| Entity Name: | BREAKWATER ADULT FAMILY CARE HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BREAKWATER ADULT FAMILY CARE HOME LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 13 Feb 2003 (22 years ago) |
| Date of dissolution: | 23 Sep 2011 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (14 years ago) |
| Document Number: | L03000005411 |
| FEI/EIN Number |
371458405
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 22699 SW BREAKWATER BLVD, DUNNELLON, FL, 34431 |
| Mail Address: | 22699 SW BREAKWATER BLVD, DUNNELLON, FL, 34431 |
| ZIP code: | 34431 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356407704 | 2006-12-29 | 2020-08-22 | 22699 SW BREAKWATER BLVD, DUNNELLON, FL, 344314039, US | 22699 SW BREAKWATER BLVD, DUNNELLON, FL, 344314039, US | |||||||||||||||||||
|
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| Phone | +1 352-401-7699 |
| Fax | 3524017698 |
Authorized person
| Name | VINCE JACOBS |
| Role | OWNER |
| Phone | 3525980288 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | 6905655 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JACOBS VINCE L | Chief Executive Officer | 22699 S.W. BREAKWATER BLVD, DUNNELLON, FL, 34431 |
| JACOBS VINCE L | Agent | 22699 S.W. BREAKWATER BLVD, DUNNELLON, FL, 34431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2004-08-23 | 22699 SW BREAKWATER BLVD, DUNNELLON, FL 34431 | - |
| CHANGE OF MAILING ADDRESS | 2004-08-23 | 22699 SW BREAKWATER BLVD, DUNNELLON, FL 34431 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-08-23 | 22699 S.W. BREAKWATER BLVD, DUNNELLON, FL 34431 | - |
| NAME CHANGE AMENDMENT | 2003-09-03 | BREAKWATER ADULT FAMILY CARE HOME LLC | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000056532 | LAPSED | 1000000446846 | MARION | 2012-12-26 | 2023-01-02 | $ 1,248.44 | 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 | 2010-02-09 |
| ANNUAL REPORT | 2009-04-06 |
| ANNUAL REPORT | 2008-04-16 |
| ANNUAL REPORT | 2007-07-31 |
| ANNUAL REPORT | 2006-04-22 |
| ANNUAL REPORT | 2005-04-02 |
| ANNUAL REPORT | 2004-08-23 |
| Name Change | 2003-09-03 |
| Florida Limited Liability | 2003-02-13 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
