| Entity Name: | COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Jan 1992 (33 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 Jul 2013 (12 years ago) |
| Document Number: | N47043 |
| FEI/EIN Number | 59-3103019 |
| Address: | 1264 US Hwy. 1, Suite 103, Rockledge, FL 32955 |
| Mail Address: | 1264 US Hwy. 1, Suite 103, Rockledge, FL 32955 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679228027 | 2022-02-15 | 2022-02-15 | 1264 US HIGHWAY 1 STE 103, ROCKLEDGE, FL, 329552746, US | 1264 US HIGHWAY 1 STE 103, ROCKLEDGE, FL, 329552746, US | |||||||||||||||
|
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| Phone | +1 321-634-3688 |
| Fax | 3215040955 |
Authorized person
| Name | LISA KAY GEMMILL |
| Role | HR MANAGER |
| Phone | 3216343688 |
Taxonomy
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD 401(K) PLAN | 2023 | 593103019 | 2024-10-03 | COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD, INC. | 0 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-03 |
| Name of individual signing | ALLISON BRECHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| COUNTING COPPERS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ULRICH, MARY W, MD | President | 1755 W. Hibiscus Blvd., Melbourne, FL 32907 |
| Name | Role | Address |
|---|---|---|
| ULRICH, MARY W, MD | Director | 1755 W. Hibiscus Blvd., Melbourne, FL 32907 |
| Burns, Elizabeth | Director | 447 Bella Vida Blvd, Orlando, FL 32828 |
| Crites, Lisa F. | Director | 358 Felice Place, Cocoa Beach, FL 32931 |
| Pawich, Tamara L, Dr. | Director | 1980 N. Atlantic Avenue, Suite 522 Cocoa Beach, FL 32931 |
| Rall, Gina | Director | 6115 N. Wickham Road, Melbourne, FL 32940 |
| Name | Role | Address |
|---|---|---|
| Buckley, Shelli | Officer | 1264 US Hwy. 1, Suite 103 Rockledge, FL 32955 |
| Name | Role | Address |
|---|---|---|
| Burns, Elizabeth | Vice President | 447 Bella Vida Blvd, Orlando, FL 32828 |
| Name | Role | Address |
|---|---|---|
| Pawich, Tamara L, Dr. | Secretary | 1980 N. Atlantic Avenue, Suite 522 Cocoa Beach, FL 32931 |
| Name | Role | Address |
|---|---|---|
| Rall, Gina | Treasurer | 6115 N. Wickham Road, Melbourne, FL 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000116817 | CATCH OF BREVARD/EARLY STEPS | ACTIVE | 2022-09-16 | 2027-12-31 | No data | 1264 US HWY 1,STE 103, ROCKLEDGE, FL, 32955 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-13 | Counting Coppers LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-13 | 881 Barton Blvd, Ste 3, Rockledge, FL 32955 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-23 | 1264 US Hwy. 1, Suite 103, Rockledge, FL 32955 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-23 | 1264 US Hwy. 1, Suite 103, Rockledge, FL 32955 | No data |
| AMENDMENT | 2013-07-05 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 1992-05-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-02-21 |
| AMENDED ANNUAL REPORT | 2022-08-11 |
| ANNUAL REPORT | 2022-04-13 |
| AMENDED ANNUAL REPORT | 2021-06-08 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-03-24 |
| Reg. Agent Change | 2019-05-13 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
