Entity Name: | OUTREACH COMMUNITY CARE NETWORK, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Not For Profit Corporation |
Status: | Active |
Date Filed: | 05 Jul 1988 (37 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 07 Nov 2014 (10 years ago) |
Document Number: | N27264 |
FEI/EIN Number | 59-2897172 |
Address: | 240 North Frederick Avenue, Daytona Beach, FL 32114 |
Mail Address: | 240 North Frederick Avenue, DAYTONA BEACH, FL 32114 |
ZIP code: | 32114 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043776057 | 2019-02-14 | 2019-02-14 | 240 N. FREDERICK AVENUE, DAYTONA BEACH, FL, 32114, US | 240 N. FREDERICK AVENUE, DAYTONA BEACH, FL, 32114, US | |||||||||||||||
|
Phone | +1 386-675-0118 |
Fax | 3862571245 |
Authorized person
Name | DR. CHESTER WILSON JR. |
Role | EXECUTIVE DIRECTOR |
Phone | 3866750098 |
Taxonomy
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WILSON, CHESTER | Agent | 240 North Frederick Avenue, DAYTONA BEACH, FL 32114 |
Name | Role | Address |
---|---|---|
Perkins, Trekelle | Board Member | 240 North Frederick Avenue, Daytona Beach, FL 32114 |
Hall, Aaron, Dr. | Board Member | 240 North Frederick Avenue, Daytona Beach, FL 32114 |
McCorvey, IV, Simp, Esq. | Board Member | 240 North Frederick Avenue, Daytona Beach, FL 32114 |
Monell, Aida | Board Member | 240 N FREDERICK AVE, DAYTONA BEACH, FL 32114 |
Name | Role | Address |
---|---|---|
Randolph, Villa | Board Chair | 240 North Frederick Avenue, Daytona Beach, FL 32114 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2025-01-23 | WILSON, CHESTER | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-04-26 | 240 North Frederick Avenue, Daytona Beach, FL 32114 | No data |
CHANGE OF MAILING ADDRESS | 2018-09-26 | 240 North Frederick Avenue, Daytona Beach, FL 32114 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-04-05 | 240 North Frederick Avenue, DAYTONA BEACH, FL 32114 | No data |
REINSTATEMENT | 2014-11-07 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
AMENDMENT AND NAME CHANGE | 2005-09-16 | OUTREACH COMMUNITY CARE NETWORK, INC. | No data |
AMENDMENT | 1989-04-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-23 |
ANNUAL REPORT | 2024-02-01 |
ANNUAL REPORT | 2023-04-26 |
ANNUAL REPORT | 2022-02-03 |
ANNUAL REPORT | 2021-01-11 |
ANNUAL REPORT | 2020-01-15 |
ANNUAL REPORT | 2019-01-04 |
AMENDED ANNUAL REPORT | 2018-09-26 |
AMENDED ANNUAL REPORT | 2018-04-05 |
ANNUAL REPORT | 2018-01-26 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State