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GRACE MANOR AT LAKE MORTON LLC - Florida Company Profile

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Company Details

Entity Name: GRACE MANOR AT LAKE MORTON LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Oct 2010 (15 years ago)
Document Number: L10000107826
FEI/EIN Number 273779098
Address: 505 Ariana Ave., Auburndale, FL, 33823, US
Mail Address: 505 Ariana Ave., Auburndale, FL, 33823, US
ZIP code: 33823
City: Auburndale
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GARRARD LOUIS F Manager 505 Ariana Ave., Auburndale, FL, 33823
GRAY JR DWAYNE NEsq. Agent 315 E ROBINSON STREET, ORLANDO, FL, 32801

National Provider Identifier

NPI Number:
1336587708
Certification Date:
2022-02-16

Authorized Person:

Name:
MS. SAVITRI JOHNSON
Role:
ASST. ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
311500000X - Alzheimer Center (Dementia Center)
Is Primary:
Yes

Contacts:

Fax:
8638759489
Fax:
8639379117

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-06-23 GRAY JR, DWAYNE N, Esq. -
REGISTERED AGENT ADDRESS CHANGED 2020-06-23 315 E ROBINSON STREET, SUITE 600, ORLANDO, FL 32801 -
CHANGE OF PRINCIPAL ADDRESS 2019-03-11 505 Ariana Ave., Auburndale, FL 33823 -
CHANGE OF MAILING ADDRESS 2019-03-11 505 Ariana Ave., Auburndale, FL 33823 -

Documents

Name Date
ANNUAL REPORT 2024-03-28
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-03-01
AMENDED ANNUAL REPORT 2020-06-23
ANNUAL REPORT 2020-04-24
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-03-13
ANNUAL REPORT 2016-03-11

USAspending Awards / Financial Assistance

Date:
2021-03-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
149528.00
Total Face Value Of Loan:
149528.00
Date:
2020-05-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
143130.00
Total Face Value Of Loan:
143130.00
Date:
2020-05-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
143130.00
Total Face Value Of Loan:
143130.00

Paycheck Protection Program

Jobs Reported:
31
Initial Approval Amount:
$149,528
Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$149,528
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$150,273.59
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $149,528
Jobs Reported:
31
Initial Approval Amount:
$143,130
Date Approved:
2020-05-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$143,130
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$143,898.59
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $143,130

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Date of last update: 02 Aug 2025

Sources: Florida Department of State