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CENTER FOR AGING AND REHABILITATION OF JACKSONVILLE, INC. - Florida Company Profile

Company Details

Entity Name: CENTER FOR AGING AND REHABILITATION OF JACKSONVILLE, 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: 13 Aug 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 15 Nov 2024 (5 months ago)
Document Number: N20000011656
FEI/EIN Number NOT APPLICABLE

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

Mail Address: C/O TKP ACCOUNTING, 3550 POWERLINE ROAD, OAKLAND PARK, FL, 33309, US
Address: 5888 Blanding Blvd., Jacksonville, FL, 32244, US
ZIP code: 32244
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437760121 2020-08-14 2020-08-14 100 SE 2ND ST STE 2000, MIAMI, FL, 331312101, US 5888 BLANDING BLVD, JACKSONVILLE, FL, 322441927, US

Contacts

Phone +1 954-367-4597
Fax 9543674564
Phone +1 904-772-1220
Fax 9047726334

Authorized person

Name MS. MARGARET H FERNANDEZ
Role PRESIDENT DIRECTOR
Phone 9543674597

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number PENDING
State FL

Key Officers & Management

Name Role Address
BROCK ALAN Chairman 12460 CRABAPPLE RD SUITE 202-308, ALPHARETTA, GA, 30004
BROCK ALAN Director 12460 CRABAPPLE RD SUITE 202-308, ALPHARETTA, GA, 30004
BARRETT ALEX Director 1100 S STRATFORD ROAD SUITE 400, WINSTON-SALEM, NC, 27104
HOGE BRETT Director 1100 S. STRATFORD ROAD, SUITE 400, WINSTON-SALEM, NC, 27104
kelly robert Director 2699 Stirling Road, C403B, Ft. Lauderdale, FL, 33312
kelly robert Secretary 2699 Stirling Road, C403B, Ft. Lauderdale, FL, 33312
Law Office of Robert P. Kelly Agent 2699 Stirling Road, C403B, Ft. Lauderdale, FL, 33312

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000132880 SAINTS CARE CENTER ACTIVE 2022-10-25 2027-12-31 - 5888 BLANDING BLVD, JACKSONVILLE, FL, 32244
G20000135292 SAINTS CARE CENTER ACTIVE 2020-10-19 2025-12-31 - 100 SE 2ND STREET, SUITE 2000, MIAMI, FL, 33131

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-11-15 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2022-09-01 5888 Blanding Blvd., Jacksonville, FL 32244 -
REGISTERED AGENT NAME CHANGED 2022-09-01 Law Office of Robert P. Kelly -
REGISTERED AGENT ADDRESS CHANGED 2022-09-01 2699 Stirling Road, C403B, Ft. Lauderdale, FL 33312 -
CHANGE OF MAILING ADDRESS 2022-02-01 5888 Blanding Blvd., Jacksonville, FL 32244 -

Documents

Name Date
REINSTATEMENT 2024-11-15
ANNUAL REPORT 2023-04-12
AMENDED ANNUAL REPORT 2022-09-01
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-04-14
Domestic Non-Profit 2020-08-13

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
85-2232564 Corporation Unconditional Exemption 3550 POWERLINE RD, OAKLAND PARK, FL, 33309-5917 2022-12
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2022-12
Asset 1,000,000 to 4,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 1185314
Income Amount 9316567
Form 990 Revenue Amount 9316567
National Taxonomy of Exempt Entities Health Care: Nursing, Convalescent Facilities
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_85-2232564_CENTERFORAGINGANDREHABILITATIONOFJACKSONVILLEINC_07172022_00.pdf

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

Organization Name CENTER FOR AGING AND REHABILITATION OF JACKSONVILLE INC
EIN 85-2232564
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CENTER FOR AGING AND REHABILITATION OF JACKSONVILLE INC
EIN 85-2232564
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CENTER FOR AGING AND REHABILITATION OF JACKSONVILLE INC
EIN 85-2232564
Tax Period 202012
Filing Type E
Return Type 990
File View File

Date of last update: 02 Apr 2025

Sources: Florida Department of State