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GRACE COMMUNITY MEDICAL CENTER, INC. - Florida Company Profile

Company Details

Entity Name: GRACE COMMUNITY MEDICAL CENTER, 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: 25 Sep 2020 (5 years ago)
Document Number: N20000010821
FEI/EIN Number 85-3230380

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

Address: 3222 NORTH 34TH STREET, TAMPA, FL, 33605
Mail Address: POST OFFICE BOX 320545, TAMPA, FL, 33679, US
ZIP code: 33605
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548836927 2021-05-27 2021-06-22 PO BOX 270114, TAMPA, FL, 336880114, US 3222 N 34TH ST, TAMPA, FL, 336052227, US

Contacts

Phone +1 813-930-5642
Fax 8133744979

Authorized person

Name GRACE GLENN
Role EXECUTIVE DIRECTOR
Phone 8139305642

Taxonomy

Taxonomy Code 261QC1500X - Community Health Clinic/Center
Is Primary Yes

Key Officers & Management

Name Role Address
Parsamehr Behnaz President 3222 NORTH 34TH STREET, TAMPA, FL, 33605
Parsamehr Behnaz Director 3222 NORTH 34TH STREET, TAMPA, FL, 33605
PARKER TONY Director 3222 NORTH 34TH STREET, TAMPA, FL, 33605
WRIGHT SAMUEL Director 3222 NORTH 34TH STREET, TAMPA, FL, 33605
WRIGHT SAMUEL Secretary 3222 NORTH 34TH STREET, TAMPA, FL, 33605
Coleman Sandra Director 401 W. Kennedy, Tampa, FL, 33606
Mahmoudi Mitra Phd Director 3222 NORTH 34TH STREET, TAMPA, FL, 33605
SPIEGEL & UTRERA, P.A. Agent -

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-05-02 3222 NORTH 34TH STREET, TAMPA, FL 33605 -

Documents

Name Date
ANNUAL REPORT 2024-08-31
ANNUAL REPORT 2023-05-20
ANNUAL REPORT 2022-05-02
ANNUAL REPORT 2021-04-20
Domestic Non-Profit 2020-09-25

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
85-3230380 Corporation Unconditional Exemption 3222 N 34TH ST, TAMPA, FL, 33605-2227 2024-10
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
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 176492
Income Amount 150681
Form 990 Revenue Amount 150681
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)

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 2023-11-15
Revocation Posting Date 2024-03-11
Exemption Reinstatement Date 2023-11-15

Determination Letter

Final Letter(s) FinalLetter_85-3230380_GRACECOMMUNITYMEDICALCENTERINC_05142021_00.tif
FinalLetter_85-3230380_GRACECOMMUNITYMEDICALCENTER_05242024_00.pdf

Date of last update: 01 Apr 2025

Sources: Florida Department of State