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  5. DANIEL MEMORIAL, INC.

DANIEL MEMORIAL, INC. - Florida Company Profile

Company Details

Entity Name: DANIEL MEMORIAL, 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: 15 May 1991 (34 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 01 Jul 1996 (29 years ago)
Document Number: N43461
FEI/EIN Number 593067752

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216
Mail Address: 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316105091 2008-05-29 2008-07-11 3725 BELFORT RD, JACKSONVILLE, FL, 322165813, US 3725 BELFORT RD, JACKSONVILLE, FL, 322165813, US

Contacts
Phone +1 904-296-1055
Fax 9044487700

Authorized person
Name MR. HARRY W. WILLIAMS JR.
Role DIRECTOR
Phone 9042961055

Taxonomy
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number MH4894
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 075421800
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANIEL RETIREMENT PLAN 2023 593067752 2024-07-22 DANIEL MEMORIAL, INC. 246
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 624100
Sponsor’s telephone number 9042961055
Plan sponsor’s address 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216
DANIEL MEMORIAL INC EMPLOYEE HEALTH CARE PLAN 2018 593067752 2019-07-17 DANIEL MEMORIAL INC. 164
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-02-01
Business code 624100
Sponsor’s telephone number 9042961055
Plan sponsor’s mailing address 4203 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216
Plan sponsor’s address 4203 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216

Number of participants as of the end of the plan year
Active participants 166
DANIEL MEMORIAL INC EMPLOYEE HEALTH CARE PLAN 2017 593067752 2018-10-15 DANIEL MEMORIAL INC. 162
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-02-01
Business code 624100
Sponsor’s telephone number 9042961055
Plan sponsor’s mailing address 4203 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216
Plan sponsor’s address 4203 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216

Number of participants as of the end of the plan year
Active participants 164
DANIEL MEMORIAL INC EMPLOYEE HEALTH CARE PLAN 2016 593067752 2018-01-17 DANIEL MEMORIAL INC. 164
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-02-01
Business code 624100
Sponsor’s telephone number 9042961055
Plan sponsor’s mailing address 4203 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216
Plan sponsor’s address 4203 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216

Number of participants as of the end of the plan year
Active participants 162
DANIEL MEMORIAL INC EMPLOYEE HEALTH CARE PLAN 2015 593067752 2016-10-17 DANIEL MEMORIAL INC. 174
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-02-01
Business code 624100
Sponsor’s telephone number 9042961055
Plan sponsor’s mailing address 4203 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216
Plan sponsor’s address 4203 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216

Number of participants as of the end of the plan year
Active participants 164
DANIEL MEMORIAL RETIREMENT PLAN 2009 593067752 2011-01-26 DANIEL MEMORIAL, INC. 203
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-07-01
Business code 624100
Sponsor’s telephone number 9042961055
Plan sponsor’s mailing address 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 322166164
Plan sponsor’s address 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 322166164

Plan administrator’s name and address
Administrator’s EIN 593067752
Plan administrator’s name DANIEL MEMORIAL, INC.
Plan administrator’s address 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 322166164
Administrator’s telephone number 9042961055

Number of participants as of the end of the plan year
Active participants 163
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 35
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 198
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 34

Signature of
Role Plan administrator
Date 2011-01-26
Name of individual signing SANDY ALBERT
Valid signature Filed with authorized/valid electronic signature
DANIEL MEMORIAL INC EMPLOYEE HEALTH CARE PLAN 2009 593067752 2010-10-06 DANIEL MEMORIAL INC 140
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-02-01
Business code 624100
Sponsor’s telephone number 9042961055
Plan sponsor’s mailing address 4203 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216
Plan sponsor’s address 4203 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216

Plan administrator’s name and address
Administrator’s EIN 593067752
Plan administrator’s name DANIEL MEMORIAL INC
Plan administrator’s address 4203 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216
Administrator’s telephone number 9042961055

Number of participants as of the end of the plan year
Active participants 140

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing LESLEY A WELLS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
JACKSON DAN Treasurer 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216
PIA FELIPE P Chief Financial Officer 4203 SOUTHPOINT BLVD, JACKSONVILLE, FL, 32216
WELLS LESLEY A Chief Executive Officer 4203 SOUTHPOINT BLVD, JACKSONVILLE, FL, 32216
BUHLER PHILLIP A Chairman 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216
BATEH SUSAN J Secretary 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216
CORRIGAN TIMOTHY Vice Chairman 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216
WELLS LESLEY A Agent 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-01-22 WELLS, LESLEY A -
CORPORATE MERGER 1996-07-01 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 2. CORPORATE MERGER NUMBER 700000010597
AMENDED AND RESTATEDARTICLES 1996-07-01 - -
CHANGE OF PRINCIPAL ADDRESS 1996-07-01 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL 32216 -
CHANGE OF MAILING ADDRESS 1996-07-01 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL 32216 -
REGISTERED AGENT ADDRESS CHANGED 1996-07-01 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL 32216 -

Court Cases

Title Case Number Docket Date Status
Daniel Memorial, Inc., Petitioner(s), v. T.P., a Child, by and through C.P., Adoptive Parent and Guardian,Family Support Services of North Florida, Inc., Neighbor to Family, Inc., and Ikare Youth and Family Services, Inc., Respondent(s). 5D2024-1707 2024-06-24 Open
Classification Original Proceedings - Circuit Civil - Certiorari
Court 5th District Court of Appeal
Originating Court Circuit Court for the Fourth Judicial Circuit, Duval County
2021-CA-005568

Parties
Name DANIEL MEMORIAL, INC.
Role Petitioner
Status Active
Representations Charles M P George, Katya Mei-Ling Rehders
Name FAMILY SUPPORT SERVICES OF NORTH FLORIDA, INC.
Role Respondent
Status Active
Representations Amy R Shevlin, Robert Best Buchanan
Name NEIGHBOR TO FAMILY, INC.
Role Respondent
Status Active
Representations Frances Paula Allegra
Name Ikare Youth and Family Service
Role Respondent
Status Active
Name C.P., Adoptive Parent And Guardian
Role Respondent
Status Active
Name Hon. Bruce Rutledge Anderson Jr.
Role Judge/Judicial Officer
Status Active

Docket Entries
Docket Date 2024-07-12
Type Order
Subtype Order on Motion for Extension of Time to File Response
Description Order on Motion for Extension of Time to File Response; RESPONSE BY 8/21/24
View View File
Docket Date 2024-09-25
Type Order
Subtype Order to File Status Report
Description Order to File Status Report BY 12/2/24
View View File
Docket Date 2024-09-24
Type Misc. Events
Subtype Status Report
Description Status Report PER 8/30 ORDER
On Behalf Of Daniel Memorial, Inc.
Docket Date 2024-08-30
Type Order
Subtype Abeyance Order
Description PETITION HELD IN ABEYANCE UNTIL 9/26. PT TO FILE STATUS REPORT IF A STIPULATION OF DIMISSAL IS NOT FILED BEFORE THE EXPIRATION OF THE ABEYANCE PERIOD
View View File
Docket Date 2024-08-15
Type Notice
Subtype Notice
Description Notice OF SETTLEMENT
On Behalf Of Daniel Memorial, Inc.
Docket Date 2024-08-07
Type Record
Subtype Appendix to Response
Description Appendix to Response
Docket Date 2024-08-07
Type Response
Subtype Response
Description Response to
Docket Date 2024-07-29
Type Notice
Subtype Notice of Appearance
Description Notice of Appearance
Docket Date 2024-07-10
Type Motions Extensions
Subtype Motion for Extension of Time to File Response
Description Motion for Extension of Time to File Response
Docket Date 2024-07-10
Type Notice
Subtype Notice of Appearance
Description Notice of Appearance
Docket Date 2024-06-28
Type Order
Subtype Order
Description Order; PT W/IN 10 DYS CLARIFY PROPER PARTIES; IF NECESSARY FILE AMENDED PET...
View View File
Docket Date 2024-06-26
Type Motions Other
Subtype Miscellaneous Motion
Description Miscellaneous Motion to Amend Case Style
Docket Date 2024-06-25
Type Event
Subtype Fee Paid Through Portal
Description Fee Paid Through Portal
View View File
Docket Date 2024-06-24
Type Order
Subtype Order on Filing Fee
Description Order on Filing Fee
View View File
Docket Date 2024-06-24
Type Record
Subtype Appendix to Petition
Description Appendix to Petition
Docket Date 2024-06-24
Type Petition
Subtype Petition Certiorari
Description Petition Certiorari- FILED HERE 06/21/2024
Docket Date 2024-12-19
Type Disposition by Order
Subtype Dismissed
Description Dismissed
View View File
Docket Date 2024-12-19
Type Motions Other
Subtype Motion/Notice Voluntary Dismissal
Description Motion/Notice Voluntary Dismissal- AMENDED
On Behalf Of Daniel Memorial, Inc.
Docket Date 2024-12-16
Type Order
Subtype Order Striking Filing
Description Order Striking Filing and Abeyance Lifted; ABEYANCE LIFTED; PT W/IN 5 DYS FILE AMENDED NOVD; NOVD STRICKEN
View View File
Docket Date 2024-12-12
Type Motions Other
Subtype Motion/Notice Voluntary Dismissal
Description Motion/Notice Voluntary Dismissal
On Behalf Of Daniel Memorial, Inc.
Docket Date 2024-12-03
Type Misc. Events
Subtype Status Report
Description Status Report per 9/5 order
On Behalf Of Daniel Memorial, Inc.
Docket Date 2024-06-24
Type Letter
Subtype Acknowledgment Letter
Description Acknowledgment Letter
View View File

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-01-29
AMENDED ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-01-11

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C76HF19961 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2010-09-01 2011-12-31 HEALTH CARE AND OTHER FACILITIES
Recipient DANIEL MEMORIAL INC
Recipient Name Raw DANIEL MEMORIAL INC
Recipient UEI GRJEYNHGVCW5
Recipient DUNS 968742932
Recipient Address 3725 BELFORT ROAD, JACKSONVILLE, DUVAL, FLORIDA, 32216, UNITED STATES
Obligated Amount 495000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
Y04IMFL0029 Department of Housing and Urban Development 14.243 - YOUTH BUILD 2010-06-30 - YOUTHBUILD
Recipient DANIEL MEMORIAL INC
Recipient Name Raw DANIEL MEMORIAL INC
Recipient Address 4203 SOUTHPOINT BLVD, JACKSONVILLE, DUVAL, FLORIDA, 32216-0000, UNITED STATES
Obligated Amount 25138.00
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
59-3067752 Corporation Unconditional Exemption 4203 SOUTHPOINT BLVD, JACKSONVILLE, FL, 32216-6164 1992-01
In Care of Name % FELIPE PIA
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 normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-06
Asset 1,000,000 to 4,999,999
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 Jun
Asset Amount 4815940
Income Amount 20234992
Form 990 Revenue Amount 20164617
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 DANIEL MEMORIAL INC
EIN 59-3067752
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name DANIEL MEMORIAL INC
EIN 59-3067752
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name DANIEL MEMORIAL INC
EIN 59-3067752
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name DANIEL MEMORIAL INC
EIN 59-3067752
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name DANIEL MEMORIAL INC
EIN 59-3067752
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name DANIEL MEMORIAL INC
EIN 59-3067752
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name DANIEL MEMORIAL INC
EIN 59-3067752
Tax Period 201606
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
3397207105 2020-04-11 0491 PPP 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216-0955
Loan Status Date 2021-09-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2498569
Loan Approval Amount (current) 2498569
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32216-0955
Project Congressional District FL-05
Number of Employees 267
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2530356.35
Forgiveness Paid Date 2021-08-02

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PIA FELIPE P

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WELLS LESLEY A

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BUHLER PHILLIP A

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BATEH SUSAN J

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CORRIGAN TIMOTHY

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Companies related by address

4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216

DANIEL FOUNDATION, INC.

4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216

DANIEL FOUNDATION, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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