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LAKE CITY MGT, LLC - Florida Company Profile

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Company Details

Entity Name: LAKE CITY MGT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Mar 2003 (22 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 29 Jan 2016 (10 years ago)
Document Number: L03000010664
FEI/EIN Number 050560677
Mail Address: PO Box 530787, DEBARY, FL, 32753, US
Address: 1207 S.W. Main Street, Suite 1-E, Lake City, FL, 32025, US
ZIP code: 32025
City: Lake City
County: Columbia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HERZOG L P Manager PO Box 530787, DEBARY, FL, 32753
SWAIN W S Manager PO Box 71030, Myrtle Beach, SC, 29572
- Agent -

National Provider Identifier

NPI Number:
1750365706
Certification Date:
2020-10-08

Authorized Person:

Name:
MR. LAVERN PATRICK HERZOG
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
3867528556

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000104074 AVALON HEALTHCARE CENTER EXPIRED 2009-05-05 2024-12-31 - 1270 SW MAIN BOULEVARD, LAKE CITY, FL, 32055

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-19 1207 S.W. Main Street, Suite 1-E, Lake City, FL 32025 -
REGISTERED AGENT ADDRESS CHANGED 2017-04-24 115 North Calhoun Street, Suite 4, Tallahassee, FL 32301 -
CHANGE OF PRINCIPAL ADDRESS 2016-04-29 1207 S.W. Main Street, Suite 1-E, Lake City, FL 32025 -
LC STMNT OF RA/RO CHG 2016-01-29 - -
REGISTERED AGENT NAME CHANGED 2016-01-29 COGENCY GLOBAL INC. -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J21000566269 ACTIVE 18001114CCAXMX COLUMBIA COUNTY COURT CLERK 2021-07-16 2026-11-10 $8,465.26 EMORY MEDICAL CORPORATION DBA WOMEN'S CENTER OF FLORIDA, 4812 W. US HWY 90 SUITE A, LAKE CITY FL, 32055

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-04-09
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-04-18
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-29
CORLCRACHG 2016-01-29

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
926421.92
Total Face Value Of Loan:
926421.92

Paycheck Protection Program

Jobs Reported:
105
Initial Approval Amount:
$926,421.92
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$926,421.92
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$936,904.45
Servicing Lender:
The Park National Bank
Use of Proceeds:
Payroll: $694,816.44
Utilities: $46,321.1
Rent: $185,284.38

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Date of last update: 02 Aug 2025

Sources: Florida Department of State