| Entity Name: | DANIEL MEMORIAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 15 May 1991 (34 years ago) |
| Document Number: | N43461 |
| FEI/EIN Number | 593067752 |
| Address: | 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216 |
| Mail Address: | 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| 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 | |||||||||||||||||||||||||
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| 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 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL RETIREMENT PLAN | 2023 | 593067752 | 2024-07-22 | DANIEL MEMORIAL, INC. | 246 | |||||||||||||||||||||||||||||||||||||||||||||
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| DANIEL MEMORIAL INC EMPLOYEE HEALTH CARE PLAN | 2018 | 593067752 | 2019-07-17 | DANIEL MEMORIAL INC. | 164 | |||||||||||||||||||||||||||||||||||||||||||||
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| Active participants | 166 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Name | Role | Address |
|---|---|---|
| WELLS LESLEY A | Agent | 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| PIA FELIPE P | Chief Financial Officer | 4203 SOUTHPOINT BLVD, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| WELLS LESLEY A | Chief Executive Officer | 4203 SOUTHPOINT BLVD, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| BUHLER PHILLIP A | Chairman | 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| CORRIGAN TIMOTHY | Vice Chairman | 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| JACKSON DAN | Treasurer | 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| BATEH SUSAN J | Secretary | 4203 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CORPORATE MERGER | 1996-07-01 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 2. CORPORATE MERGER NUMBER 700000010597 |
| AMENDED AND RESTATEDARTICLES | 1996-07-01 | No data | No data |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 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 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
