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WILLA CARSON HEALTH AND WELLNESS CENTER, INC. - Florida Company Profile

Company Details

Entity Name: WILLA CARSON HEALTH AND WELLNESS CENTER, 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: 29 Aug 1996 (29 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Oct 2015 (9 years ago)
Document Number: N96000004513
FEI/EIN Number 650743078

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

Address: 1108 N. MARTIN LUTHER KING AVE, CLEARWATER, FL, 33755
Mail Address: 1108 N. MARTIN LUTHER KING AVE, CLEARWATER, FL, 33755
ZIP code: 33755
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902180789 2011-09-28 2011-09-28 1108 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL, 337553222, US 1108 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL, 337553222, US

Contacts

Phone +1 727-467-9411
Fax 7274672771

Authorized person

Name ANNIE TYRELL
Role EXECUTIVE DIRECTOR
Phone 7274679411

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Key Officers & Management

Name Role Address
Nunn-Crawford Kimberley Agent 1108 N MARTIN LUTHER KING AVE, CLEARWATER, FL, 33755
Nunn-Crawford Kimberley Othe 1108 N MARTIN LUTHER KING AVE, CLEARWATER, FL, 33755
Moore Felicia Secretary 1108 N. MARTIN LUTHER KING AVE, CLEARWATER, FL, 33755
Heastie Ernestine C Director 1108 N. MARTIN LUTHER KING AVE, CLEARWATER, FL, 33755
Sherman Thomas Director 1108 N. MARTIN LUTHER KING AVE, CLEARWATER, FL, 33755
Childs Carlton President 1108 N. Martin L. King Jr. Ave., Clearwater, FL, 33755
Heastie Joe Treasurer 1108 N. Martin Luther King jr. Ave, clearwater, FL

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-06 Nunn-Crawford , Kimberley -
REGISTERED AGENT ADDRESS CHANGED 2020-01-19 1108 N MARTIN LUTHER KING AVE, CLEARWATER, FL 33755 -
REINSTATEMENT 2015-10-29 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
NAME CHANGE AMENDMENT 2011-05-12 WILLA CARSON HEALTH AND WELLNESS CENTER, INC. -
NAME CHANGE AMENDMENT 2006-02-23 WILLA CARSON HEALTH RESOURCE CENTER, INC. -
CHANGE OF PRINCIPAL ADDRESS 2004-04-17 1108 N. MARTIN LUTHER KING AVE, CLEARWATER, FL 33755 -
CHANGE OF MAILING ADDRESS 2004-04-17 1108 N. MARTIN LUTHER KING AVE, CLEARWATER, FL 33755 -
AMENDMENT 1997-11-17 - -

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-02-20
ANNUAL REPORT 2021-03-28
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-05-16
ANNUAL REPORT 2017-03-08
ANNUAL REPORT 2016-03-18
REINSTATEMENT 2015-10-29

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
65-0743078 Corporation Unconditional Exemption 1108 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL, 33755-3222 1998-02
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 2023-12
Asset 100,000 to 499,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 199520
Income Amount 195771
Form 990 Revenue Amount 195771
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 WILLA CARSON HEALTH AND WELLNESS CENTER INC
EIN 65-0743078
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name WILLA CARSON HEALTH AND WELLNESS CENTER INC
EIN 65-0743078
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name WILLA CARSON HEALTH AND WELLNESS CENTER INC
EIN 65-0743078
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name WILLA CARSON HEALTH AND WELLNESS CENTER INC
EIN 65-0743078
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name WILLA CARSON HEALTH AND WELLNESS CENTER INC
EIN 65-0743078
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name WILLA CARSON HEALTH AND WELLNESS CENTER INC
EIN 65-0743078
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name WILLA CARSON HEALTH AND WELLNESS CENTER INC
EIN 65-0743078
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name WILLA CARSON HEALTH AND WELLNESS CENTER INC
EIN 65-0743078
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9643477708 2020-05-01 0455 PPP 1108 N MLK Jr Ave,, Clearwater, FL, 33755
Loan Status Date 2021-07-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 10400
Loan Approval Amount (current) 10400
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 Clearwater, PINELLAS, FL, 33755-0001
Project Congressional District FL-13
Number of Employees 2
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 10511.69
Forgiveness Paid Date 2021-06-04

Date of last update: 01 Apr 2025

Sources: Florida Department of State