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ALTERNATIVE LIVING, INC. - Florida Company Profile

Company Details

Entity Name: ALTERNATIVE LIVING, 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: 05 Jan 1987 (38 years ago)
Document Number: N18621
FEI/EIN Number 592749572

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

Address: 207 HOSPITAL DRIVE, FT. WALTON BEACH, FL, 32548, US
Mail Address: 207 HOSPITAL DRIVE, FT. WALTON BEACH, FL, 32548, US
ZIP code: 32548
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407123458 2011-11-18 2011-11-18 207 HOSPITAL DR NE, FORT WALTON BEACH, FL, 325485066, US 603 N PEARL ST, CRESTVIEW, FL, 325362749, US

Contacts

Phone +1 850-833-9165
Fax 8508339165
Phone +1 850-689-7850
Fax 8506897974

Authorized person

Name MS. KIMBERLY ANN FRALEY
Role ASSISTANT ADMINISTRATOR
Phone 8508339212

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL5649
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 676877600
State FL

Key Officers & Management

Name Role Address
Blackwell Mary Vice President 1562 Glenlake Circle, Niceville, FL, 32578
MUNTZNER GREG President GENERAL DYNAMICS, NICEVILLE, FL, 32578
FRALEY KIMBERLY A Director 405 ANCHORS STREET, NICEVILLE, FL, 32578
RILEY-BROADNAX DEBRA Secretary 207 COMBS MANOR COURT, FORT WALTON BEACH, FL, 32548
FRALEY KIMBERLY A Agent 405 ANCHORS STREET, NICEVILLE, FL, 32578

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G91287000535 CRESTVIEW MANOR ACTIVE 1991-10-14 2026-12-31 - 207 HOSPITAL DR, N.E., FT WALTON BEACH, FL, 32548
G91287000534 TWIN CITIES PAVILION ACTIVE 1991-10-14 2026-12-31 - 207 HOSPITAL DRIVE, N.E., FT WALTON BEACH, FL, 32548, US

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-01-20 FRALEY, KIMBERLY A -
REGISTERED AGENT ADDRESS CHANGED 2020-01-20 405 ANCHORS STREET, NICEVILLE, FL 32578 -
CHANGE OF PRINCIPAL ADDRESS 2004-01-30 207 HOSPITAL DRIVE, FT. WALTON BEACH, FL 32548 -
CHANGE OF MAILING ADDRESS 2004-01-30 207 HOSPITAL DRIVE, FT. WALTON BEACH, FL 32548 -

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-01-30
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-01-09

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-2749572 Corporation Unconditional Exemption 207 HOSPITAL DR NE, FT WALTON BCH, FL, 32548-5066 1988-07
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 normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 500,000 to 999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 925063
Income Amount 3037989
Form 990 Revenue Amount 3037989
National Taxonomy of Exempt Entities -
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)

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

Organization Name ALTERNATIVE LIVING INC
EIN 59-2749572
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name ALTERNATIVE LIVING INC
EIN 59-2749572
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name ALTERNATIVE LIVING INC
EIN 59-2749572
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name ALTERNATIVE LIVING INC
EIN 59-2749572
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name ALTERNATIVE LIVING INC
EIN 59-2749572
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name ALTERNATIVE LIVING INC
EIN 59-2749572
Tax Period 201612
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
8823907110 2020-04-15 0491 PPP 207 HOSPITAL DR, FORT WALTON BEACH, FL, 32548-5066
Loan Status Date 2022-01-31
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 221435.4
Loan Approval Amount (current) 221435.4
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17104
Servicing Lender Name FNBT Bank
Servicing Lender Address 29 N Eglin Pkwy, FORT WALTON BEACH, FL, 32548-5452
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address FORT WALTON BEACH, OKALOOSA, FL, 32548-5066
Project Congressional District FL-01
Number of Employees 58
NAICS code 623110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 17104
Originating Lender Name FNBT Bank
Originating Lender Address FORT WALTON BEACH, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 222757.95
Forgiveness Paid Date 2020-11-27
4638608404 2021-02-06 0491 PPS 207 Hospital Dr NE, Fort Walton Beach, FL, 32548-5066
Loan Status Date 2021-10-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 205268
Loan Approval Amount (current) 205268
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17104
Servicing Lender Name FNBT Bank
Servicing Lender Address 29 N Eglin Pkwy, FORT WALTON BEACH, FL, 32548-5452
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Fort Walton Beach, OKALOOSA, FL, 32548-5066
Project Congressional District FL-01
Number of Employees 44
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 17104
Originating Lender Name FNBT Bank
Originating Lender Address FORT WALTON BEACH, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 206314.02
Forgiveness Paid Date 2021-08-16

Date of last update: 01 Mar 2025

Sources: Florida Department of State