Search icon

FAMILY EXTENDED CARE OF WINTER HAVEN, INC. - Florida Company Profile

Company Details

Entity Name: FAMILY EXTENDED CARE OF WINTER HAVEN, 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: 05 Nov 1998 (26 years ago)
Last Event: AMENDMENT
Event Date Filed: 26 Dec 2001 (23 years ago)
Document Number: N98000006322
FEI/EIN Number 650882865

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

Mail Address: 2700 WEST 81 STREET, HIALEAH, FL, 33016
Address: 625 OVERLOOK DRIVE, WINTER HAVEN, FL, 33884
ZIP code: 33884
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730385246 2007-06-22 2020-08-22 625 OVERLOOK DR, WINTER HAVEN, FL, 338841626, US 625 OVERLOOK DR, WINTER HAVEN, FL, 338841626, US

Contacts

Phone +1 863-324-2212
Fax 8633188400

Authorized person

Name MRS. MARY PARRETT
Role DIRECTOR OF OPERATIONS
Phone 9413420566

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL8947
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
GLUCK LINDA President 2700 WEST 81 STREET, HIALEAH, FL, 33016
RODRIGUEZ BETTY Chief Financial Officer 2700 WEST 81 STREET, HIALEAH, FL, 33016
WALKER LINDA Chief Operating Officer 2700 WEST 81 STREET, HIALEAH, FL, 33016
LUSTIG ROY R Agent 20900 NE 30th Avenue, Aventura, FL, 33180

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G99028900305 THE HAWTHORNE INN ACTIVE 1999-01-29 2029-12-31 - C/O FAMILY EXTENDED CARE OF WINTER HAVEN, 2700 W. 81 STREET, HIALEAH, FL, 33016

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-01-22 20900 NE 30th Avenue, One Aventura, Suite 600, Aventura, FL 33180 -
CHANGE OF MAILING ADDRESS 2008-01-16 625 OVERLOOK DRIVE, WINTER HAVEN, FL 33884 -
CHANGE OF PRINCIPAL ADDRESS 2003-03-03 625 OVERLOOK DRIVE, WINTER HAVEN, FL 33884 -
REGISTERED AGENT NAME CHANGED 2002-04-24 LUSTIG, ROY R -
AMENDMENT 2001-12-26 - -

Documents

Name Date
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-03-18
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-07
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-02-17
ANNUAL REPORT 2015-01-13

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
65-0882865 Corporation Unconditional Exemption 2700 W 81ST ST, HIALEAH, FL, 33016-2732 2014-03
In Care of Name % UCP OF MIAMI
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 Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 1,000,000 to 4,999,999
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 Dec
Asset Amount 1916540
Income Amount 2107795
Form 990 Revenue Amount 2107795
National Taxonomy of Exempt Entities Housing & Shelter: Senior Citizens' Housing/Retirement Communities
Sort Name HAWTHORNE INN

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)

Auto-Revocation List

Description Organizations whose federal tax exempt status was automatically revoked for not filing a Form 990-series return or notice for three consecutive years. Important note: Just because an organization appears on this list, it does not mean the organization is currently revoked, as they may have been reinstated.
Exemption Type 501(c)(3): Religious, educational, charitable, scientific, literary, testing for public safety, fostering national or international amateur sports competition, or prevention of cruelty to children or animals organizations
Revocation Date 2010-05-15
Revocation Posting Date 2011-06-09
Exemption Reinstatement Date 2010-05-15

Determination Letter

Final Letter(s) FinalLetter_65-0882865_FAMILYEXTENDEDCAREOFWINTERHAVENINC_11022012_01.tif
FinalLetter_65-0882865_FAMILYEXTENDEDCAREOFWINTERHAVENINC_11022012_02.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name FAMILY EXTENDED CARE OF WINTER HAVEN INC
EIN 65-0882865
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name FAMILY EXTENDED CARE OF WINTER HAVEN INC
EIN 65-0882865
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name FAMILY EXTENDED CARE OF WINTER HAVEN INC
EIN 65-0882865
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name FAMILY EXTENDED CARE OF WINTER HAVEN INC
EIN 65-0882865
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name FAMILY EXTENDED CARE OF WINTER HAVEN INC
EIN 65-0882865
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name FAMILY EXTENDED CARE OF WINTER HAVEN INC
EIN 65-0882865
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name FAMILY EXTENDED CARE OF WINTER HAVEN INC
EIN 65-0882865
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3135798800 2021-04-14 0455 PPP 625 Overlook Dr, Winter Haven, FL, 33884-1626
Loan Status Date 2021-04-29
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 174448
Loan Approval Amount (current) 174448
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Winter Haven, POLK, FL, 33884-1626
Project Congressional District FL-18
Number of Employees 31
NAICS code 623312
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Unknown/NotStated
Business Type 501(c)3 � Non Profit
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 176299.09
Forgiveness Paid Date 2022-05-09

Date of last update: 01 Mar 2025

Sources: Florida Department of State