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THE HEALING IMPACT, INC. - Florida Company Profile

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Company Details

Entity Name: THE HEALING IMPACT, 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: 11 Apr 2019 (6 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 02 Dec 2024 (7 months ago)
Document Number: N19000003799
FEI/EIN Number 83-4390969

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

Mail Address: 5170 ANNIE RUTH STREET, MILTON, FL, 32570
Address: 5170 Annie Ruth St, MILTON, FL, 32570, US
ZIP code: 32570
City: Milton
County: Santa Rosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ELLIS HOWLAND Officer 5170 ANNIE RUTH STREET, MILTON, FL, 32570
ELLIS AMY Chief Executive Officer 5170 ANNIE RUTH STREET, FT WALTON BEACH, FL, 32570
Accardi Sloan Boar 5170 ANNIE RUTH STREET, MILTON, FL, 32570
Skinner Denard Officer 5170 ANNIE RUTH STREET, MILTON, FL, 32570
ELLIS AMY Agent 5170 ANNIE RUTH STREET, MILTON, FL, 32570

National Provider Identifier

NPI Number:
1154988772
Certification Date:
2025-05-20

Authorized Person:

Name:
MRS. AMY ELLIS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
8505053078

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-12-02 ELLIS, AMY -
REINSTATEMENT 2024-12-02 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
AMENDMENT 2023-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2023-09-25 5170 ANNIE RUTH STREET, MILTON, FL 32570 -
CHANGE OF MAILING ADDRESS 2023-09-25 5170 Annie Ruth St, MILTON, FL 32570 -
CHANGE OF PRINCIPAL ADDRESS 2022-04-21 5170 Annie Ruth St, MILTON, FL 32570 -
CONVERSION 2019-04-11 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L18000208363. CONVERSION NUMBER 300000191963

Documents

Name Date
REINSTATEMENT 2024-12-02
Amendment 2023-09-25
ANNUAL REPORT 2023-07-18
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-13
ANNUAL REPORT 2020-03-29
Domestic Non-Profit 2019-04-11

Tax Exempt

Employer Identification Number (EIN) :
83-4390969
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:
2019-07
National Taxonomy Of Exempt Entities:
Mental Health & Crisis Intervention: Mental Health Treatment F31 Psychiatric, Mental Health Hospital
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 03 Jul 2025

Sources: Florida Department of State