| Entity Name: | PEACE CLUB, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 Jan 2013 (12 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 May 2020 (5 years ago) |
| Document Number: | P13000007717 |
| FEI/EIN Number | 46-2042211 |
| Address: | 1811 S. ORLANDO AVE, COCOA BEACH, FL 32931 |
| Mail Address: | 1811 S. ORLANDO AVE, COCOA BEACH, FL 32931 |
| ZIP code: | 32931 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891206793 | 2017-10-18 | 2020-01-24 | 1811 S ORLANDO AVE, COCOA BEACH, FL, 329312340, US | 1811 S. ORLANDO AVENUE, COCOA BEACH, FL, 32931, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 321-961-5833 |
Authorized person
| Name | MR. DENNIS KOLSCH |
| Role | OWNER |
| Phone | 3214204656 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH13258 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | 1000359 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LMHC |
| Number | MH13258 |
| State | FL |
| Name | Role |
|---|---|
| AMERICAN SAFETY COUNCIL, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| KOLSCH, DENNIS | President | 710 Unity Drive, Indian Harbour Beach, FL 32937 |
| Name | Role | Address |
|---|---|---|
| KOLSCH, DENNIS | Secretary | 710 Unity Drive, Indian Harbour Beach, FL 32937 |
| Name | Role | Address |
|---|---|---|
| KOLSCH, DENNIS | Treasurer | 710 Unity Drive, Indian Harbour Beach, FL 32937 |
| Name | Role | Address |
|---|---|---|
| KOLSCH, DENNIS | Director | 710 Unity Drive, Indian Harbour Beach, FL 32937 |
| Name | Role | Address |
|---|---|---|
| KOLSCH, LINDSAY | Vice President | 710 Unity Drive, Indian Harbour Beach, FL 32937 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000046626 | KOLSCH MENTAL HEALTH SERVICES | ACTIVE | 2019-04-12 | 2029-12-31 | No data | 181 S ORLANDO AVE, COCOA BEACH, FL, 32931 |
| G17000102415 | PEACE CLUB | ACTIVE | 2017-09-12 | 2027-12-31 | No data | 1811 S ORLANDO AVE, COCOA BEACH, FL, 32931 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-05-15 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2017-10-25 | PEACE CLUB, INC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-25 | 1811 S. ORLANDO AVE, COCOA BEACH, FL 32931 | No data |
| CHANGE OF MAILING ADDRESS | 2017-10-25 | 1811 S. ORLANDO AVE, COCOA BEACH, FL 32931 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-01-07 |
| ANNUAL REPORT | 2021-02-02 |
| Amendment | 2020-05-15 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-01-17 |
| ANNUAL REPORT | 2018-04-11 |
| Amendment and Name Change | 2017-10-25 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
