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  5. LAKE CENTRE HOME CARE, LLC

LAKE CENTRE HOME CARE, LLC

Company Details

Entity Name: LAKE CENTRE HOME CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Sep 2005 (19 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 21 Dec 2021 (3 years ago)
Document Number: L05000096300
FEI/EIN Number 203575237
Address: 310 MARKET ST, LEESBURG, FL, 34748, US
Mail Address: 310 Market Street, LEESBURG, FL, 34748, US
ZIP code: 34748
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942751912 2016-10-14 2016-10-14 711 N 3RD ST, STE 1, LEESBURG, FL, 347484495, US 711 N 3RD ST, STE 1, LEESBURG, FL, 347484495, US

Contacts
Phone +1 352-315-0050

Authorized person
Name SIDNEY MORGAN
Role PRESIDENT
Phone 3522674499

Taxonomy
Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKE CENTRE HOME CARE LLC 401(K) PROFIT SHARING PLAN AND TRUST 2023 203575237 2024-07-22 LAKE CENTRE HOME CARE, LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621610
Sponsor’s telephone number 3523150050
Plan sponsor’s address 310 MARKET STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2024-07-22
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
LAKE CENTRE HOME CARE LLC 401(K) PROFIT SHARING PLAN AND TRUST 2022 203575237 2023-07-18 LAKE CENTRE HOME CARE, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621610
Sponsor’s telephone number 3523150050
Plan sponsor’s address 310 MARKET STREET, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing PLAN SPONSOR
Valid signature Filed with authorized/valid electronic signature
LAKE CENTRE HOME CARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 203575237 2022-05-19 LAKE CENTRE HOME CARE LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621610
Sponsor’s telephone number 3523150050
Plan sponsor’s address 310 MARKET ST, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing LORI DAVIS
Valid signature Filed with authorized/valid electronic signature
LAKE CENTRE HOME CARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 203575237 2021-07-01 LAKE CENTRE HOME CARE LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621610
Sponsor’s telephone number 3523150050
Plan sponsor’s address 310 MARKET ST, LEESBURG, FL, 34748

Signature of
Role Plan administrator
Date 2021-07-01
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
LAKE CENTRE HOME CARE, LLC 401(K) PROFIT SHARING PLAN 2019 203575237 2020-10-13 LAKE CENTRE HOME CARE, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621610
Sponsor’s telephone number 3523150050
Plan sponsor’s address 711 N. 3RD STREET, SUITE 1, LEESBURG, FL, 34748
LAKE CENTRE HOME CARE, LLC 401(K) PROFIT SHARING PLAN 2018 203575237 2019-07-25 LAKE CENTRE HOME CARE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621610
Sponsor’s telephone number 3523150050
Plan sponsor’s address 711 N. 3RD STREET, SUITE 1, LEESBURG, FL, 34748
LAKE CENTRE HOME CARE, LLC 401(K) PROFIT SHARING PLAN 2017 203575237 2018-10-15 LAKE CENTRE HOME CARE, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621610
Sponsor’s telephone number 3523150050
Plan sponsor’s address 711 N. 3RD STREET, SUITE 1, LEESBURG, FL, 34748

Agent

Name Role Address
Morgan Sidney Agent 310 Market Street, LEESBURG, FL, 34748

Manager

Name Role Address
Morgan Shelley Manager 310 Market Street, Leesburg, FL, 34748
Morgan Sidney Manager 310 Market Street, Leesburg, FL, 34748

Auth

Name Role Address
Grunewald Shayna Auth 929 Hawk Landing, Fruitland Park, FL, 34731

Chief Operating Officer

Name Role Address
Davis Lori M Chief Operating Officer 907 Paso Aly, Fruitland Park, FL, 34731

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-03 Morgan, Sidney No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-03 310 Market Street, LEESBURG, FL 34748 No data
CHANGE OF MAILING ADDRESS 2022-02-09 310 MARKET ST, LEESBURG, FL 34748 No data
LC STMNT OF RA/RO CHG 2021-12-21 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-12-21 310 MARKET ST, LEESBURG, FL 34748 No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-02-09
CORLCRACHG 2021-12-21
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-04-14

Related by officers

Morgan Shelley

ROTARY MEANS BUSINESS DISTRICT 6970, INC.

Morgan Sidney

PRIMARY CARE ALLIANCE, LLC AEGIS ACCOUNTABLE CARE ORGANIZATION, LLC LAKEVIEW INVESTMENT GROUP, LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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