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COVENANT LIVING OF FLORIDA, INC. - Florida Company Profile

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Company Details

Entity Name: COVENANT LIVING OF FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 21 Mar 1978 (47 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 01 Apr 2019 (6 years ago)
Document Number: 742153
FEI/EIN Number 521115870

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 5700 OLD ORCHARD RD., SKOKIE, IL, 60077, US
Mail Address: 5700 OLD ORCHARD RD., SKOKIE, IL, 60077, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Vanover Andrew Director 5700 Old Orchard Road, Skokie, IL, 600771036
Allan Anderson Director 5700 Old Orchard Road, Skokie, IL, 60077
Cory Kallheim Gene 5700 Old Orchard Road, Skokie, IL, 60077
Creaney Janet Director 5700 Old Orchard Road, Skokie, IL, 60077
Justie Jean Chief Financial Officer 5700 Old Orchard Road, Skokie, IL, 60077
Hoffman Janet Director 5700 Old Orchard Road, Skokie, IL, 60077
- Agent -

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
CC1LLMNZZSF3
CAGE Code:
8LF20
UEI Expiration Date:
2026-01-09

Business Information

Division Name:
COVENANT LIVING
Activation Date:
2025-01-13
Initial Registration Date:
2020-05-08

National Provider Identifier

NPI Number:
1083719751
Certification Date:
2020-01-27

Authorized Person:

Name:
ELIZABETH MALZAHN
Role:
VICE PRESIDENT OF HEALTH SERVICES
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
No
Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
9544725934

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000061664 COVENANT LIVING OF FLORIDA ACTIVE 2022-05-17 2027-12-31 - 5700 OLD ORCHARD ROAD, SKOKIE, IL, 60077
G19000041396 COVENANT VILLAGE OF FLORIDA, INC. EXPIRED 2019-04-01 2024-12-31 - 5700 OLD ORCHARD RD, SKOKIE, IL, 60077
G12000010287 COVENANT VILLAGE OF FLORIDA ACTIVE 2012-01-30 2027-12-31 - 9215 W BROWARD BLVD, PLANTATION, FL, 33324
G12000010294 COVENANT VILLAGE CARE CENTER ACTIVE 2012-01-30 2027-12-31 - 9215 W BROWARD BLVD, PLANTATION, FL, 33324
G12000010291 PALM VILLA ACTIVE 2012-01-30 2027-12-31 - 9215 W BROWARD BLVD, PLANTATION, FL, 33324

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-01-10 5700 OLD ORCHARD RD., SKOKIE, IL 60077 -
AMENDED AND RESTATEDARTICLES 2019-04-01 - -
NAME CHANGE AMENDMENT 2019-03-18 COVENANT LIVING OF FLORIDA, INC. -
MERGER 2017-11-08 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000175695
AMENDED AND RESTATEDARTICLES 2017-08-01 - -
REGISTERED AGENT ADDRESS CHANGED 2011-04-18 1201 HAYS STREET, TALLAHASSEE, FL 32301 -
CHANGE OF PRINCIPAL ADDRESS 2011-04-18 5700 OLD ORCHARD RD., SKOKIE, IL 60077 -
CANCEL ADM DISS/REV 2007-10-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 - -
AMENDED AND RESTATEDARTICLES 2002-03-26 - -

Documents

Name Date
ANNUAL REPORT 2025-01-10
AMENDED ANNUAL REPORT 2024-12-02
ANNUAL REPORT 2024-02-28
AMENDED ANNUAL REPORT 2023-10-17
ANNUAL REPORT 2023-03-28
AMENDED ANNUAL REPORT 2022-11-09
ANNUAL REPORT 2022-01-06
ANNUAL REPORT 2021-04-29
AMENDED ANNUAL REPORT 2020-12-09
ANNUAL REPORT 2020-03-09

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
1250000.00
Total Face Value Of Loan:
1250000.00

Tax Exempt

Employer Identification Number (EIN) :
52-1115870
In Care Of Name:
% DAVID ERICKSON
Classification:
Religious Organization
Ruling Date:
1975-07

Determination Letters

Paycheck Protection Program

Jobs Reported:
199
Initial Approval Amount:
$1,250,000
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,250,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,263,595.89
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $1,250,000

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Date of last update: 02 Jul 2025

Sources: Florida Department of State