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DESTIN RECOVERY, LLC

Company Details

Entity Name: DESTIN RECOVERY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 22 Oct 2012 (12 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: L12000133767
FEI/EIN Number 46-1635884
Address: 4471 Legendary Drive, DESTIN, FL, 32541, US
Mail Address: 4471 Legendary Drive, Destin, FL, 32541, US
ZIP code: 32541
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881029445 2013-09-13 2013-09-13 10065 US HIGHWAY 98 W, SUITE B101, MIRAMAR BEACH, FL, 325504924, US 4100 LEGENDARY DR, SUITE 270, DESTIN, FL, 325418601, US

Contacts

Phone +1 850-837-8005
Fax 8508374352
Phone +1 855-638-7258

Authorized person

Name MRS. KELLY REEVES
Role OWNER
Phone 8502596396

Taxonomy

Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPIN-OFF TERMINATION PLAN FOR DESTIN RECOVERY, LLC 2022 461635884 2023-03-13 DESTIN RECOVERY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621420
Sponsor’s telephone number 8508378005
Plan sponsor’s address 4635 GULFSTARR DR. SUITE 100, DESTIN, FL, 32541

Signature of

Role Plan administrator
Date 2023-03-13
Name of individual signing SHANE ROBERSON
Valid signature Filed with authorized/valid electronic signature
SPIN-OFF TERMINATION PLAN FOR DESTIN RECOVERY, LLC 2022 461635884 2023-08-08 DESTIN RECOVERY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621420
Sponsor’s telephone number 8508378005
Plan sponsor’s address 4635 GULFSTARR DR. SUITE 100, DESTIN, FL, 32541

Plan administrator’s name and address

Administrator’s EIN 810583874
Plan administrator’s name HR, INC. DBA SIMPLE HR
Plan administrator’s address 36474 EMERALD COAST PARKWAY, DESTIN, FL, 32541
Administrator’s telephone number 8506509935

Signature of

Role Plan administrator
Date 2023-08-08
Name of individual signing SHANE ROBERSON
Valid signature Filed with authorized/valid electronic signature
SPIN-OFF TERMINATION PLAN FOR DESTIN RECOVERY, LLC 2021 461635884 2022-08-01 DESTIN RECOVERY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621420
Sponsor’s telephone number 8508378005
Plan sponsor’s address 4635 GULFSTARR DR. SUITE 100, DESTIN, FL, 32541

Signature of

Role Plan administrator
Date 2022-08-01
Name of individual signing SHANE ROBERSON
Valid signature Filed with authorized/valid electronic signature
SPIN-OFF TERMINATION PLAN FOR DESTIN RECOVERY, LLC 2020 461635884 2021-05-10 DESTIN RECOVERY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621420
Sponsor’s telephone number 8508378005
Plan sponsor’s address 4635 GULFSTARR DR. SUITE 100, DESTIN, FL, 32541

Signature of

Role Plan administrator
Date 2021-05-10
Name of individual signing SHANE ROBERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LEGLER MITCHELL W Agent 1431 RIVERPLACE BLVD, JACKSONVILLE, FL, 32207

Manager

Name Role Address
REEVES ROLAND Manager 4635 Gulfstarr Drive, DESTIN, FL, 32541

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-25 4471 Legendary Drive, DESTIN, FL 32541 No data
CHANGE OF MAILING ADDRESS 2018-04-25 4471 Legendary Drive, DESTIN, FL 32541 No data
REGISTERED AGENT NAME CHANGED 2013-04-25 LEGLER, MITCHELL W No data
REGISTERED AGENT ADDRESS CHANGED 2013-04-25 1431 RIVERPLACE BLVD, STE 910, JACKSONVILLE, FL 32207 No data

Documents

Name Date
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-13
ANNUAL REPORT 2016-04-22
ANNUAL REPORT 2015-04-20
ANNUAL REPORT 2014-04-24
ANNUAL REPORT 2013-04-25
Florida Limited Liability 2012-10-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State