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  5. CAMILLUS HEALTH CONCERN, INC.

CAMILLUS HEALTH CONCERN, INC. - Florida Company Profile

Headquarter

Company Details

Entity Name: CAMILLUS HEALTH CONCERN, 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 Jul 1988 (37 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 22 Jul 2021 (4 years ago)
Document Number: N27427
FEI/EIN Number 650063921

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 336 NW 5TH STREET, MIAMI, FL, 33128, US
Mail Address: 336 NW 5TH STREET, MIAMI, FL, 33128, US
ZIP code: 33128
County: Miami-Dade
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of CAMILLUS HEALTH CONCERN, INC., ILLINOIS CORP_59782177 ILLINOIS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700329059 2016-11-18 2016-11-18 336 NW 5TH ST, MIAMI, FL, 331281616, US 336 NW 5TH ST, MIAMI, FL, 331281616, US

Contacts
Phone +1 305-577-4840

Authorized person
Name MRS. LUZ MILAGROS LABRADA RAVELO
Role DIRECTOR OF PHARMACY
Phone 3055774840

Taxonomy
Taxonomy Code 3336C0002X - Clinic Pharmacy
License Number PH30458
State FL
Is Primary Yes
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH30458
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF CAMILLUS HEALTH CONCERN 2013 650063921 2014-06-20 CAMILLUS HEALTH CONCERN 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 621491
Sponsor’s telephone number 3055774840
Plan sponsor’s address 336 NW 5TH ST, MIAMI, FL, 33128

Signature of
Role Plan administrator
Date 2014-06-20
Name of individual signing CATHERINE LANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-20
Name of individual signing CATHERINE LANG
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF CAMILLUS HEALTH CONCERN 2012 650063921 2013-07-22 CAMILLUS HEALTH CONCERN 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 621491
Sponsor’s telephone number 3055774840
Plan sponsor’s address 336 NW 5TH ST, MIAMI, FL, 33128

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing CATHERINE LANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-22
Name of individual signing CATHERINE LANG
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF CAMILLUS HEALTH CONCERN 2011 650063921 2012-07-18 CAMILLUS HEALTH CONCERN 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 621491
Sponsor’s telephone number 3055774840
Plan sponsor’s address 336 NW 5TH ST, MIAMI, FL, 33128

Plan administrator’s name and address
Administrator’s EIN 650063921
Plan administrator’s name CAMILLUS HEALTH CONCERN
Plan administrator’s address 336 NW 5TH ST, MIAMI, FL, 33128
Administrator’s telephone number 3055774840

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing CATHERINE LANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-18
Name of individual signing CATHERINE LANG
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF CAMILLUS HEALTH CONCERN 2010 650063921 2011-07-25 CAMILLUS HEALTH CONCERN 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 621491
Sponsor’s telephone number 3055774840
Plan sponsor’s address 336 NW 5TH ST, MIAMI, FL, 33128

Plan administrator’s name and address
Administrator’s EIN 650063921
Plan administrator’s name CAMILLUS HEALTH CONCERN
Plan administrator’s address 336 NW 5TH ST, MIAMI, FL, 33128
Administrator’s telephone number 3055774840

Signature of
Role Plan administrator
Date 2011-07-25
Name of individual signing CATHERINE LANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-25
Name of individual signing CATHERINE LANG
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF CAMILLUS HEALTH CONCERN 2009 650063921 2010-07-22 CAMILLUS HEALTH CONCERN 55
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-07-01
Business code 621491
Sponsor’s telephone number 3055774840
Plan sponsor’s address 336 NW 5TH ST, MIAMI, FL, 33128

Plan administrator’s name and address
Administrator’s EIN 650063921
Plan administrator’s name CAMILLUS HEALTH CONCERN
Plan administrator’s address 336 NW 5TH ST, MIAMI, FL, 33128
Administrator’s telephone number 3055774840

Signature of
Role Plan administrator
Date 2010-07-22
Name of individual signing CATHERINE LANG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-22
Name of individual signing CATHERINE LANG
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
VIAMONTE ROS ANA MMD Vice Chairman 336 NW 5TH STREET, MIAMI, FL, 33128
HAYDEN MARY HEdD, LC Secretary 336 NW 5TH STREET, MIAMI, FL, 33128
PIPER EVAN S Chairman 336 NW 5TH STREET, MIAMI, FL, 33128
AFRAM-GYENING FRANCIS MD Chief Executive Officer 336 NW 5TH STREET, MIAMI, FL, 33128
SALUJA ARJUN Treasurer 336 NW 5TH STREET, MIAMI, FL, 33128
REYES BENJO M Fina 336 NW 5TH STREET, MIAMI, FL, 33128
FITZGERALD J. PATRICK ESQ. Agent J. PATRICK FITZGERALD & ASSOCIATES, P.A., CORAL GABLES, FL, 33134

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000044289 GOOD SHEPHERD HEALTH CENTER ACTIVE 2015-05-05 2025-12-31 - 336 N.W. 5TH STREET, MIAMI, FL, 33128
G14000102198 CAMILLUS HEALTH ACTIVE 2014-10-08 2029-12-31 - 336 NW 5TH STREET, MIAMI, FL, 33128

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-03-11 FITZGERALD, J. PATRICK, ESQ. -
AMENDED AND RESTATEDARTICLES 2021-07-22 - -
AMENDED AND RESTATEDARTICLES 2020-12-29 - -
REGISTERED AGENT ADDRESS CHANGED 2017-04-03 J. PATRICK FITZGERALD & ASSOCIATES, P.A., 110 MERRICK WAY, SUITE 3B, CORAL GABLES, FL 33134 -
AMENDED AND RESTATEDARTICLES 2017-03-20 - -
AMENDMENT 2011-04-15 - -
AMENDMENT 2010-03-12 - -
AMENDED AND RESTATEDARTICLES 2009-10-20 - -
CHANGE OF MAILING ADDRESS 2009-04-29 336 NW 5TH STREET, MIAMI, FL 33128 -
AMENDED AND RESTATEDARTICLES 2007-10-24 - -

Documents

Name Date
ANNUAL REPORT 2024-01-05
AMENDED ANNUAL REPORT 2023-03-01
AMENDED ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-03-11
Amended and Restated Articles 2021-07-22
ANNUAL REPORT 2021-02-11
Amended and Restated Articles 2020-12-29
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-02-14

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C81CS13358 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient CAMILLUS HEALTH CONCERN INC
Recipient Name Raw CAMILLUS HEALTH CONCERN, INC
Recipient UEI G5JSKMLY6UA9
Recipient DUNS 783909971
Recipient Address PO BOX 11829, MIAMI, MIAMI-DADE, FLORIDA, 33101, UNITED STATES
Obligated Amount 408565.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS12601 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient CAMILLUS HEALTH CONCERN INC
Recipient Name Raw CAMILLUS HEALTH CONCERN, INC
Recipient UEI G5JSKMLY6UA9
Recipient DUNS 783909971
Recipient Address PO BOX 11829, MIAMI, MIAMI-DADE, FLORIDA, 33101, UNITED STATES
Obligated Amount 213111.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00026 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2001-11-01 2010-10-31 HEALTH CENTER CLUSTER
Recipient CAMILLUS HEALTH CONCERN INC
Recipient Name Raw CAMILLUS HEALTH CONCERN, INC
Recipient UEI G5JSKMLY6UA9
Recipient DUNS 783909971
Recipient Address PO BOX 11829, MIAMI, MIAMI-DADE, FLORIDA, 33101, UNITED STATES
Obligated Amount 33193547.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
65-0063921 Corporation Unconditional Exemption 336 NW 5TH ST, MIAMI, FL, 33128-1616 1946-03
In Care of Name -
Group Exemption Number 0928
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 Subordinate - This code is used if the organization is a subordinate in a group ruling.
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Religious 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 2023-12
Asset 5,000,000 to 9,999,999
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 Dec
Asset Amount 8704934
Income Amount 10599575
Form 990 Revenue Amount 10599575
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name CAMILLUS HEALTH CONCERN INC
EIN 65-0063921
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CAMILLUS HEALTH CONCERN INC
EIN 65-0063921
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CAMILLUS HEALTH CONCERN INC
EIN 65-0063921
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CAMILLUS HEALTH CONCERN INC
EIN 65-0063921
Tax Period 201912
Filing Type P
Return Type 990
File View File
Organization Name CAMILLUS HEALTH CONCERN INC
EIN 65-0063921
Tax Period 201812
Filing Type P
Return Type 990
File View File
Organization Name CAMILLUS HEALTH CONCERN INC
EIN 65-0063921
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name CAMILLUS HEALTH CONCERN INC
EIN 65-0063921
Tax Period 201612
Filing Type P
Return Type 990
File View File
Organization Name CAMILLUS HEALTH CONCERN INC
EIN 65-0063921
Tax Period 201606
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8066767303 2020-05-01 0455 PPP 336 NW 5TH ST, MIAMI, FL, 33128-1616
Loan Status Date 2021-07-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 740713
Loan Approval Amount (current) 740713
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 Existing or more than 2 years old
Project Address MIAMI, MIAMI-DADE, FL, 33128-1616
Project Congressional District FL-27
Number of Employees 68
NAICS code 621610
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 746212.54
Forgiveness Paid Date 2021-02-10

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Companies related by address

No other companies in our directory share the same address as CAMILLUS HEALTH CONCERN, INC.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

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