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GOOD SAMARITAN HEALTH CENTERS, INC. - Florida Company Profile

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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 (15 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
Caudill Jeremy MD CO 14 Coquina Blvd, St Augustine, FL, 32080
Kiernan Erica PhD PH, Director 1740 Castile St, St Augustine, FL, 32080
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
Caudill Jeremy MD Director 14 Coquina Blvd, St Augustine, FL, 32080
SHORSTEIN ALYSSA Esq. Agent 305 KINGSLEY LAKE DR, ST AUGUSTINE, FL, 32092

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:
GKLAHBKE3LH9
CAGE Code:
8L5F3
UEI Expiration Date:
2026-01-20

Business Information

Doing Business As:
GOOD SAMARITAN HEALTH CENTERS
Division Name:
GOOD SAMARITAN HEALTH
Activation Date:
2025-01-22
Initial Registration Date:
2020-03-30

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

Employer Identification Number (EIN) :
52-2125419
In Care Of Name:
% CATALINA USINA-MORSE
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)
Ruling Date:
2002-06
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)

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Date of last update: 01 Jul 2025

Sources: Florida Department of State