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DR. RAFAEL A. PENALVER CLINIC, INC. - Florida Company Profile

Company Details

Entity Name: DR. RAFAEL A. PENALVER CLINIC, 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: 08 Dec 1995 (29 years ago)
Document Number: N95000005588
FEI/EIN Number 650661761

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

Address: 971 N.W.2ND STREET, MIAMI, FL, 33128
Mail Address: 971 N.W.2ND STREET, MIAMI, FL, 33128
ZIP code: 33128
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508095050 2009-07-06 2009-07-06 971 NW 2ND ST, MIAMI, FL, 331281205, US 971 NW 2ND STREET, MIAMI, FL, 331281205, US

Contacts

Phone +1 305-545-7737
Fax 3055455862

Authorized person

Name MR. BORIS ALVAREZ
Role EXECUTIVE DIRECTOR
Phone 3055457737

Taxonomy

Taxonomy Code 261QC1500X - Community Health Clinic/Center
State FL
Is Primary Yes
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No

Key Officers & Management

Name Role Address
ARMAND JOCELYN JEsq. Chairman 971 N.W.2ND STREET, MIAMI, FL, 33128
ARENCIBIA FERNANDO J Vice President 971 N.W.2ND STREET, MIAMI, FL, 33128
BERTOT CHRISTIAN Treasurer 971 N.W.2ND STREET, MIAMI, FL, 33128
ALEGRE CLAUDIO JEsq. Secretary 971 N.W.2ND STREET, MIAMI, FL, 33128
ALVAREZ BORIS Executive 971 NW 2ND STREET, MIAMI, FL, 33128
ANDREU ALFRED JEsq. Co 971 NW 2 STREET, MIAMI, FL, 33128
ANDREU ALFRED JEsq. Treasurer 971 NW 2 STREET, MIAMI, FL, 33128
ALVAREZ BORIS Agent 971 N.W. 2ND STREET, MIAMI, FL, 33128

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G08084900258 DR. RAFAEL PENALVER CLINIC EXPIRED 2008-03-24 2013-12-31 - 971 N.W. 2ND STREET, MIAMI, FL, 33128
G08084900256 PENALVER CLINIC EXPIRED 2008-03-24 2013-12-31 - 971 N.W. 2ND STREET, MIAMI, FL, 33128

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-01 971 N.W.2ND STREET, MIAMI, FL 33128 -
CHANGE OF MAILING ADDRESS 2025-02-01 971 N.W.2ND STREET, MIAMI, FL 33128 -
REGISTERED AGENT NAME CHANGED 2010-01-14 ALVAREZ, BORIS -

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-02-15
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-03-09
ANNUAL REPORT 2020-01-21
AMENDED ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2019-03-01
ANNUAL REPORT 2018-01-30
ANNUAL REPORT 2017-02-08
ANNUAL REPORT 2016-03-08

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
65-0661761 Corporation Unconditional Exemption 971 NW 2ND ST, MIAMI, FL, 33128-1205 1997-04
In Care of Name % BORIS ALVAREZ
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 Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above 509(a)(3)
Tax Period 2023-12
Asset 100,000 to 499,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 285845
Income Amount 761345
Form 990 Revenue Amount 761345
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 supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

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

Organization Name DR RAFAEL A PENALVER CLINIC INC
EIN 65-0661761
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name DR RAFAEL A PENALVER CLINIC INC
EIN 65-0661761
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name DR RAFAEL A PENALVER CLINIC INC
EIN 65-0661761
Tax Period 201912
Filing Type P
Return Type 990
File View File
Organization Name DR RAFAEL A PENALVER CLINIC INC
EIN 65-0661761
Tax Period 201812
Filing Type P
Return Type 990
File View File
Organization Name DR RAFAEL A PENALVER CLINIC INC
EIN 65-0661761
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name DR RAFAEL A PENALVER CLINIC INC
EIN 65-0661761
Tax Period 201612
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1792128603 2021-03-13 0455 PPP 971 NW 2nd St, Miami, FL, 33128-1205
Loan Status Date 2021-10-13
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 68554
Loan Approval Amount (current) 68554
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Miami, MIAMI-DADE, FL, 33128-1205
Project Congressional District FL-27
Number of Employees 10
NAICS code 621498
Borrower Race White
Borrower Ethnicity Hispanic or Latino
Business Type 501(c)6 � Non Profit Membership
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 68908.98
Forgiveness Paid Date 2021-09-22

Date of last update: 03 Apr 2025

Sources: Florida Department of State