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  5. BONITA COMMUNITY HEALTH CENTER, INC.

BONITA COMMUNITY HEALTH CENTER, INC. - Florida Company Profile

Company Details

Entity Name: BONITA COMMUNITY HEALTH 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: 27 Jul 1998 (27 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 30 Oct 2024 (6 months ago)
Document Number: N98000004321
FEI/EIN Number 593544102

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3501 HEALTH CENTER BLVD, BONITA SPRINGS, FL, 34135, US
Mail Address: PO BOX 2218, FORT MYERS, FL, 33902, US
ZIP code: 34135
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760459762 2006-03-08 2019-04-03 3501 HEALTH CENTER BLVD, BONITA SPRINGS, FL, 341358127, US 3501 HEALTH CENTER BLVD, ESTERO, FL, 341358127, US

Contacts
Phone +1 239-949-1050

Authorized person
Name MR. MICHAEL RILEY
Role CEO
Phone 2399491050

Taxonomy
Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
License Number PT 21826
State FL
Is Primary Yes

Other Provider Identifiers
Issuer BCBS FLORIDA
Number 45737
State FL

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300U6DEWPQYNGHM93 N98000004321 US-FL GENERAL ACTIVE -

Addresses
Legal C/O Cooper, Kevin, 350 7th Street North, Naples, US-FL, US, 34102
Headquarters 3501 Health Center Boulevard, Bonita Springs, US-FL, US, 34135

Registration details
Registration Date 2013-09-25
Last Update 2023-08-04
Status LAPSED
Next Renewal 2014-09-20
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As N98000004321

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BONITA COMMUNITY HEALTH CENTER, INC. 401(K) PLAN 2019 593544102 2020-06-09 BONITA COMMUNITY HEALTH CENTER, INC 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-16
Business code 621498
Sponsor’s telephone number 2399491050
Plan sponsor’s address 3501 HEALTH CENTER BLVD., BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2020-06-09
Name of individual signing MICHAEL D. WAITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-09
Name of individual signing MICHAEL D. WAITE
Valid signature Filed with authorized/valid electronic signature
BONITA COMMUNITY HEALTH CENTER 2019 593544102 2020-12-01 BONITA COMMUNITY HEALTH CENTER, INC 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-16
Business code 621498
Sponsor’s telephone number 2399496115
Plan sponsor’s address 3501 HEALTH CENTER BLVD, BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2020-12-01
Name of individual signing MICHAEL D WAITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-12-01
Name of individual signing MICHAEL D WAITE
Valid signature Filed with incorrect/unrecognized electronic signature
BONITA COMMUNITY HEALTH CENTER, INC. 401(K) PLAN 2018 593544102 2019-08-21 BONITA COMMUNITY HEALTH CENTER, INC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-16
Business code 621498
Sponsor’s telephone number 2399491050
Plan sponsor’s address 3501 HEALTH CENTER BLVD., BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2019-08-21
Name of individual signing SARA M MCCALLUM
Valid signature Filed with authorized/valid electronic signature
BONITA COMMUNITY HEALTH CENTER, INC. 401(K) PLAN 2017 593544102 2018-07-11 BONITA COMMUNITY HEALTH CENTER, INC 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-16
Business code 621498
Sponsor’s telephone number 2399491050
Plan sponsor’s address 3501 HEALTH CENTER BLVD., BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing SARA M MCCALLUM
Valid signature Filed with authorized/valid electronic signature
BONITA COMMUNITY HEALTH CENTER, INC. 401(K) PLAN 2017 593544102 2018-07-11 BONITA COMMUNITY HEALTH CENTER, INC 63
Three-digit plan number (PN) 001
Effective date of plan 1998-11-16
Business code 621498
Sponsor’s telephone number 2399491050
Plan sponsor’s address 3501 HEALTH CENTER BLVD., BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing SARA M MCCALLUM
Valid signature Filed with authorized/valid electronic signature
BONITA COMMUNITY HEALTH CENTER, INC. 401(K) PLAN 2016 593544102 2017-06-20 BONITA COMMUNITY HEALTH CENTER, INC. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-16
Business code 621498
Sponsor’s telephone number 2399491050
Plan sponsor’s address 3501 HEALTH CENTER BLVD., BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing SARA MCCALLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-20
Name of individual signing SARA MCCALLUM
Valid signature Filed with authorized/valid electronic signature
BONITA COMMUNITY HEALTH CENTER, INC. 401(K) PLAN 2015 593544102 2016-07-20 BONITA COMMUNITY HEALTH CENTER, INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-16
Business code 621498
Sponsor’s telephone number 2399491050
Plan sponsor’s address 3501 HEALTH CENTER BLVD., BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2016-07-20
Name of individual signing SARA MCCALLUM
Valid signature Filed with authorized/valid electronic signature
BONITA COMMUNITY HEALTH CENTER, INC. 401(K) PLAN 2014 593544102 2015-07-23 BONITA COMMUNITY HEALTH CENTER, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-16
Business code 621498
Sponsor’s telephone number 2399496115
Plan sponsor’s address 3501 HEALTH CENTER BLVD., BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing SARA MCCALLUM
Valid signature Filed with authorized/valid electronic signature
BONITA COMMUNITY HEALTH CENTER, INC. 401(K) PLAN 2013 593544102 2014-07-29 BONITA COMMUNITY HEALTH CENTER, INC. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-16
Business code 621498
Sponsor’s telephone number 2399491050
Plan sponsor’s address 3501 HEALTH CENTER BLVD., BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing LARISA ZADORECKY
Valid signature Filed with authorized/valid electronic signature
BONITA COMMUNITY HEALTH CENTER, INC. 401(K) PLAN 2012 593544102 2013-07-26 BONITA COMMUNITY HEALTH CENTER, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-16
Business code 621498
Sponsor’s telephone number 2399491050
Plan sponsor’s address 3501 HEALTH CENTER BLVD., BONITA SPRINGS, FL, 34135

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing LARISA ZADORECKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing LARISA ZADORECKY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SPENCE BEN Treasurer 16451 HEALTHPARK COMMONS DRIVE, FORT MYERS, FL, 33908
SPENCE BEN Secretary 9800 S HEALTHPARK DRIVE, FORT MYERS, FL, 33908
MCGILLICUDDY MARY A Agent 4211 METRO PARKWAY, FORT MYERS, FL, 33916
BRADACH SUZANNE Vice President OUTPATIENT CENTER AT THE SANCTUARY, FORT MYERS, FL, 33905
ROSE ANNE Chairman 12901 MCGREGOR BOULEVARD, FORT MYERS, FL, 33919

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000027862 BONITA HEALTH CENTER ACTIVE 2020-03-04 2025-12-31 - 3501 HEALTH CENTER BOULEVARD, BONITA SPRINGS, FL, 34135

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-10-30 3501 HEALTH CENTER BLVD, BONITA SPRINGS, FL 34135 -
AMENDED AND RESTATEDARTICLES 2024-10-30 - -
REGISTERED AGENT NAME CHANGED 2021-04-14 MCGILLICUDDY, MARY A -
REGISTERED AGENT ADDRESS CHANGED 2019-12-23 4211 METRO PARKWAY, LEGAL SERVICES, LEE HEALTH CORPORATE CENTER, FORT MYERS, FL 33916 -
AMENDMENT 2019-12-23 - -
CHANGE OF MAILING ADDRESS 2019-12-23 3501 HEALTH CENTER BLVD, BONITA SPRINGS, FL 34135 -
AMENDMENT 2011-03-04 - -
REINSTATEMENT 2002-11-06 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 - -
AMENDMENT 1999-07-21 - -

Documents

Name Date
Amended and Restated Articles 2024-10-30
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-03-11
Amendment 2019-12-23
AMENDED ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-01-26

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-3544102 Corporation Unconditional Exemption 4211 METRO PKWY THIRD FLOOR, FORT MYERS, FL, 33916-9526 1999-10
In Care of Name % BEN SPENCE
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 Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-09
Asset 10,000,000 to 49,999,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 16418020
Income Amount 446897
Form 990 Revenue Amount 446897
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 BONITA COMMUNITY HEALTH CENTER INC
EIN 59-3544102
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name BONITA COMMUNITY HEALTH CENTER INC
EIN 59-3544102
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name BONITA COMMUNITY HEALTH CENTER INC
EIN 59-3544102
Tax Period 202009
Filing Type E
Return Type 990
File View File
Organization Name BONITA COMMUNITY HEALTH CENTER INC
EIN 59-3544102
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name BONITA COMMUNITY HEALTH CENTER INC
EIN 59-3544102
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name BONITA COMMUNITY HEALTH CENTER INC
EIN 59-3544102
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name BONITA COMMUNITY HEALTH CENTER INC
EIN 59-3544102
Tax Period 201609
Filing Type E
Return Type 990
File View File

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Companies related by address

No other companies in our directory share the same address as BONITA COMMUNITY HEALTH CENTER, INC.

Date of last update: 01 Apr 2025

Sources: Florida Department of State

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