| Entity Name: | TORO12 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Apr 2012 (13 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L12000046847 |
| FEI/EIN Number | 45-4943498 |
| Address: | 624 S Ocean Ave, Daytona Beach, FL, 33118, US |
| Mail Address: | 624 S Ocean Ave, Daytona Beach, FL, 33118, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295148872 | 2014-06-11 | 2014-06-11 | 1117 MASSACHUSETTS AVE, SAINT CLOUD, FL, 347693787, US | 1117 MASSACHUSETTS AVE, SAINT CLOUD, FL, 347693787, US | |||||||||||||||||||||||
|
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| Phone | +1 407-593-6521 |
Authorized person
| Name | JACEK DYGDON |
| Role | OWNER |
| Phone | 3863150899 |
Taxonomy
| Taxonomy Code | 320800000X - Mental Illness Community Based Residential Treatment Facility |
| License Number | AL245 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010471600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DYGDON JACEK | Agent | 624 S Ocean Ave, Daytona Beach, FL, 33118 |
| Name | Role | Address |
|---|---|---|
| DYGDON JACEK | Managing Member | 624 S Ocean Ave, Daytona Beach, FL, 33118 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000084092 | HOMESTEAD RETIREMENT HOME | EXPIRED | 2013-08-23 | 2018-12-31 | No data | 1117 MASSACHUSETTS AVENUE, ST. CLOUD, FL, 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-24 | 624 S Ocean Ave, Daytona Beach, FL 33118 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-24 | 624 S Ocean Ave, Daytona Beach, FL 33118 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-24 | 624 S Ocean Ave, Daytona Beach, FL 33118 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-02-27 |
| ANNUAL REPORT | 2014-02-26 |
| AMENDED ANNUAL REPORT | 2013-09-09 |
| ANNUAL REPORT | 2013-01-31 |
| Florida Limited Liability | 2012-04-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
