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HUMAN SERVICES ASSOCIATES, INC - Florida Company Profile

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Company Details

Entity Name: HUMAN SERVICES ASSOCIATES, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Oct 2017 (8 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: P17000079914
FEI/EIN Number 320557441
Address: 50 N LAURA ST, JACKSONVILLE, FL, 32207, US
Mail Address: 50 N LAURA ST, JACKSONVILLE, FL, 32207, US
ZIP code: 32207
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CRAWFORD KESLEY President 50 N LAURA ST, JACKSONVILLE, FL, 32207
SMITH CORETHA Vice President 50 N LAURA ST, JACKSONVILLE, FL, 32207
CRAWFORD AMANDA Secretary 50 N LAURA ST, JACKSONVILLE, FL, 32207
CRAWFORD KESLEY Agent 50 N LAURA ST, JACKSONVILLE, FL, 32207

Unique Entity ID

CAGE Code:
4SVL0
UEI Expiration Date:
2015-06-10

Business Information

Activation Date:
2014-06-10
Initial Registration Date:
2007-06-25

Commercial and government entity program

CAGE number:
4SVL0
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2015-06-10

Contact Information

POC:
LORI TOMLIN

National Provider Identifier

NPI Number:
1174676993

Authorized Person:

Name:
KIM PELLEGRINO
Role:
PROGRAM BILLING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
4072841050

Form 5500 Series

Employer Identification Number (EIN):
593174674
Plan Year:
2012
Number Of Participants:
160
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
324
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
262
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
275
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
AMENDMENT AND NAME CHANGE 2018-03-05 HUMAN SERVICES ASSOCIATES, INC -
CHANGE OF PRINCIPAL ADDRESS 2018-03-05 50 N LAURA ST, SUITE 2500, JACKSONVILLE, FL 32207 -
CHANGE OF MAILING ADDRESS 2018-03-05 50 N LAURA ST, SUITE 2500, JACKSONVILLE, FL 32207 -
REGISTERED AGENT NAME CHANGED 2018-03-05 CRAWFORD, KESLEY -

Documents

Name Date
Amendment and Name Change 2018-03-05
Domestic Profit 2017-10-04

USAspending Awards / Financial Assistance

Date:
2012-09-07
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
TEEN COURT SUBSTANCE ABUSE TREATMENT PROGRAM
Obligated Amount:
600000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2009-09-14
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
COMPASSION CAPITAL FUND (CCF) COMMUNITIES EMPOWERING YOUTH (CEY) PROGRAM
Obligated Amount:
500000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 02 Aug 2025

Sources: Florida Department of State