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JOHN KNOX VILLAGE OF TAMPA BAY, INC. - Florida Company Profile

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Company Details

Entity Name: JOHN KNOX VILLAGE OF TAMPA BAY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 11 Sep 1979 (46 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: 748876
FEI/EIN Number 581377711

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

Address: 4100 E. FLETCHER AVENUE, TAMPA, FL, 33613, US
Mail Address: 4100 E. FLETCHER AVENUE, TAMPA, FL, 33613, US
ZIP code: 33613
County: Hillsborough
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
626109
State:
NEW YORK
Type:
Headquarter of
Company Number:
708173
State:
NEW YORK

Key Officers & Management

Name Role Address
GUY KIMBERLY Director 3001 W. DR. MARTIN LUTHER KING JR. BLVD., TAMPA, FL, 33607
Waters Glenn Director 2985 Drew Street, Clearwater, FL, 33759
Inzina Tommy Director 2985 Drew Street, Clearwater, FL, 33759
Polo Janice Director 2985 Drew Street, Clearwater, FL, 33759
BAYCARE HEALTH SYSTEM, INC. Agent -

National Provider Identifier

NPI Number:
1760479901

Authorized Person:

Name:
MS. LISA VICARIO LYONS
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
No
Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
8136322388

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000111841 JOHN KNOX VILLAGE MED CENTER EXPIRED 2013-11-08 2018-12-31 - 4100 E FLETCHER AVE N, TAMPA, FL, 33613
G11000044429 ST. JOSEPH'S JOHN KNOX VILLAGE OF TAMPA BAY EXPIRED 2011-05-09 2016-12-31 - 3001 W. DR. MARTIN LUTHER KING BLVD, ATTENTION: ADMINISTRATION, TAMPA, FL, 33607, US

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
REGISTERED AGENT NAME CHANGED 2016-03-08 BAYCARE HEALTH SYSTEM, INC. -
REGISTERED AGENT ADDRESS CHANGED 2016-03-08 ATTENTION: LEGAL SERVICES DEPARTMENT, 2985 DREW STREET, CLEARWATER, FL 33759 -
AMENDED AND RESTATEDARTICLES 2014-07-02 - -
CHANGE OF PRINCIPAL ADDRESS 2014-04-02 4100 E. FLETCHER AVENUE, TAMPA, FL 33613 -
CHANGE OF MAILING ADDRESS 2014-04-02 4100 E. FLETCHER AVENUE, TAMPA, FL 33613 -
AMENDED AND RESTATEDARTICLES 1997-12-02 - -
AMENDMENT 1997-08-29 - -
AMENDED AND RESTATEDARTICLES 1991-01-30 - -

Documents

Name Date
ANNUAL REPORT 2021-03-02
ANNUAL REPORT 2020-02-03
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-04-27
Amended and Restated Articles 2014-07-02
ANNUAL REPORT 2014-04-02
AMENDED ANNUAL REPORT 2013-11-13

OSHA's Inspections within Industry

Inspection Summary

Date:
2010-08-27
Type:
Complaint
Address:
4100 EAST FLETCHER AVE, TAMPA, FL, 33613
Safety Health:
Health
Scope:
Partial

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Date of last update: 02 Jun 2025

Sources: Florida Department of State