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THE HEALING IMPACT, INC. - Florida Company Profile

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 (5 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
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154988772 2019-05-20 2021-09-30 PO BOX 406, SHALIMAR, FL, 325790406, US 4 9TH AVE STE F, SHALIMAR, FL, 325791742, US

Contacts

Phone +1 505-412-5292

Authorized person

Name MRS. KAITLYN CHURCHMAN ABADIA
Role CO-PRESIDENT
Phone 8502183062

Taxonomy

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

Other Provider Identifiers

Issuer NPI
Number 1043853435
State FL
Issuer NPI
Number 1861792467
Issuer EMPLOYEE NPI
Number 1013499664
Issuer NPI
Number 1345573506
State FL
Issuer NPI
Number 1720560675
State FL

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

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

EIN Type of Organization Exempt Organization Status Address Ruling Date
83-4390969 Corporation Unconditional Exemption 5170 ANNIE RUTH ST, MILTON, FL, 32570-8153 2019-07
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 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 10,000 to 24,999
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 24673
Income Amount 482670
Form 990 Revenue Amount 482670
National Taxonomy of Exempt Entities Mental Health & Crisis Intervention: Mental Health Treatment F31 Psychiatric, Mental Health Hospital
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_83-4390969_THEHEALINGIMPACTINC_05202019_01.tif

Form 990-N (e-Postcard)

Organization Name HEALING IMPACT INC
EIN 83-4390969
Tax Year 2021
Beginning of tax period 2021-01-01
End of tax period 2021-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 4 9th Ave Suite F, SHALIMAR, FL, 32579, US
Principal Officer's Name Heidi Anderson
Principal Officer's Address 2816 JACK NICKLAUS WAY, SHALIMAR, FL, 32579, US
Website URL The Healing Impact
Organization Name HEALING IMPACT INC
EIN 83-4390969
Tax Year 2020
Beginning of tax period 2020-01-01
End of tax period 2020-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 2816 JACK NICKLAUS WAY, SHALIMAR, FL, 32579, US
Principal Officer's Name Heidi Elizabeth Anderson
Principal Officer's Address 2816 JACK NICKLAUS WAY, SHALIMAR, FL, 32579, US
Website URL www.thehealingimpact.org
Organization Name HEALING IMPACT INC
EIN 83-4390969
Tax Year 2019
Beginning of tax period 2019-01-01
End of tax period 2019-12-31
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address PO Box 406, Shalimar, FL, 32579, US
Principal Officer's Name Kaitlyn Abadia
Principal Officer's Address 300 Bullock Blvd, Niceville, FL, 32578, US
Website URL thehealingimpact.org

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

Organization Name HEALING IMPACT INC
EIN 83-4390969
Tax Period 202112
Filing Type E
Return Type 990EZ
File View File

Date of last update: 01 May 2025

Sources: Florida Department of State