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GRAND 14, LLC

Company Details

Entity Name: GRAND 14, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 24 Jan 2005 (20 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: L05000010772
FEI/EIN Number 841670487
Address: 10109 NORTH WILLOW AVE., TAMPA, FL, 33612
Mail Address: 10109 NORTH WILLOW AVE., TAMPA, FL, 33612
ZIP code: 33612
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598000705 2012-11-29 2012-11-29 10109 N WILLOW AVE, TAMPA, FL, 336127350, US 10109 N WILLOW AVE, TAMPA, FL, 336127350, US

Contacts

Phone +1 813-931-5599
Fax 8139314440

Authorized person

Name MS. ARLENE M CLEMETSON
Role ADMINISTRATOR
Phone 8139315599

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL10036
State FL
Is Primary Yes

Agent

Name Role Address
CLEMETSON ARLENE Agent 10109 NORTH WILLOW AVENUE, TAMPA, FL, 33612

Manager

Name Role Address
CLEMETSON ARLENE Manager 10109 NORTH WILLOW AVE., TAMPA, FL, 33612

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000048191 SOMEPLACE LIKE HOME EXPIRED 2015-05-14 2020-12-31 No data 10109 NORTH WILLOW AVENUE, TAMPA, FL, 33612

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REGISTERED AGENT ADDRESS CHANGED 2008-04-29 10109 NORTH WILLOW AVENUE, TAMPA, FL 33612 No data
LC AMENDMENT 2006-08-17 No data No data
AMENDMENT 2005-08-10 No data No data
CHANGE OF PRINCIPAL ADDRESS 2005-08-10 10109 NORTH WILLOW AVE., TAMPA, FL 33612 No data
CHANGE OF MAILING ADDRESS 2005-08-10 10109 NORTH WILLOW AVE., TAMPA, FL 33612 No data

Documents

Name Date
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-05-01
AMENDED ANNUAL REPORT 2015-05-11
ANNUAL REPORT 2015-04-30
ANNUAL REPORT 2014-05-01
ANNUAL REPORT 2013-05-01
ANNUAL REPORT 2012-09-28
ANNUAL REPORT 2011-05-01
ANNUAL REPORT 2010-04-30
ANNUAL REPORT 2009-04-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State