| Entity Name: | A GIFT FOR THE SOUL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Feb 2006 (19 years ago) |
| Document Number: | P06000025365 |
| FEI/EIN Number | 20-8914125 |
| Address: | 4617 Adams Street, Hollywood, FL 33021 |
| Mail Address: | 4617 Adams Street, Hollywood, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932720729 | 2020-05-03 | 2020-05-03 | 4617 ADAMS ST, HOLLYWOOD, FL, 330217608, US | 4617 ADAMS ST, HOLLYWOOD, FL, 330217608, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-773-5876 |
Authorized person
| Name | CYNTHIA SERURE |
| Role | PRESIDENT/CLINICIAN |
| Phone | 3057735876 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CYNTHIA, SERURE | Agent | 4617 Adams Street, Hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| SERURE, CYNTHIA | Chief Executive Officer | 4617 Adams Street, Hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| SERURE, CYNTHIA | President | 4617 Adams Street, Hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| BLANC, JONHNLEE | Officer | 4617 Adams Street, Hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| BLANC, JONHNLEE | Treasure | 4617 Adams Street, Hollywood, FL 33021 |
| Name | Role | Address |
|---|---|---|
| BLANC, JONHNLEE | Vice President | 4617 Adams Street, Hollywood, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-27 | 4617 Adams Street, Hollywood, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-27 | 4617 Adams Street, Hollywood, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-27 | 4617 Adams Street, Hollywood, FL 33021 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-05-01 | CYNTHIA, SERURE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-02-17 |
| ANNUAL REPORT | 2016-09-11 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
