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GENESIS HOUSE RECOVERY RESIDENCE, INC. - Florida Company Profile

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Company Details

Entity Name: GENESIS HOUSE RECOVERY RESIDENCE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Sep 1993 (32 years ago)
Document Number: P93000062440
FEI/EIN Number 650456525
Address: 4865 40TH WAY S, LAKE WORTH, FL, 33461
Mail Address: 4865 40TH WAY S, LAKE WORTH, FL, 33461
ZIP code: 33461
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HOWARD DODGE STEPHANIE Vice President 1207 HAMMOND RD, DELRAY BEACH, FL, 33483
DODGE TAYLOR President 4865 40TH WAY SOUTH, Lake Worth, FL, 33461
Advantage Accounting & Tax Agent 2700 North Military Trail, Boca Raton, FL, 33431

National Provider Identifier

NPI Number:
1245383447

Authorized Person:

Name:
MR. JAMES ANTHONY DODGE
Role:
EXEUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
324500000X - Substance Abuse Rehabilitation Facility
Is Primary:
Yes

Contacts:

Fax:
5614394864

Form 5500 Series

Employer Identification Number (EIN):
650456525
Plan Year:
2021
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
22
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-01-19 Advantage Accounting & Tax -
REGISTERED AGENT ADDRESS CHANGED 2021-01-19 2700 North Military Trail, Suite 200, Boca Raton, FL 33431 -

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-07
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-02-03
ANNUAL REPORT 2019-03-14
ANNUAL REPORT 2018-01-03
AMENDED ANNUAL REPORT 2017-12-01
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-03-08

USAspending Awards / Financial Assistance

Date:
2021-02-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
329502.00
Total Face Value Of Loan:
329502.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
329502.00
Total Face Value Of Loan:
329502.00

Paycheck Protection Program

Jobs Reported:
24
Initial Approval Amount:
$329,502
Date Approved:
2021-02-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$329,502
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$331,822.06
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $329,501
Utilities: $1
Jobs Reported:
25
Initial Approval Amount:
$329,502
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$329,502
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$332,896.32
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $329,502

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Date of last update: 01 Aug 2025

Sources: Florida Department of State