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  5. LIFE CARE PONTE VEDRA, INC.

LIFE CARE PONTE VEDRA, INC. - Florida Company Profile

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Company Details

Entity Name: LIFE CARE PONTE VEDRA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 04 Aug 1983 (42 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 30 Apr 2021 (4 years ago)
Document Number: 769699
FEI/EIN Number 592555812
Address: 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082
Mail Address: 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082
ZIP code: 32082
City: Ponte Vedra Beach
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Jones Donald B Chief Executive Officer 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082
ROY JAMES B Chief Financial Officer 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082
JONES DONALD B Agent 1000 VICARS LANDING WAY, PONTE VEDRA BEACH, FL, 32082
Ng Christine SDr. BOAR 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082
CROSBY STEPHEN A BOAR 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082
DEKAY MELISSA B BOAR 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082
PIRKLE DALE F Chief Operating Officer 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082

National Provider Identifier

NPI Number:
1265678080
Link:
View on NPI website

Authorized Person:

Name:
MS. KRISTI QUICK
Role:
CHIEF FINANCIAL OFFICER
Phone:
9042731701

Taxonomy:

Selected Taxonomy:
261QR0400X - Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 904-273-1701
Fax:
9042851384
Phone:
+1 904-273-1718
Fax:
9042739573

Legal Entity Identifier

LEI Number:
5493005MS8VGX4GAWN28

Registration Details:

Initial Registration Date:
2016-03-05
Next Renewal Date:
2025-10-08
Registration Status:
ISSUED
Validation Source:
FULLY_CORROBORATED

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000078491 VICAR'S LANDING HOME HEALTH AGENCY ACTIVE 2024-06-27 2029-12-31 - 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082
G23000135266 VICAR'S LANDING ACTIVE 2023-11-03 2028-12-31 - 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL, 32082
G20000140830 THE STRATFORD ACTIVE 2020-10-31 2025-12-31 - 1004 VICAR'S WOODS ROAD, PONTE VEDRA BEACH, FL, 32082
G19000125759 VICAR'S LANDING NURSING HOME ACTIVE 2019-11-25 2029-12-31 - 1003 YORK ROAD, PONTE VEDRA BEACH, FL, 32082

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-08-17 JONES, DONALD BRUCE -
MERGER 2021-04-30 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 100000212581
RESTATED ARTICLES AND NAME CHANGE 1997-10-17 LIFE CARE PONTE VEDRA, INC. -
CHANGE OF PRINCIPAL ADDRESS 1990-06-05 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL 32082 -
CHANGE OF MAILING ADDRESS 1990-06-05 1000 VICAR'S LANDING WAY, PONTE VEDRA BEACH, FL 32082 -
AMENDMENT 1984-12-12 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J16000184048 TERMINATED CA12-1544 7TH JUD. CIR., ST. JOHNS CTY 2016-01-27 2021-03-18 $119,045.40 H.K. WU AND KATHLEEN WU, 3201 OLD BARN COURT, PONTE VEDRA BEACH, FL 32082
J13001658039 LAPSED CA12-1544 7TH JUD CIR. ST. JOHNS CO. 2013-10-08 2018-11-12 $88,887.93 H.K. WU AND KATHLEEN WU, 3201 OLD BARN COURT, PONTE VEDRA BEACH, FL 32082

Documents

Name Date
ANNUAL REPORT 2025-01-23
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-02-01
AMENDED ANNUAL REPORT 2022-12-08
AMENDED ANNUAL REPORT 2022-08-17
AMENDED ANNUAL REPORT 2022-05-19
ANNUAL REPORT 2022-01-24
AMENDED ANNUAL REPORT 2021-07-20
AMENDED ANNUAL REPORT 2021-06-23
Merger 2021-04-30

USAspending Awards / Financial Assistance

Date:
2020-04-11
Link:
View on USAspending
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:
1406215.00
Total Face Value Of Loan:
1406215.00

Trademarks

Serial Number:
90209659
Mark:
VICAR'S LANDING AT OAK BRIDGE
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2020-09-25
Mark Drawing Type:
Illustration: Drawing or design which also includes word(s)/letter(s)/number(s)
Mark Literal Elements:
VICAR'S LANDING AT OAK BRIDGE
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Providing assisted living facilities; retirement homes
International Classes:
043 - Primary Class
Class Status:
Active
Serial Number:
90209644
Mark:
VICAR'S LANDING AT OAKBRIDGE
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2020-09-25
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
VICAR'S LANDING AT OAKBRIDGE
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Providing assisted living facilities; retirement homes
International Classes:
043 - Primary Class
Class Status:
Active
Serial Number:
85946712
Mark:
VICAR'S LANDING
Status:
REGISTERED AND RENEWED
Mark Type:
SERVICE MARK
Application Filing Date:
2013-05-30
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
VICAR'S LANDING
USPTO Link:
View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:
Nursing homes, convalescent homes, and nursing and health care services
First Use:
1988-01-01
International Classes:
044 - Primary Class
Class Status:
Active
For:
Providing assisted living facilities; retirement homes
First Use:
1988-01-01
International Classes:
043 - Primary Class
Class Status:
Active

Tax Exempt

Employer Identification Number (EIN) :
59-2555812
In Care Of Name:
% D BRUCE JONES
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1986-11
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
286
Initial Approval Amount:
$1,406,215
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,406,215
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,426,175.44
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $1,054,661.25
Utilities: $175,776.88
Mortgage Interest: $175,776.87

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Date of last update: 03 Jul 2025

Sources: Florida Department of State

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