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EVERGREEN LIFE SERVICES OF FLORIDA, INC. - Florida Company Profile

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Company Details

Entity Name: EVERGREEN LIFE SERVICES OF FLORIDA, 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 Jul 2019 (6 years ago)
Document Number: N19000007044
FEI/EIN Number 84-2378514

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

Mail Address: 2101 HIGHWAY 80, HAUGHTON, LA, 71037
Address: 2101 STARKEY ROAD, Q SOUTH, LARGO, FL, 33771
ZIP code: 33771
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Buchholtz Susan M President 2101 Highway 80, Haughton, LA, 71037
Craft Kent Vice President 2101 Highway 80, Haughton, LA, 71037
EMERSON ERIC Chairman 2101 Highway 80, Haughton, LA, 71037
Harding JR Chairman 2101 Highway 80, Haughton, LA, 71037
Kizer Tracy Secretary 2101 Highway 80, Haughton, LA, 71037
BUCHHOLTZ SUSAN M Agent 2101 STARKEY RD, LARGO, FL, 33771

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
NZSWMPZW61K8
UEI Expiration Date:
2025-11-07

Business Information

Activation Date:
2024-11-11
Initial Registration Date:
2023-12-11

National Provider Identifier

NPI Number:
1093365215
Certification Date:
2021-01-27

Authorized Person:

Name:
MERLON KENT CRAFT
Role:
EVP/CFO
Phone:

Taxonomy:

Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
Yes

Contacts:

Fax:
3189495555

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-04-08 BUCHHOLTZ, SUSAN M -
REGISTERED AGENT ADDRESS CHANGED 2021-04-08 2101 STARKEY RD, Q-SOUTH, LARGO, FL 33771 -

Documents

Name Date
ANNUAL REPORT 2025-02-11
ANNUAL REPORT 2024-02-06
AMENDED ANNUAL REPORT 2023-07-18
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-27
AMENDED ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-02-18
Domestic Non-Profit 2019-07-11

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Date of last update: 02 Jun 2025

Sources: Florida Department of State