| Entity Name: | SAMUELSON PERSONAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Mar 2008 (17 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L08000023352 |
| FEI/EIN Number | 262114797 |
| Address: | 606 S.W. 3rd Avenue, OCALA, FL, 34471, US |
| Mail Address: | 606 S.W. 3rd Avenue, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851552855 | 2008-06-23 | 2008-06-23 | 1411 NE 22ND AVE, OCALA, FL, 344707733, US | 1411 NE 22ND AVE, OCALA, FL, 344707733, US | |||||||||||||||||||
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| Phone | +1 352-622-6447 |
| Fax | 3526225578 |
Authorized person
| Name | MR. JIM SAMUELSON |
| Role | FRANCHISE OWNER |
| Phone | 3526226447 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299993167 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMUELSON JAMES M | Agent | 606 S.W. 3rd Avenue, OCALA, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| Samuelson James M | Manager | 606 S.W. 3rd Avenue, OCALA, FL, 34471 |
| Samuelson Mary P | Manager | 606 S.W. 3rd Avenue, OCALA, FL, 34471 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08073700006 | HOME INSTEAD SENIOR CARE | EXPIRED | 2008-03-13 | 2013-12-31 | No data | 1411 NE 22ND AVENUE, OCALA, FL, 34470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-18 | 606 S.W. 3rd Avenue, OCALA, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-18 | 606 S.W. 3rd Avenue, OCALA, FL 34471 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-18 | 606 S.W. 3rd Avenue, OCALA, FL 34471 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-02-23 |
| ANNUAL REPORT | 2019-01-15 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-02-23 |
| ANNUAL REPORT | 2015-02-21 |
| ANNUAL REPORT | 2014-02-03 |
| ANNUAL REPORT | 2013-02-18 |
| ANNUAL REPORT | 2012-01-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6212097107 | 2020-04-14 | 0491 | PPP | 606 SW 3RD AV, OCALA, FL, 34471 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7220018302 | 2021-01-28 | 0491 | PPS | 606 SW 3rd Ave, Ocala, FL, 34471-0930 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
