| Entity Name: | INTENTIONAL PROVISIONS OUTREACH CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 18 Oct 2018 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 04 Dec 2018 (6 years ago) |
| Document Number: | N18000011108 |
| FEI/EIN Number | 83-2287462 |
| Address: | 1799 SW 8TH ST, HOMESTEAD, FL, 33030 |
| Mail Address: | 1799 SW 8TH ST, HOMESTEAD, FL, 33030 |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700663606 | 2023-09-13 | 2023-09-13 | 1799 SW 8TH ST, HOMESTEAD, FL, 330306621, US | 1799 SW 8TH ST, HOMESTEAD, FL, 330306621, US | |||||||||||||
|
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| Phone | +1 786-239-3081 |
Authorized person
| Name | SHANDRA P MALLARY |
| Role | OWNER/DIRECT CARE |
| Phone | 7862393081 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALLARY SHANDRA P | Agent | 1799 SW 8TH ST, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| MALLARY SHANDRA P | President | 1799 SW 8TH ST, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| MALLARY JEANETTE S | Vice President | 1799 SW 8TH ST, HOMESTEAD, FL, 33030 |
| MALLARY JACQUI | Vice President | 10875 SW 216th St., MIAMI, FL, 33170 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000131854 | INTENTIONAL PROVISIONS OUTREACH CORPORATION | ACTIVE | 2020-10-11 | 2025-12-31 | No data | 1799 SW 8TH ST., HOMESTEAD, FL, 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2018-12-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-01-16 |
| Amendment | 2018-12-04 |
| Domestic Non-Profit | 2018-10-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
