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  5. KIDS HOUSE OF SEMINOLE, INC.

KIDS HOUSE OF SEMINOLE, INC. - Florida Company Profile

Company Details

Entity Name: KIDS HOUSE OF SEMINOLE, 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: 28 Dec 1995 (29 years ago)
Document Number: N96000000078
FEI/EIN Number 593415005

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 5467 NORTH RONALD REAGAN BLVD., SANFORD, FL, 32773
Mail Address: 5467 NORTH RONALD REAGAN BLVD., SANFORD, FL, 32773
ZIP code: 32773
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710414511 2017-05-11 2017-05-11 5467 RONALD REAGAN BLVD, SANFORD, FL, 327736332, US 5467 RONALD REAGAN BLVD, SANFORD, FL, 327736332, US

Contacts
Phone +1 407-324-3036

Authorized person
Name DENISE CONUS
Role MENTAL HEALTH PROGRAM DIRECTOR
Phone 4073243036

Taxonomy
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number IMH15952
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIDS HOUSE OF SEMINOLE 401K PROFIT SHARING PLAN TRUST 2021 593415005 2022-03-13 KIDS HOUSE OF SEMINOLE INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 921000
Sponsor’s telephone number 4073243036
Plan sponsor’s address 5467 NORTH RONALD REAGAN BLVD, SANFORD, FL, 327736332

Signature of
Role Plan administrator
Date 2022-03-13
Name of individual signing CAROL BUSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-13
Name of individual signing CAROL BUSH
Valid signature Filed with authorized/valid electronic signature
KIDS HOUSE OF SEMINOLE 401K PROFIT SHARING PLAN TRUST 2019 593415005 2022-03-13 KIDS HOUSE OF SEMINOLE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 921000
Plan sponsor’s address 5467 NORTH RONALD REAGAN BLVD, SANFORD, FL, 327736332

Signature of
Role Plan administrator
Date 2022-03-13
Name of individual signing CAROL BUSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-13
Name of individual signing CAROL BUSH
Valid signature Filed with authorized/valid electronic signature
KIDS HOUSE OF SEMINOLE INC 401 K PROFIT SHARING PLAN TRUST 2017 593415005 2018-07-26 KIDS HOUSE OF SEMINOLE INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 921000
Sponsor’s telephone number 4073243036
Plan sponsor’s address 5467 N RONALD REGAN BLVD, SANFORD, FL, 327736332

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing CAROL BUSH
Valid signature Filed with authorized/valid electronic signature
KIDS HOUSE OF SEMINOLE INC 401 K PROFIT SHARING PLAN TRUST 2016 593415005 2017-05-03 KIDS HOUSE OF SEMINOLE INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 921000
Sponsor’s telephone number 4073243036
Plan sponsor’s address 5467 N RONALD REGAN BLVD, SANFORD, FL, 327736332

Signature of
Role Plan administrator
Date 2017-05-03
Name of individual signing ERNEST HAMILTON
Valid signature Filed with authorized/valid electronic signature
KIDS HOUSE OF SEMINOLE INC 401 K PROFIT SHARING PLAN TRUST 2015 593415005 2016-06-28 KIDS HOUSE OF SEMINOLE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 921000
Sponsor’s telephone number 4073243036
Plan sponsor’s address 5467 N RONALD REGAN BLVD, SANFORD, FL, 327736332

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing ERNEST HAMILTON
Valid signature Filed with authorized/valid electronic signature
KIDS HOUSE OF SEMINOLE INC 401 K PROFIT SHARING PLAN TRUST 2014 593415005 2015-06-02 KIDS HOUSE OF SEMINOLE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 921000
Sponsor’s telephone number 4073243036
Plan sponsor’s address 5467 N RONALD REGAN BLVD, SANFORD, FL, 327736332

Signature of
Role Plan administrator
Date 2015-06-02
Name of individual signing B WAYNE
Valid signature Filed with authorized/valid electronic signature
KIDS HOUSE OF SEMINOLE INC 401 K PROFIT SHARING PLAN TRUST 2013 593415005 2014-05-16 KIDS HOUSE OF SEMINOLE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 921000
Sponsor’s telephone number 4073243036
Plan sponsor’s address 5467 N RONALD REGAN BLVD, SANFORD, FL, 327736332

Signature of
Role Plan administrator
Date 2014-05-16
Name of individual signing ERNEST HAMILTON
Valid signature Filed with authorized/valid electronic signature
KIDS HOUSE OF SEMINOLE INC 401 K PROFIT SHARING PLAN TRUST 2012 593415005 2013-05-16 KIDS HOUSE OF SEMINOLE INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 921000
Sponsor’s telephone number 4073243036
Plan sponsor’s address 5467 N RONALD REGAN BLVD, SANFORD, FL, 327736332

Signature of
Role Plan administrator
Date 2013-05-16
Name of individual signing KIDS HOUSE OF SEMINOLE INC
Valid signature Filed with authorized/valid electronic signature
KIDS HOUSE OF SEMINOLE INC 401 K PROFIT SHARING PLAN TRUST 2011 593415005 2013-04-01 KIDS HOUSE OF SEMINOLE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 912000
Sponsor’s telephone number 4073243036
Plan sponsor’s address 5467 N RONALD REGAN BLVD, SANFORD, FL, 327736332

Plan administrator’s name and address
Administrator’s EIN 593415005
Plan administrator’s name KIDS HOUSE OF SEMINOLE INC
Plan administrator’s address 5467 N RONALD REGAN BLVD, SANFORD, FL, 327736332
Administrator’s telephone number 4073243036

Signature of
Role Plan administrator
Date 2013-04-01
Name of individual signing KIDS HOUSE OF SEMINOLE INC
Valid signature Filed with authorized/valid electronic signature
KIDS HOUSE OF SEMINOLE INC 401 K PROFIT SHARING PLAN TRUST 2010 593415005 2013-03-21 KIDS HOUSE OF SEMINOLE INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 921000
Sponsor’s telephone number 4073243036
Plan sponsor’s address 5467 COUNTY ROAD 427, SANFORD, FL, 32773

Plan administrator’s name and address
Administrator’s EIN 593415005
Plan administrator’s name KIDS HOUSE OF SEMINOLE INC
Plan administrator’s address 5467 COUNTY ROAD 427, SANFORD, FL, 32773
Administrator’s telephone number 4073243036

Signature of
Role Plan administrator
Date 2013-03-21
Name of individual signing KIDS HOUSE OF SEMINOLE INC
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Davoli Ron Imme 5467 NORTH RONALD REAGAN BLVD., SANFORD, FL, 32773
Hodges Jennifer Secretary 5467 NORTH RONALD REAGAN BLVD., SANFORD, FL, 32773
Johnson Kent Vice President 5467 NORTH RONALD REAGAN BLVD., SANFORD, FL, 32773
Kong Juliette o Chief Executive Officer 5467 N Ronald Reagan Blvd, Sanford, FL, 32773
Johnson Kent Fina 5467 NORTH RONALD REAGAN BLVD., SANFORD, FL, 32773
Kong Juliette Agent 5467 NORTH RONALD REAGAN BLVD., SANFORD, FL, 32773
Dallari Bob Chairman 5467 NORTH RONALD REAGAN BLVD., SANFORD, FL, 32773

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-04-01 Kong, Juliette -
CHANGE OF PRINCIPAL ADDRESS 2004-04-12 5467 NORTH RONALD REAGAN BLVD., SANFORD, FL 32773 -
CHANGE OF MAILING ADDRESS 2004-04-12 5467 NORTH RONALD REAGAN BLVD., SANFORD, FL 32773 -
REGISTERED AGENT ADDRESS CHANGED 2004-04-12 5467 NORTH RONALD REAGAN BLVD., SANFORD, FL 32773 -

Documents

Name Date
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-02-15
ANNUAL REPORT 2022-03-09
AMENDED ANNUAL REPORT 2021-10-22
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-04-01
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-01-03
ANNUAL REPORT 2017-04-07
ANNUAL REPORT 2016-05-02

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-3415005 Corporation Unconditional Exemption 5467 N RONALD REAGAN BLVD, SANFORD, FL, 32773-6332 1998-11
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 2024-09
Asset 1,000,000 to 4,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 4460420
Income Amount 2153101
Form 990 Revenue Amount 2035287
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)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name KIDS HOUSE OF SEMINOLE INC
EIN 59-3415005
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name KIDS HOUSE OF SEMINOLE INC
EIN 59-3415005
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name KIDS HOUSE OF SEMINOLE INC
EIN 59-3415005
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name KIDS HOUSE OF SEMINOLE INC
EIN 59-3415005
Tax Period 201709
Filing Type P
Return Type 990
File View File
Organization Name KIDS HOUSE OF SEMINOLE INC
EIN 59-3415005
Tax Period 201609
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
8987878509 2021-03-10 0491 PPS 5467 County Road 427, Sanford, FL, 32773-6332
Loan Status Date 2022-08-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 179000
Loan Approval Amount (current) 179000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Sanford, SEMINOLE, FL, 32773-6332
Project Congressional District FL-07
Number of Employees 19
NAICS code 813319
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 181466.22
Forgiveness Paid Date 2022-07-21
5801477107 2020-04-14 0491 PPP 5467 COUNTY ROAD 427, SANFORD, FL, 32773-6332
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 179000
Loan Approval Amount (current) 179000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address SANFORD, SEMINOLE, FL, 32773-6332
Project Congressional District FL-07
Number of Employees 19
NAICS code 624190
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 180461.83
Forgiveness Paid Date 2021-02-09

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Date of last update: 03 Apr 2025

Sources: Florida Department of State

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