| Entity Name: | COMMUNITY SUPPORT NETWORK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Apr 1993 (32 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P93000030432 |
| FEI/EIN Number | 59-3180435 |
| Address: | 2749 1ST AVENUE NORTH, ST. PETERSBURG, FL 33713 |
| Mail Address: | 2749 1ST AVENUE NORTH, ST. PETERSBURG, FL 33713 |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619276839 | 2011-03-28 | 2011-03-28 | 2749 1ST AVE N, ST PETERSBURG, FL, 337138723, US | 2749 1ST AVE N, ST PETERSBURG, FL, 337138723, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 727-321-7788 |
| Fax | 7273277187 |
Authorized person
| Name | MS. DIANE WHITE |
| Role | PRESIDENT |
| Phone | 7273217788 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 671069768 |
| State | FL |
| Issuer | MEDICAID |
| Number | 671069796 |
| State | FL |
| Issuer | MEDICAID |
| Number | 671069798 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIANE, WHITE K | Agent | 2749 FIRST AVENUE NORTH, ST. PETERSBURG, FL 33713 |
| Name | Role | Address |
|---|---|---|
| WHITE, DIANE K | President | 224 CORDOVA BLVD. N.E., ST. PETERSBURG, FL 33704 |
| Name | Role | Address |
|---|---|---|
| BUCKLIN, PATRICIA | Treasurer | 5232 GOLDEN GATE BLVD., POLK CITY, FL 33868 |
| Name | Role | Address |
|---|---|---|
| GROUTAGE, MARK T | Vice President | 4600 8th Ave. N., St. Petersburg, FL 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-01 | 2749 1ST AVENUE NORTH, ST. PETERSBURG, FL 33713 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-01 | 2749 1ST AVENUE NORTH, ST. PETERSBURG, FL 33713 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2002-03-03 | DIANE, WHITE K | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1993-05-13 | 2749 FIRST AVENUE NORTH, ST. PETERSBURG, FL 33713 | No data |
| NAME CHANGE AMENDMENT | 1993-05-12 | COMMUNITY SUPPORT NETWORK, INC. | No data |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JESSICA M. PORTER VS REEMPLOYMENT ASSISTANCE APPEALS COMMISSION | 2D2013-0289 | 2013-01-17 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | JESSICA M. PORTER |
| Role | Appellant |
| Status | Active |
| Name | COMMUNITY SUPPORT NETWORK, INC. |
| Role | Appellee |
| Status | Active |
| Name | REEMPLOYMENT ASSISTANCE APPEALS COMMISSION |
| Role | Appellee |
| Status | Active |
Docket Entries
| Docket Date | 2015-04-08 |
| Type | Misc. Events |
| Subtype | Case Destroyed |
| Description | Case Destroyed |
| Docket Date | 2013-03-06 |
| Type | Misc. Events |
| Subtype | Case Closed |
| Description | Case Closed |
| Docket Date | 2013-02-14 |
| Type | Disposition |
| Subtype | Dismissed |
| Description | Dismissed - Order by Judge ~ Davis, Crenshaw, and Morris |
| Docket Date | 2013-02-14 |
| Type | Disposition by Order |
| Subtype | Dismissed |
| Description | ORD-SUA SPONTE DISMISSAL |
| Docket Date | 2013-01-22 |
| Type | Order |
| Subtype | Reemployment Assistance Appeals |
| Description | RAAC transcript order |
| Docket Date | 2013-01-17 |
| Type | Misc. Events |
| Subtype | Fee Status |
| Description | NF5:No Fee- Unemployment |
| Docket Date | 2013-01-17 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | Notice of Appeal Filed |
| On Behalf Of | JESSICA M. PORTER |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-14 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-03-02 |
| ANNUAL REPORT | 2013-01-14 |
| ANNUAL REPORT | 2012-01-19 |
| ANNUAL REPORT | 2011-02-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
