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EMPOWER "U", INC. - Florida Company Profile

Company Details

Entity Name: EMPOWER "U", 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: 22 Feb 1999 (26 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 29 Aug 2001 (24 years ago)
Document Number: N99000001192
FEI/EIN Number 650899207

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 7900 NW 27TH AVE STE E-12, MIAMI, FL, 33147-4909, US
Mail Address: 7900 NW 27TH AVE STE E-12, MIAMI, FL, 33147-4909, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083473151 2024-03-18 2024-03-18 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909, US 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909, US

Contacts
Phone +1 786-318-2337
Fax 7865138217

Authorized person
Name ANTHONY ARON SEUTE
Role MANAGED CARE/CREDENTIALING SPECIALI
Phone 7863182337

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 112934300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPOWER U, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2023 650899207 2024-07-11 EMPOWER U, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVENUE, SUITE E-12, MIAMI, FL, 33147

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing TERRI-ANN BETHUNE
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 650899207 2023-10-10 EMPOWER U, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVENUE, SUITE E-12, MIAMI, FL, 33147

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing TERRI-ANN BETHUNE
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 650899207 2022-09-09 EMPOWER U, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVENUE, SUITE E-12, MIAMI, FL, 33147

Signature of
Role Plan administrator
Date 2022-09-09
Name of individual signing TERRI-ANN BETHUNE
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 650899207 2021-07-13 EMPOWER U, INC 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVENUE, SUITE E-12, MIAMI, FL, 33147
EMPOWER U, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 650899207 2020-10-09 EMPOWER U, INC 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVENUE, SUITE E-12, MIAMI, FL, 33147

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing TERRI-ANN BETHUNE
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401 K PROFIT SHARING PLAN TRUST 2018 650899207 2019-07-23 EMPOWER U INC 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVE, MIAMI, FL, 331474909

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing TERRI-ANN BETHUNE
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401 K PROFIT SHARING PLAN TRUST 2017 650899207 2018-07-26 EMPOWER U INC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVE, SUITE E-12, MIAMI, FL, 331474909

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing CHRISTINE STROY-MARTIN
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401 K PROFIT SHARING PLAN TRUST 2016 650899207 2017-07-25 EMPOWER U INC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVE, SUITE E-12, MIAMI, FL, 331474909

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing YVONNE CHRISTINE STROY-MARTIN
Valid signature Filed with authorized/valid electronic signature
EMPOWER U, INC. 401 K PROFIT SHARING PLAN TRUST 2015 650899207 2016-07-31 EMPOWER U INC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 812990
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVE, MIAMI, FL, 331474909

Signature of
Role Plan administrator
Date 2016-07-31
Name of individual signing CHRISTINE STROY-MARTIN
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF EMPOWER U, INC. 2014 650899207 2015-08-31 EMPOWER U, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-04-01
Business code 624100
Sponsor’s telephone number 7863182337
Plan sponsor’s address 7900 NW 27TH AVE STE 234B, MIAMI, FL, 33147

Signature of
Role Plan administrator
Date 2015-08-31
Name of individual signing CHRISTINE STROY MARTIN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Revere Yelena Dr. Chairman 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909
Mims Fred Vice Chairman 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909
HILL JAMES Secretary 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909
Williams Diane Dr. Chief Executive Officer 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909
Bethune Terri-Ann L Officer 7900 NW 27TH AVE STE E-12, Miami, FL, 33147
Bethune Terri-Ann L Agent 7900 NW 27TH AVE STE E-12, MIAMI, FL, 331474909

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000134580 EMPOWER U COMMUNITY HEALTH CENTER ACTIVE 2021-10-06 2026-12-31 - 7900 NW 27TH AVE STE E-12, MIAMI, FL, 33147

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-01-20 7900 NW 27TH AVE STE E-12, MIAMI, FL 33147-4909 -
CHANGE OF PRINCIPAL ADDRESS 2021-12-23 7900 NW 27TH AVE STE E-12, MIAMI, FL 33147-4909 -
CHANGE OF MAILING ADDRESS 2021-12-23 7900 NW 27TH AVE STE E-12, MIAMI, FL 33147-4909 -
REGISTERED AGENT NAME CHANGED 2021-01-28 Bethune, Terri-Ann Leslene -
REINSTATEMENT 2001-08-29 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 - -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-17
AMENDED ANNUAL REPORT 2024-09-13
AMENDED ANNUAL REPORT 2024-05-13
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-01-20
AMENDED ANNUAL REPORT 2021-12-23
AMENDED ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-06-12

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
P04CS22990 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2011-09-01 2012-08-31 AFFORDABLE CARE ACT- HEALTH CENTER PLANNING GRANTS
Recipient EMPOWER "U", INC.
Recipient Name Raw EMPOWER U
Recipient UEI UHCDNHA6KPX3
Recipient DUNS 125428339
Recipient Address 8309 NW 22ND AVENUE, MIAMI, MIAMI-DADE, FLORIDA, 33147-4101, UNITED STATES
Obligated Amount 79167.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
U65PS002473 Department of Health and Human Services 93.939 - HIV PREVENTION ACTIVITIES_NON-GOVERNMENTAL ORGANIZATION BASED 2010-07-01 2015-06-30 HUMAN IMMUNODEFICIENCY VIRUS(HIV) PREVENTION PROJECTS FOR COMMUNITY BASED ORGS
Recipient EMPOWER "U", INC.
Recipient Name Raw EMPOWER U
Recipient UEI UHCDNHA6KPX3
Recipient DUNS 125428339
Recipient Address 8309 NW 22ND AVENUE, MIAMI, MIAMI-DADE, FLORIDA, 33147-4101, UNITED STATES
Obligated Amount 2275549.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
U65PS423948 Department of Health and Human Services 93.939 - HIV PREVENTION ACTIVITIES_NON-GOVERNMENTAL ORGANIZATION BASED 2004-07-01 2010-06-30 HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO
Recipient EMPOWER "U", INC.
Recipient Name Raw EMPOWER U
Recipient UEI UHCDNHA6KPX3
Recipient DUNS 125428339
Recipient Address 8309 NW 22ND AVENUE, MIAMI, MIAMI-DADE, FLORIDA, 33147-4101, UNITED STATES
Obligated Amount 724599.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
65-0899207 Corporation Unconditional Exemption 7900 NW 27 AVE STE E-12, MIAMI, FL, 33147-4934 2002-02
In Care of Name % BELITA WYATT
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 2023-03
Asset 1,000,000 to 4,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Mar
Asset Amount 3951230
Income Amount 12857844
Form 990 Revenue Amount 12857844
National Taxonomy of Exempt Entities Voluntary Health Associations & Medical Disciplines: AIDS
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 EMPOWER U INC
EIN 65-0899207
Tax Period 202303
Filing Type E
Return Type 990
File View File
Organization Name EMPOWER U INC
EIN 65-0899207
Tax Period 202203
Filing Type E
Return Type 990
File View File
Organization Name EMPOWER U INC
EIN 65-0899207
Tax Period 202103
Filing Type E
Return Type 990
File View File
Organization Name EMPOWER U INC
EIN 65-0899207
Tax Period 202003
Filing Type P
Return Type 990
File View File
Organization Name EMPOWER U INC
EIN 65-0899207
Tax Period 201903
Filing Type P
Return Type 990
File View File
Organization Name EMPOWER U INC CO BELITA WYATT
EIN 65-0899207
Tax Period 201803
Filing Type E
Return Type 990
File View File
Organization Name EMPOWER U INC CO VANESSA MILLS
EIN 65-0899207
Tax Period 201703
Filing Type E
Return Type 990
File View File
Organization Name EMPOWER U INC CO VANESSA MILLS
EIN 65-0899207
Tax Period 201603
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
4051697109 2020-04-12 0455 PPP 7900 NW 27TH AVE STE E-12, MIAMI, FL, 33147-4909
Loan Status Date 2021-02-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 781400
Loan Approval Amount (current) 781400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 464999
Servicing Lender Name BankUnited, National Association
Servicing Lender Address 14817 Oak Lane, MIAMI LAKES, FL, 33016-1517
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description New Business or 2 years or less
Project Address MIAMI, MIAMI-DADE, FL, 33147-0001
Project Congressional District FL-26
Number of Employees 62
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 464999
Originating Lender Name BankUnited, National Association
Originating Lender Address MIAMI LAKES, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 787412.44
Forgiveness Paid Date 2021-01-26
5402438802 2021-04-17 0455 PPS 7900 NW 27th Ave Ste E-12, Miami, FL, 33147-4909
Loan Status Date 2022-08-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 640378
Loan Approval Amount (current) 640378
Undisbursed Amount 0
Franchise Name -
Lender Location ID 464999
Servicing Lender Name BankUnited, National Association
Servicing Lender Address 14817 Oak Lane, MIAMI LAKES, FL, 33016-1517
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Miami, MIAMI-DADE, FL, 33147-4909
Project Congressional District FL-26
Number of Employees 70
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 464999
Originating Lender Name BankUnited, National Association
Originating Lender Address MIAMI LAKES, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 648293.78
Forgiveness Paid Date 2022-07-18

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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