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  5. HEARTLAND RURAL HEALTH NETWORK, INC.

HEARTLAND RURAL HEALTH NETWORK, INC. - Florida Company Profile

Company Details

Entity Name: HEARTLAND RURAL HEALTH NETWORK, 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: 27 Dec 1993 (31 years ago)
Last Event: AMENDMENT
Event Date Filed: 12 Feb 1996 (29 years ago)
Document Number: N93000005791
FEI/EIN Number 650462144

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 435 S Pine St, SEBRING, FL, 33870, US
Mail Address: 435 S Pine St, SEBRING, FL, 33870, US
ZIP code: 33870
County: Highlands
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEARTLAND RURAL HEALTH NETWORK 403(B) 2022 650462144 2023-10-15 HEARTLAND RURAL HEALTH NETWORK, INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621410
Plan sponsor’s address 435 S PINE ST, SEBRING, FL, 338703647

Signature of
Role Plan administrator
Date 2023-10-14
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-14
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
HEARTLAND RURAL HEALTH NETWORK 403(B) 2021 650462144 2022-10-05 HEARTLAND RURAL HEALTH NETWORK, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621410
Plan sponsor’s address 435 S PINE ST, SEBRING, FL, 338703647

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-30
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
HEARTLAND RURAL HEALTH NETWORK 403(B) 2020 650462144 2021-08-16 HEARTLAND RURAL HEALTH NETWORK, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621410
Plan sponsor’s address 435 S PINE ST, SEBRING, FL, 338703647

Signature of
Role Plan administrator
Date 2021-08-16
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-16
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
HEARTLAND RURAL HEALTH NETWORK 403(B) 2019 650462144 2020-09-10 HEARTLAND RURAL HEALTH NETWORK, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621410
Plan sponsor’s address 435 S PINE ST, SEBRING, FL, 338703647

Signature of
Role Plan administrator
Date 2020-09-10
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-10
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
HEARTLAND RURAL HEALTH NETWORK 403(B) 2018 650462144 2019-09-25 HEARTLAND RURAL HEALTH NETWORK, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621410
Plan sponsor’s address 435 S PINE ST, SEBRING, FL, 338703647

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-25
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
HEARTLAND RURAL HEALTH NETWORK 403(B) 2017 650462144 2018-09-21 HEARTLAND RURAL HEALTH NETWORK, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621410
Plan sponsor’s address 1200 W AVON BLVD, AVON PARK, FL, 338258343

Signature of
Role Plan administrator
Date 2018-09-21
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-21
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
HEARTLAND RURAL HEALTH NETWORK 403(B) 2016 650462144 2017-07-17 HEARTLAND RURAL HEALTH NETWORK, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621410
Sponsor’s telephone number 8634526530
Plan sponsor’s address 1200 W AVON BLVD, AVON PARK, FL, 338258343

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-17
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
HEARTLAND RURAL HEALTH NETWORK 403 (B) 2015 650462144 2016-07-25 HEARTLAND RURAL HEALTH NETWORK, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621410
Sponsor’s telephone number 8634526530
Plan sponsor’s address 1200 W AVON BLVD, AVON PARK, FL, 338258343

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-25
Name of individual signing MELISSA THIBODEAU
Valid signature Filed with authorized/valid electronic signature
HEARTLAND RURAL HEALTH NETWORK 403 (B) 2014 650462144 2015-09-24 HEARTLAND RURAL HEALTH NETWORK, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621410
Sponsor’s telephone number 8634526530
Plan sponsor’s address 1200 WEST AVON BLVD, AVON PARK, FL, 33825

Signature of
Role Plan administrator
Date 2015-09-24
Name of individual signing KELLY JOHNSON
Valid signature Filed with authorized/valid electronic signature
HEARTLAND RURAL HEALTH NETWORK 403(B) 2013 650462144 2014-09-25 HEARTLAND RURAL HEALTH NETWORK, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621410
Sponsor’s telephone number 8634526530
Plan sponsor’s address 1200 WEST AVON BLVD, AVON PARK, FL, 33825

Plan administrator’s name and address
Administrator’s EIN 650462144
Plan administrator’s name HEARTLAND RURAL HEALTH NETWORK, INC
Plan administrator’s address 1200 WEST AVON BLVD, AVON PARK, FL, 33825
Administrator’s telephone number 8634526530

Key Officers & Management

Name Role Address
Warren Blake Vice President 328 S. Central Ave., Apopka, FL, 32703
Rihn Robert C Past 1815 Crystal Lake Dr., Lakeland, FL, 33801
Murphy Holly Director P.O. Box 1289, Tampa, FL, 33601
Sica Vincent A President 900 North Robert Ave., Arcadia, FL, 34265
Collazo Denise Director 950 C.R. 17A West, Avon Park, FL, 33825
Carrasquillo Valeria Agent 435 S Pine St, Sebring, FL, 33870
Carrasquillo Valeria Exec 1134 Chervil Dr, Sebring, FL, 34759

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-06 Carrasquillo, Valeria -
REGISTERED AGENT ADDRESS CHANGED 2024-02-06 435 S Pine St, Sebring, FL 33870 -
CHANGE OF PRINCIPAL ADDRESS 2020-01-17 435 S Pine St, SEBRING, FL 33870 -
CHANGE OF MAILING ADDRESS 2020-01-17 435 S Pine St, SEBRING, FL 33870 -
AMENDMENT 1996-02-12 - -

Documents

Name Date
ANNUAL REPORT 2025-01-30
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-03-10
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-01
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-01-15

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
SP016563 Department of Health and Human Services 93.276 - DRUG-FREE COMMUNITIES SUPPORT PROGRAM GRANTS 2010-09-30 2015-09-29 HIGHLANDS DRUG FREE COALITION COMMUNITY SUPPORT PROGRAM
Recipient HEARTLAND RURAL HEALTH NETWORK INC
Recipient Name Raw HEARTLAND RURAL HEALTH NETWORK INC.
Recipient UEI HAYLGVLV4RU8
Recipient DUNS 057975851
Recipient Address 1200 W. AVON BOULEVARD, AVON PARK, HIGHLANDS, FLORIDA, 33825-8343, UNITED STATES
Obligated Amount 625000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
G20RH19260 Department of Health and Human Services 93.912 - RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT PROGRAM 2010-08-01 2013-07-31 SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT
Recipient HEARTLAND RURAL HEALTH NETWORK INC
Recipient Name Raw HEARTLAND RURAL HEALTH NETWORK INC.
Recipient UEI HAYLGVLV4RU8
Recipient DUNS 057975851
Recipient Address 1200 W. AVON BOULEVARD, AVON PARK, HIGHLANDS, FLORIDA, 33825-8343, UNITED STATES
Obligated Amount 299999.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
90AE0276 Department of Health and Human Services 93.010 - COMMUNITY-BASED ABSTINENCE EDUCATION (CBAE) 2008-09-30 2013-09-29 COMMUNITY BASED ABSTINENCE EDUCATION
Recipient HEARTLAND RURAL HEALTH NETWORK INC
Recipient Name Raw HEARTLAND RURAL HEALTH NETWORK, INC.
Recipient UEI HAYLGVLV4RU8
Recipient DUNS 057975851
Recipient Address 1200 W. AVON BOULEVARD, AVON PARK, HIGHLANDS, FLORIDA, 33825-8343, UNITED STATES
Obligated Amount 971593.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
D06RH09002 Department of Health and Human Services 93.912 - RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT PROGRAM 2008-05-01 2011-04-30 RURAL HEALTH NETWORK DEVELOPMENT PROGRAM
Recipient HEARTLAND RURAL HEALTH NETWORK INC
Recipient Name Raw HEARTLAND RURAL HEALTH NETWORK, INC.
Recipient UEI HAYLGVLV4RU8
Recipient DUNS 057975851
Recipient Address 1200 W. AVON BOULEVARD, AVON PARK, HIGHLANDS, FLORIDA, 33825
Obligated Amount 524590.00
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
65-0462144 Corporation Unconditional Exemption 435 S PINE ST, SEBRING, FL, 33870-3647 1996-01
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 500,000 to 999,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 663663
Income Amount 579369
Form 990 Revenue Amount 579369
National Taxonomy of Exempt Entities Health Care: Health Treatment Facilities, Primarily Outpatient
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 HEARTLAND RURAL HEALTH NETWORK INC
EIN 65-0462144
Tax Period 202306
Filing Type E
Return Type 990
File View File
Organization Name HEARTLAND RURAL HEALTH NETWORK INC
EIN 65-0462144
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name HEARTLAND RURAL HEALTH NETWORK INC
EIN 65-0462144
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name HEARTLAND RURAL HEALTH NETWORK INC
EIN 65-0462144
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name HEARTLAND RURAL HEALTH NETWORK INC
EIN 65-0462144
Tax Period 201906
Filing Type P
Return Type 990
File View File
Organization Name HEARTLAND RURAL HEALTH NETWORK INC
EIN 65-0462144
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name HEARTLAND RURAL HEALTH NETWORK INC
EIN 65-0462144
Tax Period 201706
Filing Type P
Return Type 990
File View File
Organization Name HEARTLAND RURAL HEALTH NETWORK INC
EIN 65-0462144
Tax Period 201606
Filing Type P
Return Type 990
File View File

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Companies related by address

No other companies in our directory share the same address as HEARTLAND RURAL HEALTH NETWORK, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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