| Entity Name: | GOOD SAMARITAN HEALTH CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 31 Aug 1998 (26 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 12 Nov 2010 (14 years ago) |
| Document Number: | N98000005041 |
| FEI/EIN Number | 52-2125419 |
| Address: | 268 HERBERT ST, ST AUGUSTINE, FL 32084 |
| Mail Address: | 268 HERBERT ST, ST AUGUSTINE, FL 32084 |
| ZIP code: | 32084 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| SHORSTEIN, ALYSSA, Esq. | Agent | 305 KINGSLEY LAKE DR, SUITE 701, ST AUGUSTINE, FL 32092 |
| Name | Role | Address |
|---|---|---|
| HYATT, TYLER | Director | 184 Logrono Ct, ST AUGUSTINE, FL 32080 |
| Nemec, Marie, RN | Director | 40 So Comares Ave, St Augustine, FL 32080 |
| KINSEY , STEPHANIE, DDS | Director | 159 Palencia Village Dr, #107 St Augustine, FL 32095 |
| Watson, Julie, Phd, OTR/L | Director | 16 Coquina Ave, St Augustine, FL 32080 |
| BOYKIN, LAKEISA, OTR/L,DHS, MBA/HCM | Director | 1225 Loch Tanna Loop, St Johns, FL 32259 |
| Kiernan, Erica, PhD PH, PT/OT | Director | 1740 Castile St, St Augustine, FL 32080 |
| Shorstein, Alyssa, Atty | Director | 305 Kingsley Lake Drive, Ste 701, St Augustine, FL 32092 |
| Volk, Caroline, RN | Director | 5143 Holly Road, St Augustine, FL 32080 |
| Fell, Katelyn, MOT, OTR/L | Director | 17 Barcelona Ave, St. Augustine, FL 32080 |
| Ross, Elliot, MD, MPH | Director | 22 Park Terrace Dr, Saint Augustine, FL 32080 |
| Name | Role | Address |
|---|---|---|
| HYATT, TYLER | Treasurer | 184 Logrono Ct, ST AUGUSTINE, FL 32080 |
| Name | Role | Address |
|---|---|---|
| Nemec, Marie, RN | President | 40 So Comares Ave, St Augustine, FL 32080 |
| Name | Role | Address |
|---|---|---|
| KINSEY , STEPHANIE, DDS | Dental | 159 Palencia Village Dr, #107 St Augustine, FL 32095 |
| Name | Role | Address |
|---|---|---|
| Caudill, Jeremy, MD | DIRECTOR MEDICAL | 14 Coquina Blvd, St Augustine, FL 32080 |
| Name | Role | Address |
|---|---|---|
| Kiernan, Erica, PhD PH, PT/OT | Secretary | 1740 Castile St, St Augustine, FL 32080 |
| Name | Role | Address |
|---|---|---|
| Shorstein, Alyssa, Atty | Vice President | 305 Kingsley Lake Drive, Ste 701, St Augustine, FL 32092 |
| Stanton, Paige | Vice President | 49 Jarama Circle, Saint Augustine, FL 32084 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000073119 | WILDFLOWER HEALTHCARE | ACTIVE | 2018-07-02 | 2028-12-31 | No data | 268 HERBERT STREET, SAINT AUGUSTINE, FL, 32084 |
| G11000040651 | WILDFLOWER CLINIC, INC. | ACTIVE | 2011-04-27 | 2026-12-31 | No data | 268 HERBERT STREET, SAINT AUGUSTINE, FL, 32084 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-01-18 | SHORSTEIN, ALYSSA, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-18 | 305 KINGSLEY LAKE DR, SUITE 701, ST AUGUSTINE, FL 32092 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-02 | 268 HERBERT ST, ST AUGUSTINE, FL 32084 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-02 | 268 HERBERT ST, ST AUGUSTINE, FL 32084 | No data |
| AMENDMENT | 2010-11-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-01-18 |
| AMENDED ANNUAL REPORT | 2021-07-29 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
