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1001 OLD TOMOKA LLC

Company Details

Entity Name: 1001 OLD TOMOKA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Aug 2010 (15 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Dec 2022 (2 years ago)
Document Number: L10000086672
FEI/EIN Number 273265116
Address: 1001 OLD TOMOKA ROAD, ORMOND BEACH, FL, 32174
Mail Address: 8 CURVED CREEK WAY, ORMOND BEACH, FL, 32174
ZIP code: 32174
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538580923 2014-01-02 2022-06-10 1001 OLD TOMOKA RD, ORMOND BEACH, FL, 321745979, US 1001 OLD TOMOKA RD, ORMOND BEACH, FL, 321745979, US

Contacts

Phone +1 386-453-1519

Authorized person

Name SHOSHANA SHARON
Role ADMINISTRATOR
Phone 3864531519

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number 12175
State FL
Is Primary Yes

Agent

Name Role Address
OFER SHARON Agent 8 CURVED CREEK WAY, ORMOND BEACH, FL, 32174

Manager

Name Role Address
SHARON OFER Manager 8 CURVED CREEK WAY, ORMOND BEACH, FL, 32174
SHARON SHOSHANA Manager 8 CURVED CREEK WAY, ORMOND BEACH, FL, 32174

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000092302 THE SARAH HOUSE III ACTIVE 2023-08-07 2028-12-31 No data 1001 OLD TOMOKA RD., ORMOND BEACH, FL, 32174
G12000034158 THE SARAH HOUSE III EXPIRED 2012-04-10 2017-12-31 No data 1725 PALMER DRIVE, ORMOND BEACH, FL, 32117-4

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-12-12 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REINSTATEMENT 2016-12-12 No data No data
REGISTERED AGENT NAME CHANGED 2016-12-12 OFER, SHARON No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REINSTATEMENT 2014-10-01 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data
REINSTATEMENT 2013-11-15 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-11-15 1001 OLD TOMOKA ROAD, ORMOND BEACH, FL 32174 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-07
REINSTATEMENT 2022-12-12
ANNUAL REPORT 2021-03-31
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-07
REINSTATEMENT 2016-12-12
ANNUAL REPORT 2015-09-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6546337107 2020-04-14 0491 PPP 1001 Old Tomoka Road, ORMOND BEACH, FL, 32174-5979
Loan Status Date 2020-12-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 73982
Loan Approval Amount (current) 73982
Undisbursed Amount 0
Franchise Name -
Lender Location ID 456078
Servicing Lender Name Intracoastal Bank
Servicing Lender Address 1290 NW Palm Coast Pkwy, PALM COAST, FL, 32137-4738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ORMOND BEACH, VOLUSIA, FL, 32174-5979
Project Congressional District FL-06
Number of Employees 16
NAICS code 623312
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 456078
Originating Lender Name Intracoastal Bank
Originating Lender Address PALM COAST, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 74923.22
Forgiveness Paid Date 2021-07-21

Date of last update: 01 Feb 2025

Sources: Florida Department of State