| Entity Name: | KEYSTONE DJJ LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Aug 2002 (22 years ago) |
| Date of dissolution: | 22 Aug 2016 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Aug 2016 (8 years ago) |
| Document Number: | L02000022233 |
| FEI/EIN Number | 710902726 |
| Address: | 12422 NW REVELL ROAD, BRISTOL, FL, 32321, US |
| Mail Address: | 367 S. GULPH ROAD, KING OF PRUSSIA, PA, 19406, US |
| ZIP code: | 32321 |
| County: | Liberty |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134309438 | 2007-11-05 | 2008-06-14 | 12422 NW G T REVELL RD, BRISTOL, FL, 323213007, US | 12422 NW G T REVELL RD, BRISTOL, FL, 323213007, US | |||||||||||||||||||||
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| Phone | +1 850-643-4600 |
| Fax | 8506432061 |
Authorized person
| Name | MRS. JEANETTE JACKSON |
| Role | PROGRAM DIRECTOR |
| Phone | 8506434600 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OUTPATIENT SUBSTANCE ABUS |
| Number | 0239AD272501 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| KEYSTONE /CCS PARTNERS LLC | Manager | 367 S. GULPH ROAD, KING OF PRUSSIA, PA, 19406 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000070130 | BRISTOL YOUTH ACADEMY | EXPIRED | 2010-07-30 | 2015-12-31 | No data | 12422 NW GORDON TRUETT REVELL RD, BRISTOL, FL, 32321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-08-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-07-18 | 12422 NW REVELL ROAD, BRISTOL, FL 32321 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-13 | 12422 NW REVELL ROAD, BRISTOL, FL 32321 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-11-18 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-11-18 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-08-22 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-04-13 |
| ANNUAL REPORT | 2014-02-27 |
| ANNUAL REPORT | 2013-02-01 |
| ANNUAL REPORT | 2012-07-18 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-01-12 |
| ANNUAL REPORT | 2010-02-02 |
| ANNUAL REPORT | 2009-04-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
