| Entity Name: | NORTH LAKE RETIREMENT HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
NORTH LAKE RETIREMENT HOME, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 23 Nov 1988 (36 years ago) |
| Document Number: | K47160 |
| FEI/EIN Number |
650092831
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1222 N 16TH AVE, HOLLYWOOD, FL, 33020 |
| Mail Address: | 1222 N 16TH AVE, HOLLYWOOD, FL, 33020 |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417153446 | 2007-06-26 | 2007-10-01 | 1222 N 16TH AVE, HOLLYWOOD, FL, 330203741, US | 1222 N 16TH AVE, HOLLYWOOD, FL, 330203741, US | |||||||||||||||||
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| Phone | +1 954-922-2643 |
Authorized person
| Name | MR. PASCAL BERGERON |
| Role | ASST ADM |
| Phone | 9549222643 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7395 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Bergeron Guy | Director | 1222 N. 16TH AVE., HOLLYWOOD, FL, 33020 |
| BERGERON, GUY | Agent | 1222 N 16TH AVE, HOLLYWOOD, FL, 33020 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 1989-04-11 | 1222 N 16TH AVE, HOLLYWOOD, FL 33020 | - |
| CHANGE OF MAILING ADDRESS | 1989-04-11 | 1222 N 16TH AVE, HOLLYWOOD, FL 33020 | - |
| REGISTERED AGENT NAME CHANGED | 1989-04-11 | BERGERON, GUY | - |
| REGISTERED AGENT ADDRESS CHANGED | 1989-04-11 | 1222 N 16TH AVE, HOLLYWOOD, FL 33020 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000550557 | TERMINATED | 1000000611910 | BROWARD | 2014-04-18 | 2024-05-01 | $ 9,254.67 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J13000841214 | TERMINATED | 1000000378740 | BROWARD | 2013-04-29 | 2023-05-03 | $ 7,576.22 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J13000871542 | TERMINATED | 1000000497892 | BROWARD | 2013-04-29 | 2033-05-03 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J13000871559 | TERMINATED | 1000000497893 | BROWARD | 2013-04-29 | 2023-05-03 | $ 7,827.92 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J11000768734 | TERMINATED | 1000000240373 | BROWARD | 2011-11-10 | 2021-11-23 | $ 12,479.34 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096 |
| J07000341670 | LAPSED | 04-06669 COWE 80 | BROWARD COUNTY COURT | 2006-06-08 | 2012-10-19 | $2007.46 | JUAN G. ANDREU ESQ., 701 SW 27 AVE, SUITE 900, MIAMI, FL 33135 |
| J02000126262 | LAPSED | 00-10050-BKC-RAM | US BNKRTCY CT SOUTHERN DIS MIA | 2002-03-18 | 2007-04-08 | $16,071.54 | JOEL L TABAS AS TRUSTEE FOR FLAGSHIP PHARM, 25 S E 2ND AVENUE SUITE 919, MIAMI FL 33131 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-02-01 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5349737105 | 2020-04-13 | 0455 | PPP | 1222 N 16th Ave, HOLLYWOOD, FL, 33020-3741 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
