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COMMUNITY CARE RESOURCES INC - Florida Company Profile

Company Details

Entity Name: COMMUNITY CARE RESOURCES 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: 05 Mar 2020 (5 years ago)
Last Event: AMENDMENT
Event Date Filed: 19 Oct 2020 (5 years ago)
Document Number: N20000002770
FEI/EIN Number 845135219

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

Address: 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL, 33027, US
Mail Address: 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL, 33027, US
ZIP code: 33027
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336973429 2024-08-29 2024-10-11 15800 PINES BLVD STE 332330, PEMBROKE PINES, FL, 330271212, US 280 PATTERSON RD STE 3, HAINES CITY, FL, 338446261, US

Contacts

Phone +1 863-877-4489

Authorized person

Name VICTORIA BARNHART
Role DIRECTOR
Phone 8772872520

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY CARE RESOURCES 401(K) PLAN 2023 845135219 2024-05-09 COMMUNITY CARE RESOURCES INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7542102735
Plan sponsor’s address 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL, 33027

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-09
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE RESOURCES, INC. 401(K) PLAN 2023 845135219 2024-10-12 COMMUNITY CARE RESOURCES, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621112
Sponsor’s telephone number 7542102735
Plan sponsor’s address 15800 PINES BOULEVARD,, SUITE 330, PEMBROKE PINES, FL, 33027

Signature of

Role Plan administrator
Date 2024-10-12
Name of individual signing VICTORIA BARNHART
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE RESOURCES 401(K) PLAN 2022 845135219 2023-11-29 COMMUNITY CARE RESOURCES INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 7542102735
Plan sponsor’s address 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL, 33027

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-11-29
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
COMMUNITY CARE RESOURCES INC 401(K) PROFIT SHARING PLAN & TRUST 2021 845135219 2022-05-18 COMMUNITY CARE RESOURCES INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541990
Sponsor’s telephone number 9543625432
Plan sponsor’s address 15800 PINES BLVD SUITE 332, PEMBROKE PINES, FL, 33027

Signature of

Role Plan administrator
Date 2022-05-18
Name of individual signing VICTORIA BARNHART
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BARNHART VICTORIA Chief Executive Officer 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL, 33027
Wilson-Greene Harriette Vice President 1852 N.W. 47 Terrace, Miami, FL, 33142
Garcia Nikkisha Secretary 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL, 33027
Memon Zahid Director 2725 Crane Trace Circle, Orlando, FL, 32837
Bennett Trenise Director 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL, 33027
VHB MEDICAL MANAGEMENTS LLC Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000006875 COMMUNITY CARE RESOURCES PHARMACY ACTIVE 2025-01-15 2030-12-31 - 280 PATTERSON ROAD, SUITE 3, HAINES CITY, FL, 33844
G22000034896 CCRSFL-ALTAMONTE ACTIVE 2022-03-16 2027-12-31 - 15800 PINES BOULEVARD, SUITE 332, PEMBROKE PINES, FL, 33027
G20000083365 COMMUNITY CARE RESOURCES OF FLORIDA ACTIVE 2020-07-16 2025-12-31 - 15800 PINES BOULEVARD, SUITE 332, PEMBROKE PINES, FL, 33027

Events

Event Type Filed Date Value Description
AMENDMENT 2022-03-01 - -
CHANGE OF PRINCIPAL ADDRESS 2021-09-22 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL 33027 -
CHANGE OF MAILING ADDRESS 2021-09-22 15800 PINES BLVD, SUITE 330, PEMBROKE PINES, FL 33027 -
REGISTERED AGENT ADDRESS CHANGED 2021-09-22 15800 PINES BOULEVARD, SUITE 330, PEMBROKE PINES, FL 33027 -
AMENDMENT 2020-10-19 - -

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-04-05
AMENDED ANNUAL REPORT 2021-09-22
ANNUAL REPORT 2021-02-11
Amendment 2020-10-19
Domestic Non-Profit 2020-03-05

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
84-5135219 Corporation Unconditional Exemption 15800 PINES BLVD STE 332, PEMBROKE PINES, FL, 33027-1212 2025-02
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, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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 Private non-operating foundation
Tax Period 2020-12
Asset 100,000 to 499,999
Income 500,000 to 999,999
Filing Requirement 990 - Not required to file (all other)
PF Filing Requirement 990-PF return
Accounting Period Feb
Asset Amount 247760
Income Amount 880181
Form 990 Revenue Amount 880181
National Taxonomy of Exempt Entities Health Care: Health - General and Rehabilitative N.E.C.
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 private foundation. Deductibility Limitation: 30% (generally)

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 2024-05-15
Revocation Posting Date 2025-02-11
Exemption Reinstatement Date 2024-05-15

Determination Letter

Final Letter(s) FinalLetter_84-5135219_COMMUNITYCARERESOURCESINC_03272020_00.tif
FinalLetter_84-5135219_COMMUNITYCARERESOURCESINC_02192025_00.pdf

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

Organization Name COMMUNITY CARE RESOURCES INC
EIN 84-5135219
Tax Period 202012
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1264098701 2021-03-27 0455 PPP 15800 Pines Blvd, Pembroke Pines, FL, 33027-1212
Loan Status Date 2023-02-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 237500
Loan Approval Amount (current) 237500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529471
Servicing Lender Name Itria Ventures LLC
Servicing Lender Address One Penn Plaza, Suite 4530, New York, NY, 10119
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Pembroke Pines, BROWARD, FL, 33027-1212
Project Congressional District FL-25
Number of Employees 15
NAICS code 621112
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type 501(c)3 � Non Profit
Originating Lender ID 529471
Originating Lender Name Itria Ventures LLC
Originating Lender Address New York, NY
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 241880.56
Forgiveness Paid Date 2023-02-01

Date of last update: 01 Apr 2025

Sources: Florida Department of State