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  5. POINT WASHINGTON MEDICAL CLINIC INC.

POINT WASHINGTON MEDICAL CLINIC INC. - Florida Company Profile

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Company Details

Entity Name: POINT WASHINGTON MEDICAL 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: 02 Jul 2018 (7 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 20 Mar 2019 (6 years ago)
Document Number: N18000007256
FEI/EIN Number 83-1125021

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 32459, US
Mail Address: 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 32459, US
ZIP code: 32459
County: Walton
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GLENN HILLARY DNP. FN President 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 32459
GLENN HILLARY DNP. FN E 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 32459
JUSTISS PHILIP Chairman 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 32459
KRAMOLIS SHANNON Director 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 32459
Wallace Valaria Director 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 32459
HILL COLEMAN LLC Agent -
Timmons Jessie Treasurer 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 32459
Keich Jeremy DNP. FN Director 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 32459
Keich Jeremy DNP. FN Secretary 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 32459
Timmons Jessie Director 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL, 32459

National Provider Identifier

NPI Number:
1568934560
Certification Date:
2024-03-26
Link:
View on NPI website

Authorized Person:

Name:
DR. HILLARY GLENN
Role:
EXECUTIVE DIRECTOR
Phone:
8502131133

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 850-213-1133
Fax:
8502132533

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-06 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 -
CHANGE OF MAILING ADDRESS 2024-03-06 1321 N. COUNTY HIGHWAY 395, SANTA ROSA BEACH, FL 32459 -
AMENDED AND RESTATEDARTICLES 2019-03-20 - -

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-06-16
ANNUAL REPORT 2019-04-03
Amended and Restated Articles 2019-03-20
Domestic Non-Profit 2018-07-02

Tax Exempt

Employer Identification Number (EIN) :
83-1125021
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)
Ruling Date:
2019-06
National Taxonomy Of Exempt Entities:
Health Care: Hospital, General
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 02 Jun 2025

Sources: Florida Department of State

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