company Profile

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Company Details

Entity Name: IMPACT'S TRANSITIONAL LIFE-SKILL 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: 12 Apr 2017 (8 years ago)
Last Event: AMENDMENT
Event Date Filed: 14 May 2018 (7 years ago)
Document Number: N17000003985
FEI/EIN Number 821167924

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

Mail Address: 6004 ADAGIO LANE, APOLLO BEACH, FL, 33572, US
Address: 909 BRYAN RD, BRANDON, FL, 33511, US
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
STIBICH COLETTE President 6004 ADAGIO LN, APOLLO BEACH, FL, 33572
GROSS KATHY Vice President 935 BALSAMINA DR, BRANDON, FL, 33510
BELTON DANIEL Trustee 1423 NEW BRITAN DR, BRANDON, FL, 33511
DOYLE TERRY Trustee 511 MARINA CT., SMITHVILLE, MD, 64089
STIBICH JASON Agent 282 APOLLO BEACH BLVD, APOLLO BEACH, FL, 33572

National Provider Identifier

NPI Number:
1669992400
Certification Date:
2022-03-31

Authorized Person:

Name:
KATHY GROSS
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
No
Selected Taxonomy:
385H00000X - Respite Care
Is Primary:
No
Selected Taxonomy:
261QA0600X - Adult Day Care Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000156782 ACTIVE ADULT CARE LLC ACTIVE 2021-11-24 2026-12-31 - 909 BRYAN ROAD, BRANDON, FL, 33511

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-09-29 909 BRYAN RD, BRANDON, FL 33511 -
AMENDMENT 2018-05-14 - -
CHANGE OF PRINCIPAL ADDRESS 2018-05-14 909 BRYAN RD, BRANDON, FL 33511 -

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-02-07
Amendment 2018-05-14
ANNUAL REPORT 2018-04-24
Domestic Non-Profit 2017-04-12

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Date of last update: 02 Jun 2025

Sources: Florida Department of State