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TAMPA LIFE PLAN VILLAGE, INC. - Florida Company Profile

Company Details

Entity Name: TAMPA LIFE PLAN VILLAGE, 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: 31 Jan 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 21 Dec 2023 (a year ago)
Document Number: N20000001022
FEI/EIN Number 84-4589118

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

Address: 12401 NORTH 22ND ST., TAMPA, FL, 33612, US
Mail Address: 12401 NORTH 22ND ST., TAMPA, FL, 33612, US
ZIP code: 33612
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAMPA LIFE PLAN VILLAGE 403(B) PLAN 2023 833600494 2024-10-01 TAMPA LIFE PLAN VILLAGE 72
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Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 623000
Sponsor’s telephone number 8139755144
Plan sponsor’s address 12401 N. 22ND STREET, TAMPA, FL, 33612
TAMPA LIFE PLAN VILLAGE 403(B) PLAN 2022 833600494 2023-09-26 TAMPA LIFE PLAN VILLAGE 52
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Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 623000
Sponsor’s telephone number 7322240400
Plan sponsor’s address 12401 N. 22ND STREET, TAMPA, FL, 33612
TAMPA LIFE PLAN VILLAGE 403(B) PLAN 2021 833600494 2023-02-15 TAMPA LIFE PLAN VILLAGE 46
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Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 623000
Sponsor’s telephone number 8139755144
Plan sponsor’s address 12401 N. 22ND STREET, TAMPA, FL, 33612

Key Officers & Management

Name Role Address
SHUCK RONALD Director 12401 NORTH 22ND ST., TAMPA, FL, 33612
WASSERLAUF MICHELE S Director 12401 NORTH 22ND ST., TAMPA, FL, 33612
KUTAC WARD KRISTIN Director 12401 NORTH 22ND ST., TAMPA, FL, 33612
GY CORPORATE SERVICES, INC. Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000077490 UNISEN SENIOR LIVING ACTIVE 2021-06-09 2026-12-31 - 12401 NORTH 22ND STREET, TAMPA, FL, 33612
G20000099665 UNIVERSITY VILLAGE ACTIVE 2020-08-07 2025-12-31 - 12401 NORTH 22ND STREET, TAMPA, FL, 33612

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-12-21 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REGISTERED AGENT ADDRESS CHANGED 2022-03-31 777 S FLAGLER DRIVE, SUITE 500E, WEST PALM BEACH, FL 33401 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J21000574461 TERMINATED 1000000905176 HILLSBOROU 2021-10-28 2031-11-10 $ 368.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236

Documents

Name Date
Reg. Agent Resignation 2024-08-27
ANNUAL REPORT 2024-04-28
REINSTATEMENT 2023-12-21
ANNUAL REPORT 2022-03-31
ANNUAL REPORT 2021-04-06
Domestic Non-Profit 2020-01-31

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
84-4589118 Corporation Unconditional Exemption 12401 N 22ND STREET, TAMPA, FL, 33612-4670 2020-06
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 2022-12
Asset 50,000,000 to greater
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 52392301
Income Amount 4690301
Form 990 Revenue Amount 4690301
National Taxonomy of Exempt Entities Housing & Shelter: Senior Citizens' Housing/Retirement Communities
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_84-4589118_TAMPALIFEPLANVILLAGEINC_05072020_00.tif
FinalLetter_84-4589118_TAMPALIFEPLANVILLAGEINC_05072020.tif

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

Organization Name TAMPA LIFE PLAN VILLAGE INC
EIN 84-4589118
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name TAMPA LIFE PLAN VILLAGE INC
EIN 84-4589118
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name TAMPA LIFE PLAN VILLAGE INC
EIN 84-4589118
Tax Period 202012
Filing Type E
Return Type 990
File View File

Date of last update: 01 Apr 2025

Sources: Florida Department of State