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TAVARES VILLAGE RETIREMENT COMMUNITY, LLC - Florida Company Profile

Company Details

Entity Name: TAVARES VILLAGE RETIREMENT COMMUNITY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

TAVARES VILLAGE RETIREMENT COMMUNITY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 26 Nov 2012 (12 years ago)
Document Number: L12000148135
FEI/EIN Number 46-1480920

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 901 EAST WASHINGTON ST., ORLANDO, FL, 32804
Mail Address: 901 EAST WASHINGTON ST., ORLANDO, FL, 32804
ZIP code: 32804
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730338179 2008-09-10 2013-03-20 901 E WASHINGTON ST, ORLANDO, FL, 328012905, US 1501 SUNSHINE PKWY, TAVARES, FL, 327784496, US

Contacts

Phone +1 407-454-9096
Fax 4078430407

Authorized person

Name MR. KENNETH NIELSON
Role MANAGING MEMBER
Phone 4074549096

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL8948
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TAVARES VILLAGE 401(K) PLAN 2023 461480920 2024-07-22 TAVARES VILLAGE RETIREMENT COMMUNITY, LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 623000
Sponsor’s telephone number 3527427111
Plan sponsor’s address 901 E WASHINGTON ST #2905, ORLANDO, FL, 32801

Signature of

Role Plan administrator
Date 2024-07-22
Name of individual signing CHRIS HORNE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
NIELSON KENNETH Managing Member 901 EAST WASHINGTON ST., ORLANDO, FL, 32804
Pizam Haim C Manager 507 Palmer Street, Orlando, FL, 32801
Pizam Haim C Agent 901 EAST WASHINGTON ST., ORLANDO, FL, 32804

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000012830 THE COVE AT TAVARES VILLAGE ACTIVE 2013-02-06 2028-12-31 - 901 EAST WASHINGTON STREET, ORLANDO, FL, 32801

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-16 Pizam, Haim Cy -

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-02-08
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-18
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-12
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3468987103 2020-04-11 0491 PPP 901 E WASHINGTON ST, ORLANDO, FL, 32801-2905
Loan Status Date 2021-02-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 526446.58
Loan Approval Amount (current) 526446.58
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ORLANDO, ORANGE, FL, 32801-2905
Project Congressional District FL-10
Number of Employees 62
NAICS code 623312
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 530321.81
Forgiveness Paid Date 2021-01-20

Date of last update: 02 Apr 2025

Sources: Florida Department of State