| Entity Name: | LAKE ERSWIN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Jan 2007 (18 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L07000004278 |
| FEI/EIN Number | 261095564 |
| Address: | 240 E. 5TH ST., HIALEAH, FL, 33010, US |
| Mail Address: | 240 E. 5TH ST., HIALEAH, FL, 33010 |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063691913 | 2007-10-29 | 2007-10-29 | 140 W 28TH ST, HIALEAH, FL, 330101606, US | 240 E 5TH ST, HIALEAH, FL, 330104822, US | |||||||||||||||||
|
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| Phone | +1 786-419-6949 |
Authorized person
| Name | CLAUDIA PACE |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 7864196949 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BENGIO JACOB | Agent | 12221 WEST DIXIE HIGHWAY, NORTH MIAMI, FL, 33161 |
| Name | Role | Address |
|---|---|---|
| ESFORMES Morris | Manager | 5151 Church Street, Skokie, IL, 60077 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-14 | 240 E. 5TH ST., HIALEAH, FL 33010 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-04-11 | BENGIO, JACOB | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-03-26 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-04-10 |
| ANNUAL REPORT | 2012-04-19 |
| ANNUAL REPORT | 2011-04-14 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
