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PEDIATRIC PRIMARY CARE FOUNDATION, INC. - Florida Company Profile

Company Details

Entity Name: PEDIATRIC PRIMARY CARE FOUNDATION, 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 Mar 1992 (33 years ago)
Document Number: N47936
FEI/EIN Number 593113135

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

Address: 1515 EAST SILVER SPRINGS BLVD, OCALA, FL, 34470, US
Mail Address: 2375 C NE 25th Avenue, #107, OCALA, FL, 34470-3913, US
ZIP code: 34470
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770553018 2006-01-26 2015-02-03 1539 NE 22ND AVE, SUITE A, OCALA, FL, 344704761, US 1539 NE 22ND AVE, SUITE A, OCALA, FL, 344704761, US

Contacts

Phone +1 352-369-7800
Fax 3523692141

Authorized person

Name JEFFERY E BAXLA
Role PROGRAM ADMINISTRATOR
Phone 3523697835

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes
Taxonomy Code 251K00000X - Public Health or Welfare Agency
Is Primary No
Taxonomy Code 251V00000X - Voluntary or Charitable Agency
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 752161800
State FL
Issuer MEDICAID
Number 752161801
State FL

Key Officers & Management

Name Role Address
LEE JOSELYN President 2375c NE 25TH AVE #107, OCALA, FL, 344703913
SAHA TED Dr. Director 2375c NE 25TH AVE #107, OCALA, FL, 344703913
Boyce Nancy Treasurer 2375c NE 25TH AVE #107, OCALA, FL, 344703913
Thompson Kelly AEsq. Agent 618 SE 17th Street, OCALA, FL, 34471

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-27 1515 EAST SILVER SPRINGS BLVD, SUITE 104, OCALA, FL 34470 -
CHANGE OF MAILING ADDRESS 2018-03-19 1515 EAST SILVER SPRINGS BLVD, SUITE 104, OCALA, FL 34470 -
REGISTERED AGENT NAME CHANGED 2016-04-26 Thompson, Kelly A, Esq. -
REGISTERED AGENT ADDRESS CHANGED 2016-04-26 618 SE 17th Street, OCALA, FL 34471 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-03-25
ANNUAL REPORT 2019-04-27
ANNUAL REPORT 2018-03-19
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-22

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-3113135 Corporation Unconditional Exemption 2375 C NE 25TH AVE 107, OCALA, FL, 34470-3913 1992-12
In Care of Name -
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 2024-06
Asset 0
Income 0
Filing Requirement 990 - Required to file Form 990-N - Income less than $50,000 per year
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 0
Income Amount 0
Form 990 Revenue Amount 0
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)

Form 990-N (e-Postcard)

Organization Name PEDIATRIC PRIMARY CARE FOUNDATION INC
EIN 59-3113135
Tax Year 2023
Beginning of tax period 2023-07-01
End of tax period 2024-06-30
Gross receipts not greater than $50000 Yes
Organization has terminated No
Mailing Address 2375 NE 25TH AVE STE C, OCALA, FL, 34470, US
Principal Officer's Name JOSELYN LEE
Principal Officer's Address 1525 NE 17TH AVE, OCALA, FL, 34470, US

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name PEDIATRIC PRIMARY CARE FOUNDATION INC
EIN 59-3113135
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name PEDIATRIC PRIMARY CARE FOUNDATION INC
EIN 59-3113135
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name PEDIATRIC PRIMARY CARE FOUNDATION INC
EIN 59-3113135
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name PEDIATRIC PRIMARY CARE FOUNDATION INC
EIN 59-3113135
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name PEDIATRIC PRIMARY CARE FOUNDATION INC
EIN 59-3113135
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name PEDIATRIC PRIMARY CARE FOUNDATION INC
EIN 59-3113135
Tax Period 201606
Filing Type P
Return Type 990
File View File

Date of last update: 02 Apr 2025

Sources: Florida Department of State