| Entity Name: | BASCA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Jun 1995 (30 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 30 Aug 2016 (8 years ago) |
| Document Number: | N95000002680 |
| FEI/EIN Number | 59-3318252 |
| Address: | 352 STOWE AVENUE, ORANGE PARK, FL 32073 |
| Mail Address: | 352 STOWE AVENUE, ORANGE PARK, FL 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669083192 | 2020-08-10 | 2020-08-10 | 352 STOWE AVE, ORANGE PARK, FL, 320735547, US | 352 STOWE AVE, ORANGE PARK, FL, 320735547, US | |||||||||||||||
|
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| Phone | +1 904-541-1742 |
| Fax | 9042786686 |
Authorized person
| Name | PATRICE SHERMAN |
| Role | EXECUTIVE DIRECTOR OF PROGRAMS |
| Phone | 9045411742 |
Taxonomy
| Taxonomy Code | 172V00000X - Community Health Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KENNEDY, PATRICK S | Agent | 352 STOWE AVENUE, ORANGE PARK, FL 32073 |
| Name | Role | Address |
|---|---|---|
| Adam, Bettie | Treasurer | 1405 Wilkes Point Rd., Green Cove Springs, FL 32043 |
| Name | Role | Address |
|---|---|---|
| CLIFTON, JOSH | Chairman | 8620 Southern Glen Dr., Jacksonville, FL 32056 |
| Name | Role | Address |
|---|---|---|
| Davidow, Aimee | Vice Chairman | 4371 US HWY 17, Unit 101, Fleming Island, FL 32003 |
| Name | Role | Address |
|---|---|---|
| WORTHAM, BEN | Secretary | 1356 Red Maple Ct., Orange Park, FL 32073 |
| Name | Role | Address |
|---|---|---|
| Kennedy, Patrick | Chief Executive Officer | 1051 Bains Lake Dr., Jacksonville, FL 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-05-06 | KENNEDY, PATRICK S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-05-06 | 352 STOWE AVENUE, ORANGE PARK, FL 32073 | No data |
| AMENDMENT | 2016-08-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-08-30 | 352 STOWE AVENUE, ORANGE PARK, FL 32073 | No data |
| CHANGE OF MAILING ADDRESS | 2016-08-30 | 352 STOWE AVENUE, ORANGE PARK, FL 32073 | No data |
| REINSTATEMENT | 2006-10-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| NAME CHANGE AMENDMENT | 2004-04-16 | BASCA, INC. | No data |
| AMENDMENT | 1996-04-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-01-31 |
| Reg. Agent Change | 2021-05-06 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
