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AVICENNA FREE CLINIC, INC. - Florida Company Profile

Company Details

Entity Name: AVICENNA FREE CLINIC, 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: 25 Jul 2017 (8 years ago)
Last Event: AMENDMENT
Event Date Filed: 25 Jan 2018 (7 years ago)
Document Number: N17000007675
FEI/EIN Number 82-2554695

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

Address: 1838 Frankford Avenue, PANAMA CITY, FL, 32405, US
Mail Address: P.O. BOX 16477, PANAMA CITY, FL, 32406
ZIP code: 32405
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MALLORY LAW FIRM, P.A. Agent -
ABOULELA AYMAN M.D. President 109 W. 23RD STREET, SUITE N-5, PANAMA CITY, FL, 32405
ABOULELA WASIMA Vice President 109 W. 23RD STREET, PANAMA CITY, FL, 32405
ELMESKY MEDHAT Treasurer 3317 JENKS AVENUE, PANAMA CITY, FL, 32405

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000105902 AVICENNA FREE CLINIC EXPIRED 2018-09-26 2023-12-31 - P.O. BOX 16477, PANAMA CITY, FL, 32406

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-03-22 936 Jenks Avenue, PANAMA CITY, FL 32401 -
CHANGE OF PRINCIPAL ADDRESS 2019-04-15 1838 Frankford Avenue, PANAMA CITY, FL 32405 -
AMENDMENT 2018-01-25 - -

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-03-22
ANNUAL REPORT 2020-03-30
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-04-24
Amendment 2018-01-25
Domestic Non-Profit 2017-07-25

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
82-2554695 Corporation Unconditional Exemption 1838 FRANKFORD AVE, PANAMA CITY, FL, 32405-2639 2018-01
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 receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 100,000 to 499,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 353588
Income Amount 196721
Form 990 Revenue Amount 196721
National Taxonomy of Exempt Entities Health Care: Ambulatory Health Center, Community Clinic
Sort Name -

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_82-2554695_AVICENNAFREECLINICINC_11272017_02.tif
FinalLetter_82-2554695_AVICENNAFREECLINICINC_11272017_01.tif

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

Organization Name AVICENNA FREE CLINIC INC
EIN 82-2554695
Tax Period 202212
Filing Type E
Return Type 990EZ
File View File
Organization Name AVICENNA FREE CLINIC INC
EIN 82-2554695
Tax Period 202112
Filing Type E
Return Type 990EZ
File View File
Organization Name AVICENNA FREE CLINIC INC
EIN 82-2554695
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name AVICENNA FREE CLINIC INC
EIN 82-2554695
Tax Period 201812
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8337607304 2020-05-01 0491 PPP 1838 FRANKFORD AVE, PANAMA CITY, FL, 32405-2639
Loan Status Date 2020-12-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 25700
Loan Approval Amount (current) 25700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 445288
Servicing Lender Name SmartBank
Servicing Lender Address 2430 Teaster Ln, Ste 205, PIGEON FORGE, TN, 37863-5274
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PANAMA CITY, BAY, FL, 32405-2639
Project Congressional District FL-02
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 445288
Originating Lender Name SmartBank
Originating Lender Address PIGEON FORGE, TN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 25843.49
Forgiveness Paid Date 2020-11-19
5244048306 2021-01-25 0491 PPS 1838 FRANFORD AVE, PANAMA CITY, FL, 32405
Loan Status Date 2021-09-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 20721.72
Loan Approval Amount (current) 20721.72
Undisbursed Amount 0
Franchise Name -
Lender Location ID 445288
Servicing Lender Name SmartBank
Servicing Lender Address 2430 Teaster Ln, Ste 205, PIGEON FORGE, TN, 37863-5274
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PANAMA CITY, BAY, FL, 32405
Project Congressional District FL-02
Number of Employees 4
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 445288
Originating Lender Name SmartBank
Originating Lender Address PIGEON FORGE, TN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 20832.24
Forgiveness Paid Date 2021-08-10

Date of last update: 02 Apr 2025

Sources: Florida Department of State