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  5. NORTHEAST FLORIDA HEALTHY START COALITION, INC.

NORTHEAST FLORIDA HEALTHY START COALITION, INC. - Florida Company Profile

Company Details

Entity Name: NORTHEAST FLORIDA HEALTHY START COALITION, 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: 18 Nov 1991 (33 years ago)
Last Event: AMENDMENT
Event Date Filed: 18 Mar 2005 (20 years ago)
Document Number: N46091
FEI/EIN Number 593139801

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 751 Oak st, JACKSONVILLE, FL, 32204, US
Mail Address: 751 OAK ST, JACKSONVILLE, FL, 32204, US
ZIP code: 32204
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598391807 2020-03-18 2020-03-18 644 CESERY BLVD STE 210, JACKSONVILLE, FL, 322117165, US 6024 MERRILL RD, JACKSONVILLE, FL, 322773427, US

Contacts
Phone +1 904-723-5422
Fax 9047235433

Authorized person
Name FAYE JOHNSON
Role CHIEF EXECUTIVE OFFICER
Phone 9047235422

Taxonomy
Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHEAST FLORIDA HEALTHY START COALITION, INC. RETIREMENT PLAN 2022 593139801 2024-07-02 NORTHEAST FLORIDA HEALTHY START COALITION, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 813000
Sponsor’s telephone number 9047235422
Plan sponsor’s address 751 OAK STREET SUITE 610, JACKSONVILLE, FL, 322043372

Signature of
Role Plan administrator
Date 2024-07-02
Name of individual signing ERIN CUMISKEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-02
Name of individual signing ERIN CUMISKEY
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA HEALTHY START COALITION, INC. RETIREMENT PLAN 2021 593139801 2023-07-14 NORTHEAST FLORIDA HEALTHY START COALITION, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 813000
Sponsor’s telephone number 9047235422
Plan sponsor’s address 751 OAK STREET SUITE 610, JACKSONVILLE, FL, 322043372

Signature of
Role Plan administrator
Date 2023-07-14
Name of individual signing ERIN CUMISKEY
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA HEALTHY START COALITION, INC. RETIREMENT PLAN 2020 593139801 2022-03-02 NORTHEAST FLORIDA HEALTHY START COALITION, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 813000
Sponsor’s telephone number 9047235422
Plan sponsor’s address 751 OAK STREET SUITE 610, JACKSONVILLE, FL, 322043372

Signature of
Role Plan administrator
Date 2022-03-02
Name of individual signing FAYE JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-02
Name of individual signing FAYE JOHNSON
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA HEALTHY START COALITION, INC. RETIREMENT PLAN 2019 593139801 2021-08-05 NORTHEAST FLORIDA HEALTHY START COALITION, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 813000
Sponsor’s telephone number 9047235422
Plan sponsor’s address 751 OAK STREET SUITE 610, JACKSONVILLE, FL, 322043372

Signature of
Role Plan administrator
Date 2021-08-05
Name of individual signing FAYE JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-05
Name of individual signing FAYE JOHNSON
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA HEALTHY START COALITION, INC. RETIREMENT PLAN 2018 593139801 2020-03-10 NORTHEAST FLORIDA HEALTHY START COALITION, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 813000
Sponsor’s telephone number 9047235422
Plan sponsor’s address 644 CESERY BLVD STE 210, JACKSONVILLE, FL, 322117165

Signature of
Role Plan administrator
Date 2020-03-10
Name of individual signing SHANNON DENSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-10
Name of individual signing SHANNON DENSON
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA HEALTHY START COALITION, INC. RETIREMENT PLAN 2017 593139801 2019-04-09 NORTHEAST FLORIDA HEALTHY START COALITION, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 813000
Sponsor’s telephone number 9047235422
Plan sponsor’s address 644 CESERY BLVD STE 210, JACKSONVILLE, FL, 322117165

Signature of
Role Plan administrator
Date 2019-04-09
Name of individual signing SHANNON DENSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-09
Name of individual signing SHANNON DENSON
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA HEALTHY START COALITION, INC. RETIREMENT PLAN 2016 593139801 2018-06-18 NORTHEAST FLORIDA HEALTHY START COALITION, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 813000
Sponsor’s telephone number 9047235422
Plan sponsor’s address 644 CESERY BLVD STE 210, JACKSONVILLE, FL, 322117165

Signature of
Role Plan administrator
Date 2018-06-18
Name of individual signing SHANNON DENSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-18
Name of individual signing SHANNON DENSON
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA HEALTHY START COALITION, INC. RETIREMENT PLAN 2015 593139801 2017-02-23 NORTHEAST FLORIDA HEALTHY START COALITION, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 9047235422
Plan sponsor’s address 644 CESERY BLVD., STE 210, JACKSONVILLE, FL, 32211

Signature of
Role Plan administrator
Date 2017-02-23
Name of individual signing SHANNON M DENSON
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA HEALTHY START COALITION, INC. RETIREMENT PLAN 2014 593139801 2016-02-05 NORTHEAST FLORIDA HEALTHY START COALITION, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 9047235422
Plan sponsor’s address 644 CESERY BLVD., STE 210, JACKSONVILLE, FL, 32211

Signature of
Role Plan administrator
Date 2016-02-05
Name of individual signing SHANNON M DENSON
Valid signature Filed with authorized/valid electronic signature
NORTHEAST FLORIDA HEALTHY START COALITION, INC. RETIREMENT PLAN 2013 593139801 2015-04-08 NORTHEAST FLORIDA HEALTHY START COALITION, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 624100
Sponsor’s telephone number 9047235422
Plan sponsor’s address 644 CESERY BLVD., JACKSONVILLE, FL, 32211

Signature of
Role Plan administrator
Date 2015-04-08
Name of individual signing SHANNON DENSON
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Johnson Faye Chief Executive Officer 751 Oak st, JACKSONVILLE, FL, 32204
Hudak Mark Chairman 751 Oak st, JACKSONVILLE, FL, 32204
Forde Linda Treasurer 751 Oak st, JACKSONVILLE, FL, 32204
Neil Carol Vice Chairman 751 Oak st, JACKSONVILLE, FL, 32204
Thomas Stephanie Secretary 751 Oak st, JACKSONVILLE, FL, 32204
Johnson Faye Agent 751 Oak St., Jacksonville, FL, 32204

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-02-20 Johnson, Faye -
REGISTERED AGENT ADDRESS CHANGED 2021-02-19 751 Oak St., Suite 610, Jacksonville, FL 32204 -
CHANGE OF PRINCIPAL ADDRESS 2021-02-19 751 Oak st, Ste 610, JACKSONVILLE, FL 32204 -
CHANGE OF MAILING ADDRESS 2021-02-19 751 Oak st, Ste 610, JACKSONVILLE, FL 32204 -
AMENDMENT 2005-03-18 - -
AMENDMENT 2005-01-26 - -
REINSTATEMENT 2003-12-23 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -
REINSTATEMENT 1998-12-07 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1998-10-16 - -

Documents

Name Date
ANNUAL REPORT 2025-01-30
ANNUAL REPORT 2024-04-30
AMENDED ANNUAL REPORT 2023-10-16
ANNUAL REPORT 2023-02-20
ANNUAL REPORT 2022-02-24
ANNUAL REPORT 2021-02-19
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-03-29
ANNUAL REPORT 2018-04-11
AMENDED ANNUAL REPORT 2017-07-26

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
H49MC00051 Department of Health and Human Services 93.926 - HEALTHY START INITIATIVE 2001-07-01 2009-05-31 ELIMINATING DISPARITIES IN PERINATAL
Recipient NORTHEAST FLORIDA HEALTHY START COALITION, INC.
Recipient Name Raw N E FLORIDA HEALTH START COALITION
Recipient UEI CQLAFMU1A6L7
Recipient DUNS 139131788
Recipient Address 6850 BELFORT OAKS PLACE, JACKSONVILLE, DUVAL, FLORIDA, 32216
Obligated Amount 10626910.00
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
59-3139801 Corporation Unconditional Exemption 751 OAK ST STE 610, JACKSONVILLE, FL, 32204-3372 2005-04
In Care of Name % DAWN CLARKE
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 receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-06
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 Jun
Asset Amount 6099708
Income Amount 10036006
Form 990 Revenue Amount 10036006
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 NORTHEAST FLORIDA HEALTHY START COALITION INC
EIN 59-3139801
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name NORTHEAST FLORIDA HEALTHY START COALITION INC
EIN 59-3139801
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name NORTHEAST FLORIDA HEALTHY START COALITION INC
EIN 59-3139801
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name NORTHEAST FLORIDA HEALTHY START COALITION INC
EIN 59-3139801
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name NORTHEAST FLORIDA HEALTHY START COALITION INC
EIN 59-3139801
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name NORTHEAST FLORIDA HEALTHY START COALITION INC
EIN 59-3139801
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name NORTHEAST FLORIDA HEALTHY START COALITION INC
EIN 59-3139801
Tax Period 201606
Filing Type E
Return Type 990
File View File

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Date of last update: 01 Mar 2025

Sources: Florida Department of State

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