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GOOD SAMARITAN HEALTH CENTERS, INC. - Florida Company Profile

Company Details

Entity Name: GOOD SAMARITAN HEALTH CENTERS, 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: 31 Aug 1998 (27 years ago)
Last Event: AMENDMENT
Event Date Filed: 12 Nov 2010 (14 years ago)
Document Number: N98000005041
FEI/EIN Number 522125419

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

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

Key Officers & Management

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, St Augustine, FL, 32095
Watson Julie Director 16 Coquina Ave, St Augustine, FL, 32080
BOYKIN LAKEISA OTR/L,D Director 1225 Loch Tanna Loop, St Johns, FL, 32259
Caudill Jeremy MD Director 14 Coquina Blvd, St Augustine, FL, 32080
SHORSTEIN ALYSSA Esq. Agent 305 KINGSLEY LAKE DR, ST AUGUSTINE, FL, 32092

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000073119 WILDFLOWER HEALTHCARE ACTIVE 2018-07-02 2028-12-31 - 268 HERBERT STREET, SAINT AUGUSTINE, FL, 32084
G11000040651 WILDFLOWER CLINIC, INC. ACTIVE 2011-04-27 2026-12-31 - 268 HERBERT STREET, SAINT AUGUSTINE, FL, 32084

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-01-18 SHORSTEIN, ALYSSA, Esq. -
REGISTERED AGENT ADDRESS CHANGED 2022-01-18 305 KINGSLEY LAKE DR, SUITE 701, ST AUGUSTINE, FL 32092 -
CHANGE OF PRINCIPAL ADDRESS 2012-04-02 268 HERBERT ST, ST AUGUSTINE, FL 32084 -
CHANGE OF MAILING ADDRESS 2012-04-02 268 HERBERT ST, ST AUGUSTINE, FL 32084 -
AMENDMENT 2010-11-12 - -

Documents

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

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
52-2125419 Corporation Unconditional Exemption 268 HERBERT ST, ST AUGUSTINE, FL, 32084-4000 2002-06
In Care of Name % CATALINA USINA-MORSE
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, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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 2022-12
Asset 500,000 to 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 Apr
Asset Amount 629230
Income Amount 2084818
Form 990 Revenue Amount 1935573
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 GOOD SAMARITAN HEALTH CENTERS INC
EIN 52-2125419
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH CENTERS INC
EIN 52-2125419
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH CENTERS INC
EIN 52-2125419
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH CENTERS INC
EIN 52-2125419
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH CENTERS INC
EIN 52-2125419
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH CENTERS INC
EIN 52-2125419
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH CENTERS INC
EIN 52-2125419
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name GOOD SAMARITAN HEALTH CENTERS INC
EIN 52-2125419
Tax Period 201512
Filing Type P
Return Type 990
File View File

Date of last update: 01 Apr 2025

Sources: Florida Department of State