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

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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 (10 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

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

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
ZNVZUXXH7LQ4
UEI Expiration Date:
2026-02-24

Business Information

Activation Date:
2025-02-26
Initial Registration Date:
2023-05-17

National Provider Identifier

NPI Number:
1902180789

Authorized Person:

Name:
ANNIE TYRELL
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
7274672771

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

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
10400.00
Total Face Value Of Loan:
10400.00

Tax Exempt

Employer Identification Number (EIN) :
65-0743078
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)
Ruling Date:
1998-02
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
10400
Current Approval Amount:
10400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
10511.69

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Date of last update: 02 Jun 2025

Sources: Florida Department of State