| Entity Name: | KIVA OF PALATKA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Feb 2000 (25 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L00000002391 |
| FEI/EIN Number | 621813629 |
| Address: | #10 7th street, Bonita Springs, FL, 34134, US |
| Mail Address: | 4717 STUART GLEN DR., NASHVILLE, TN, 37215 |
| ZIP code: | 34134 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548702608 | 2016-11-07 | 2018-01-12 | 201 ZEAGLER DR, PALATKA, FL, 321773818, US | 201 ZEAGLER DR, PALATKA, FL, 321773818, US | |||||||||||||||||||
|
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| Phone | +1 386-325-0699 |
| Fax | 3863282591 |
Authorized person
| Name | MR. RAPHAEL HOFFMANN |
| Role | ADMINISTRATOR |
| Phone | 3863250699 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 827 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCARBOROUGH THOMAS D | Agent | #10 7th street, Bonita Springs, FL, 34134 |
| Name | Role | Address |
|---|---|---|
| SCARBOROUGH THOMAS | Managing Member | #10 7th street, Bonita Springs, FL, 34134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-16 | #10 7th street, Bonita Springs, FL 34134 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-16 | #10 7th street, Bonita Springs, FL 34134 | No data |
| REINSTATEMENT | 2015-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-09-28 | SCARBOROUGH, THOMAS D | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2004-09-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2004-09-14 | #10 7th street, Bonita Springs, FL 34134 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000908682 | TERMINATED | 1000000499395 | LEON | 2013-04-30 | 2023-05-08 | $ 733.65 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-04-27 |
| REINSTATEMENT | 2015-09-28 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-01-10 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-03-05 |
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-03-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
