| Entity Name: | IHS ACQUISITION NO. 103, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign 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: | 21 Nov 1997 (27 years ago) |
| Date of dissolution: | 21 Feb 2012 (13 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 21 Feb 2012 (13 years ago) |
| Document Number: | F97000006190 |
| FEI/EIN Number |
522066123
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7150 COLUMBIA GATEWAY DRIVE, SUITE J, COLUMBIA, MD, 21046, US |
| Mail Address: | 7150 COLUMBIA GATEWAY DRIVE, SUITE J, COLUMBIA, MD, 21046, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528131513 | 2006-11-16 | 2007-11-13 | 1350 S NOVA RD, DAYTONA BEACH, FL, 321145812, US | 1350 S NOVA RD, DAYTONA BEACH, FL, 321145812, US | |||||||||||||||||||||||||
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| Phone | +1 386-258-5544 |
| Fax | 3862555623 |
Authorized person
| Name | MR. TIM TRYBUS |
| Role | CFO |
| Phone | 4435392354 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL6110 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 223905 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NICHOLSON TIMOTHY | Director | 7150 COLUMBIA GATEWAY DRIVE, COLUMBIA, MD, 21046 |
| POOLE JOHN | President | 7150 COLUMBIA GATEWAY DRIVE, COLUMBIA, MD, 21046 |
| AUMAN MATTHEW | Director | 7150 COLUMBIA GATEWAY DRIVE, COLUMBIA, MD, 21046 |
| TRYBUS TIMOTHY | Treasurer | 7150 COLUMBIA GATEWAY DRIVE, COLUMBIA, MD, 21046 |
| FALLON JOHN | Secretary | 7150 COLUMBIA GATEWAY DRIVE, COLUMBIA, MD, 21046 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2012-02-21 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-05 | 7150 COLUMBIA GATEWAY DRIVE, SUITE J, COLUMBIA, MD 21046 | - |
| CHANGE OF MAILING ADDRESS | 2011-01-05 | 7150 COLUMBIA GATEWAY DRIVE, SUITE J, COLUMBIA, MD 21046 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000740236 | TERMINATED | 1000000311875 | LEON | 2012-10-19 | 2032-10-25 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| Name | Date |
|---|---|
| Withdrawal | 2012-02-21 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-02-05 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-01-23 |
| ANNUAL REPORT | 2006-01-26 |
| ANNUAL REPORT | 2005-02-22 |
| Reg. Agent Change | 2004-10-19 |
| ANNUAL REPORT | 2004-01-22 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
