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DADE COUNTY STREET RESPONSE, INC. - Florida Company Profile

Company Details

Entity Name: DADE COUNTY STREET RESPONSE, 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: 19 Apr 2019 (6 years ago)
Document Number: N19000004512
FEI/EIN Number 85-1958579

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

Address: 4300 NW 12TH AVE, Miami, FL, 33127, US
Mail Address: 4300 NW 12TH AVE, Miami, FL, 33127, US
ZIP code: 33127
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811680127 2023-06-01 2023-08-04 4300 NW 12TH AVE, MIAMI, FL, 331272540, US 4300 NW 12TH AVE, MIAMI, FL, 331272540, US

Contacts

Phone +1 610-715-9989

Authorized person

Name ARMEN HENDERSON
Role PRESIDENT
Phone 6107159989

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Key Officers & Management

Name Role Address
Bergholz Daniel Co 4300 NW 12TH AVE, Miami, FL, 33127
Bergholz Daniel Chairman 4300 NW 12TH AVE, Miami, FL, 33127
Ukani Zahra Co 4300 NW 12TH AVE, Miami, FL, 33127
Ukani Zahra Chairman 4300 NW 12TH AVE, Miami, FL, 33127
Henderson Armen Dr. Chief Executive Officer 4300 NW 12TH AVE, Miami, FL, 33127
HENDERSON ARMEN Agent 4300 NW 12TH AVE, Miami, FL, 33127

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000049009 MIAMI STREET MEDICINE ACTIVE 2025-04-10 2030-12-31 - 4300 NW 12TH AVE, MIAMI, FL, 33127

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-03-01 4300 NW 12TH AVE, Miami, FL 33127 -
CHANGE OF PRINCIPAL ADDRESS 2023-06-22 4300 NW 12TH AVE, Miami, FL 33127 -
CHANGE OF MAILING ADDRESS 2023-06-22 4300 NW 12TH AVE, Miami, FL 33127 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-03-01
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-03-17
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-06-09
Domestic Non-Profit 2019-04-19

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
84-1958579 Corporation Unconditional Exemption 4300 NW 12TH AVE, MIAMI, FL, 33127-2540 2023-02
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 2024-12
Asset 100,000 to 499,999
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 169322
Income Amount 442289
Form 990 Revenue Amount 442289
National Taxonomy of Exempt Entities Health Care: Health Support Services
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)

Auto-Revocation List

Description Organizations whose federal tax exempt status was automatically revoked for not filing a Form 990-series return or notice for three consecutive years. Important note: Just because an organization appears on this list, it does not mean the organization is currently revoked, as they may have been reinstated.
Exemption Type 501(c)(3): Religious, educational, charitable, scientific, literary, testing for public safety, fostering national or international amateur sports competition, or prevention of cruelty to children or animals organizations
Revocation Date 2022-05-15
Revocation Posting Date 2022-08-08
Exemption Reinstatement Date 2022-05-15

Determination Letter

Final Letter(s) FinalLetter_84-1958579_DADECOUNTYSTREETRESPONSE_06032019_01.tif
FinalLetter_84-1958579_DADECOUNTYSTREETRESPONSEINC_09232021_00.tif
FinalLetter_84-1958579_DADECOUNTYSTREETRESPONSE_02022023_00.pdf

Date of last update: 01 Apr 2025

Sources: Florida Department of State