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SPACE COAST HEALTH CENTERS, INC. - Florida Company Profile

Company Details

Entity Name: SPACE COAST HEALTH CENTERS, 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: 28 May 2020 (5 years ago)
Document Number: N20000005691
FEI/EIN Number 851506854

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

Address: 951 N Washigton Ave Ste 100, TITUSVILLE, FL, 32796, US
Mail Address: 951 N Washigton Ave Ste 100, TITUSVILLE, FL, 32796, US
ZIP code: 32796
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144819319 2021-01-13 2024-02-08 951 N WASHINGTON AVE STE 100, TITUSVILLE, FL, 327962163, US 951 N WASHINGTON AVE STE 100, TITUSVILLE, FL, 327962163, US

Contacts

Phone +1 386-852-9565

Authorized person

Name ARVIN LEWIS
Role CEO
Phone 3212686836

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary No
Taxonomy Code 207QA0000X - Adolescent Medicine (Family Medicine) Physician
Is Primary No
Taxonomy Code 207QA0505X - Adult Medicine Physician
Is Primary No
Taxonomy Code 261QC1500X - Community Health Clinic/Center
Is Primary No
Taxonomy Code 261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary Yes

Key Officers & Management

Name Role Address
BURROUGHS BRANDON Director 3520 Muirfield Drive, TITUSVILLE, FL, 32780
FISHER RHODA Secretary 1760 Lakeside Drive, TITUSVILLE, FL, 32780
MCALPINE CHRIS Treasurer 4835 Carodoc Circle, TITUSVILLE, FL, 32796
RENZETTI LILY Director 8800 Grissom Parkway, Titusville, FL, 32780
VIERA CRISTINA Chairman 190 E. Olmstead Drive, Titusville, FL, 32780
Davis Jeff Director 6840 Hundred Acre Drive, Cocoa, FL, 32927
BOYLES WILLIAM AESQ. Agent 301 E PINE STREET SUITE 1400, ORLANDO, FL, 32801

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-09 951 N Washigton Ave Ste 100, TITUSVILLE, FL 32796 -
CHANGE OF MAILING ADDRESS 2024-02-09 951 N Washigton Ave Ste 100, TITUSVILLE, FL 32796 -

Documents

Name Date
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-04-07
Domestic Non-Profit 2020-05-28

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
85-1506854 Corporation Unconditional Exemption 951 N WASHINGTON AVE STE 100, TITUSVILLE, FL, 32796-2163 2021-03
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 2023-09
Asset 500,000 to 999,999
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 Sep
Asset Amount 598461
Income Amount 1365935
Form 990 Revenue Amount 1365935
National Taxonomy of Exempt Entities Health Care: Ambulatory Health Center, Community Clinic
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_85-1506854_SPACECOASTHEALTHCENTERSINC_10192020_00.tif

Form 990-N (e-Postcard)

Organization Name SPACE COAST HEALTH CENTERS INC
EIN 85-1506854
Tax Year 2019
Beginning of tax period 2019-10-01
End of tax period 2020-09-30
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 836 CENTURY MEDICAL DR, TITUSVILLE, FL, 32796, US
Principal Officer's Name ARVIN LEWIS
Principal Officer's Address 836 CENTURY MEDICAL DR, TITUSVILLE, FL, 32796, US
Website URL WWW.SPACECOASTHEALTHCENTERS.ORG

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

Organization Name SPACE COAST HEALTH CENTERS INC
EIN 85-1506854
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name SPACE COAST HEALTH CENTERS INC
EIN 85-1506854
Tax Period 202109
Filing Type E
Return Type 990
File View File

Date of last update: 01 Mar 2025

Sources: Florida Department of State