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JACKSON HEALTH FOUNDATION, INC. - Florida Company Profile

Company Details

Entity Name: JACKSON HEALTH FOUNDATION, 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: 01 Dec 1987 (37 years ago)
Last Event: AMENDMENT
Event Date Filed: 25 Oct 2021 (3 years ago)
Document Number: N23672
FEI/EIN Number 650077727

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

Address: 1611 NW 12th Avenue, Miami, FL, 33136, US
Mail Address: 1611 NW 12th Avenue, Miami, FL, 33136, US
ZIP code: 33136
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON HEALTH FOUNDATION 401(K) PLAN 2022 650077727 2023-09-05 JACKSON HEALTH FOUNDATION, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 813000
Sponsor’s telephone number 3055857260
Plan sponsor’s address 901 NW 17TH STREET, SUITE G, MIAMI, FL, 33136
JACKSON HEALTH FOUNDATION 401(K) PLAN 2021 650077727 2022-11-15 JACKSON HEALTH FOUNDATION, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 813000
Sponsor’s telephone number 3055857260
Plan sponsor’s address 901 NW 17TH STREET, SUITE G, MIAMI, FL, 33136

Key Officers & Management

Name Role Address
GROSACK MATTHEW Vice Chairman 933 NE 193rd Terrace, North Miami Beach, FL, 33179
Llizo Flavia Chief Executive Officer 1611 NW 12th Avenue, Miami, FL, 33136
Vera Eddie Fina 1611 NW 12th Avenue, Miami, FL, 33136
Irizarry Gregory Treasurer 1162 NW 162nd Avenue, Pembroke Pines, FL, 33028
Holtz Andria Secretary 1611 NW 12th Avenue, Miami, FL, 33136
LLIZO FLAVIA Agent 1611 NW 12th Avenue, Miami, FL, 33136
Joyce Edward Chairman 1341 Alhambra Circle, Coral Gables, FL, 33134

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000097087 JACKSON HEALTH FOUNDATION EXPIRED 2014-09-23 2019-12-31 - 1501 NW NORTH RIVER DRIVE, FIRST FLOOR, MIAMI, FL, 33125

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-11-19 LLIZO, FLAVIA -
CHANGE OF MAILING ADDRESS 2024-10-02 1611 NW 12th Avenue, Miami, FL 33136 -
CHANGE OF PRINCIPAL ADDRESS 2024-02-06 1611 NW 12th Avenue, Miami, FL 33136 -
REGISTERED AGENT ADDRESS CHANGED 2024-02-06 1611 NW 12th Avenue, Miami, FL 33136 -
AMENDMENT 2021-10-25 - -
NAME CHANGE AMENDMENT 2014-11-03 JACKSON HEALTH FOUNDATION, INC. -
AMENDMENT 2014-10-06 - -
AMENDMENT 2006-05-22 - -
AMENDMENT 2004-03-30 - -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-11-19
AMENDED ANNUAL REPORT 2024-10-02
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-05-24
AMENDED ANNUAL REPORT 2022-10-25
ANNUAL REPORT 2022-02-10
Amendment 2021-10-25
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-03-17
AMENDED ANNUAL REPORT 2019-08-28

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
65-0077727 Corporation Unconditional Exemption 1611 NW 12TH AVE, MIAMI, FL, 33136-1005 1989-02
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, 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 receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-09
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 23920124
Income Amount 13695209
Form 990 Revenue Amount 9312634
National Taxonomy of Exempt Entities -
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)

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

Organization Name JACKSON HEALTH FOUNDATION INC
EIN 65-0077727
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name JACKSON HEALTH FOUNDATION INC
EIN 65-0077727
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name JACKSON HEALTH FOUNDATION INC
EIN 65-0077727
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name JACKSON HEALTH FOUNDATION INC
EIN 65-0077727
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name JACKSON HEALTH FOUNDATION INC
EIN 65-0077727
Tax Period 201609
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
1324137304 2020-04-28 0455 PPP 1501 Nw North River Dr Fl 1, MIAMI, FL, 33125-2619
Loan Status Date 2021-03-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 352257
Loan Approval Amount (current) 352257
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Unanswered
Project Address MIAMI, MIAMI-DADE, FL, 33125-2619
Project Congressional District FL-26
Number of Employees 18
NAICS code 813319
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 344948.17
Forgiveness Paid Date 2021-02-11

Date of last update: 01 Apr 2025

Sources: Florida Department of State