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CALHOUN-LIBERTY HOSPITAL ASSOCIATION, INC. - Florida Company Profile

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Company Details

Entity Name: CALHOUN-LIBERTY HOSPITAL ASSOCIATION, 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: 21 Feb 1991 (34 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 20 Dec 2005 (19 years ago)
Document Number: N42167
FEI/EIN Number 593051173

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

Address: 20370 NE BURNS AVENUE, BLOUNTSTOWN, FL, 32424, US
Mail Address: 20370 NE BURNS AVENUE, BLOUNTSTOWN, FL, 32424, US
ZIP code: 32424
County: Calhoun
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WILLIAMS LADDIE Director 17371 NW 5TH STREET, BLOUNTSTOWN, FL, 32424
RUSSELL MARILYN Secretary 19306 NE JOHN G. BRYANT RD, BLOUNTSTOWN, FL, 32424
BONTRAGER LABAN D Director 12799 NW PEA RIDGE RD, BRISTOL, FL, 32321
PLUMMER MARK Chairman 16059 NW LAKESIDE LANE, BRISTOL, FL, 32321
TOMLINSON JOHN J Treasurer 20007 NE HENTZ AVE., BLOUNTSTOWN, FL, 32424
Revell Tim Vice Chairman 17444 NW CR 379-A, Bristol, FL, 32321
Brown Emily Agent 20370 NE BURNS AVENUE, BLOUNTSTOWN, FL, 32424

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
MVVFA4FW3CL4
CAGE Code:
5WS81
UEI Expiration Date:
2026-01-22

Business Information

Doing Business As:
CALHOUN-LIBERTY HOSPITAL ASSOCIATION INC
Activation Date:
2025-01-24
Initial Registration Date:
2010-03-01

National Provider Identifier

NPI Number:
1588944334
Certification Date:
2024-10-18

Authorized Person:

Name:
EMILY MARLO BROWN
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8506743550

Form 5500 Series

Employer Identification Number (EIN):
539051173
Plan Year:
2018
Number Of Participants:
92
Sponsors DBA Name:
CALHOUN LIBERTY HOSPITAL
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
109
Sponsors DBA Name:
CALHOUN LIBERTY HOSPITAL
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
109
Sponsors DBA Name:
CALHOUN LIBERTY HOSPITAL
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
107
Sponsors DBA Name:
CALHOUN LIBERTY HOSPITAL
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
80
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000032276 CALHOUN - LIBERTY PRIMARY CARE CLINIC ACTIVE 2012-04-03 2027-12-31 - 20370 NE BURNS AVE, BLOUNTSTOWN, FL, 32424
G07037900214 CALHOUN-LIBERTY HOSPITAL ACTIVE 2007-02-06 2027-12-31 - 20370 NE BURNS AVE, BLOUNTSTOWN, FL, 32424

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-07-02 20370 NE BURNS AVENUE, BLOUNTSTOWN, FL 32424 -
REGISTERED AGENT NAME CHANGED 2024-07-02 Brown, Emily -
REGISTERED AGENT ADDRESS CHANGED 2011-07-21 20370 NE BURNS AVENUE, BLOUNTSTOWN, FL 32424 -
CANCEL ADM DISS/REV 2005-12-20 - -
CHANGE OF PRINCIPAL ADDRESS 2005-12-20 20370 NE BURNS AVENUE, BLOUNTSTOWN, FL 32424 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -
REINSTATEMENT 2002-03-15 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2001-09-21 - -
REINSTATEMENT 1998-11-25 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 - -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-10-04
AMENDED ANNUAL REPORT 2024-07-02
AMENDED ANNUAL REPORT 2024-03-08
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-18
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-07-01
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-03-13

USAspending Awards / Financial Assistance

Date:
2023-04-19
Awarding Agency Name:
Department of Agriculture
Transaction Description:
ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES
Obligated Amount:
253900.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1149389.90
Total Face Value Of Loan:
1149389.90
Date:
2016-05-10
Awarding Agency Name:
Department of Agriculture
Transaction Description:
DIRECT COMMUNITY FACILITY LOANS
Obligated Amount:
0.00
Face Value Of Loan:
886000.00
Total Face Value Of Loan:
886000.00
Date:
2008-06-13
Awarding Agency Name:
Department of Agriculture
Transaction Description:
COMMUNITY FACILITY GRANTS
Obligated Amount:
22000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2008-06-13
Awarding Agency Name:
Department of Agriculture
Transaction Description:
COMMUNITY FACILITY GRANTS
Obligated Amount:
90000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
59-3051173
In Care Of Name:
% MR LADDIE WILLIAMS CHAIRMAN
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)
Ruling Date:
1992-04
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1149389.9
Current Approval Amount:
1149389.9
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
1162080.42

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Date of last update: 03 Jun 2025

Sources: Florida Department of State