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  5. LIVING SOUTHERN STYLE OF BREVARD LLC

LIVING SOUTHERN STYLE OF BREVARD LLC - Florida Company Profile

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Company Details

Entity Name: LIVING SOUTHERN STYLE OF BREVARD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Dec 2011 (14 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 29 Jan 2019 (7 years ago)
Document Number: L11000143739
FEI/EIN Number 454145664
Address: 1721 Rockledge Dr., ROCKLEDGE, FL, 32955, US
Mail Address: P.O. Box 1193, Cocoa, FL, 32923, US
ZIP code: 32955
City: Rockledge
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Andretta Sheila M Managing Member P.O. Box 1193, Cocoa, FL, 32923
mobley henry D Vice President P.O. Box 1193, Cocoa, FL, 32923
MOBLEY SHEILA A Agent 815 brevard ave, Cocoa, FL, 32922

National Provider Identifier

NPI Number:
1326485715
Link:
View on NPI website

Authorized Person:

Name:
MS. SHELIA A WALKER
Role:
ADMINISTRATOR
Phone:
3212087681

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
No
Selected Taxonomy:
3104A0625X - Assisted Living Facility (Mental Illness)
Is Primary:
Yes

Contacts:

Phone:
+1 321-208-7681
Fax:
3212087681

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-06 MOBLEY, SHEILA ANDRETTA -
LC AMENDMENT 2019-01-29 - -
CHANGE OF PRINCIPAL ADDRESS 2019-01-17 1721 Rockledge Dr., ROCKLEDGE, FL 32955 -
CHANGE OF MAILING ADDRESS 2019-01-17 1721 Rockledge Dr., ROCKLEDGE, FL 32955 -
REGISTERED AGENT ADDRESS CHANGED 2019-01-17 1721 Rockledge Dr., ROCKLEDGE, FL 32955 -
LC AMENDMENT 2012-11-07 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J25000105697 ACTIVE 1000001031695 BREVARD 2025-02-07 2035-02-12 $ 1,114.78 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 100 RIALTO PL STE 800, MELBOURNE FL329013004
J25000105697 (No Image Available) ACTIVE 1000001031695 BREVARD 2025-02-07 2035-02-12 $ 1,114.78 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 100 RIALTO PL STE 800, MELBOURNE FL329013004
J23000374819 ACTIVE 1000000961024 BREVARD 2023-08-04 2033-08-09 $ 1,511.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 6300 N WICKHAM RD STE 133A, MELBOURNE FL329402029
J23000203216 ACTIVE 2022-11526-CODL COUNTY COURT, VOLUSIA CTY., FL 2023-01-30 2028-05-08 $13,389.61 CINTAS CORPORATION NO. 2 D/B/A CINTAS CORPORATION, 1844 HOLSONBACK DRIVE, DAYTONA BEACH, FLORIDA 32117-5112
J21000303069 TERMINATED 1000000892339 BREVARD 2021-06-14 2031-06-16 $ 692.07 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MELBOURNE SERVICE CENTER, 6300 N WICKHAM RD STE 133A, MELBOURNE FL329402029

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-30
LC Amendment 2019-01-29
ANNUAL REPORT 2019-01-17
ANNUAL REPORT 2018-03-05
ANNUAL REPORT 2017-03-06
ANNUAL REPORT 2016-02-17

USAspending Awards / Financial Assistance

Date:
2021-02-04
Link:
View on USAspending
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:
12280.00
Total Face Value Of Loan:
12280.00
Date:
2020-04-30
Link:
View on USAspending
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:
10320.00
Total Face Value Of Loan:
10320.00
Date:
2020-04-30
Link:
View on USAspending
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:
10320.00
Total Face Value Of Loan:
10320.00
Date:
2018-05-18
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF PHYSICAL TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
-16100.00
Total Face Value Of Loan:
35000.00
Date:
2018-05-18
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF PHYSICAL TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
-16100.00
Total Face Value Of Loan:
35000.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$12,280
Date Approved:
2021-02-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$12,280
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$12,413.9
Servicing Lender:
DFCU Financial
Use of Proceeds:
Payroll: $12,274
Utilities: $1
Jobs Reported:
5
Initial Approval Amount:
$10,320
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$10,320
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$10,452.6
Servicing Lender:
DFCU Financial
Use of Proceeds:
Payroll: $10,320

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Date of last update: 03 Aug 2025

Sources: Florida Department of State

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