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  5. AVALON SH MANAGEMENT, LLC

AVALON SH MANAGEMENT, LLC

Company Details

Entity Name: AVALON SH MANAGEMENT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Feb 2013 (12 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 07 Jul 2015 (10 years ago)
Document Number: L13000030310
FEI/EIN Number 46-2171289
Address: 3801 AVALON PARK EAST BLVD, ORLANDO, FL, 32828, US
Mail Address: 3801 AVALON PARK EAST BLVD, ORLANDO, FL, 32828, US
ZIP code: 32828
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134591241 2015-10-28 2015-10-28 13798 CYGNUS DR, ORLANDO, FL, 328289375, US 13798 CYGNUS DR, ORLANDO, FL, 328289375, US

Contacts
Phone +1 407-270-7500
Fax 4072706538

Authorized person
Name MS. NINA CORSI
Role EXECUTIVE DIRECTOR
Phone 4072707500

Taxonomy
Taxonomy Code 310400000X - Assisted Living Facility
License Number AL12618
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AVALON SH MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2023 462171289 2024-07-22 AVALON SH MANAGEMENT, LLC 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Plan sponsor’s address 3801 AVALON PARK E BLVD., SUITE 400, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2024-07-22
Name of individual signing CHRIS HORNE
Valid signature Filed with authorized/valid electronic signature
AVALON SH MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2022 462171289 2023-07-17 AVALON SH MANAGEMENT, LLC 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 4072707500
Plan sponsor’s address 3801 AVALON PARK E BLVD., SUITE 400, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2023-07-17
Name of individual signing CHRIS HORNE
Valid signature Filed with authorized/valid electronic signature
AVALON SH MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 462171289 2022-07-29 AVALON SH MANAGEMENT, LLC 77
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 4072707500
Plan sponsor’s address 3680 AVALON PARK EAST BLVD SUITE 30, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2022-07-29
Name of individual signing KAREN ZYRA
Valid signature Filed with authorized/valid electronic signature
AVALON SH MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 462171289 2022-08-02 AVALON SH MANAGEMENT, LLC 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 4072707500
Plan sponsor’s address 3801 AVALON PARK E BLVD., SUITE 400, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2022-08-02
Name of individual signing KAREN ZYRA
Valid signature Filed with authorized/valid electronic signature
AVALON SH MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 462171289 2022-07-21 AVALON SH MANAGEMENT, LLC 77
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 4072707500
Plan sponsor’s address 3680 AVALON PARK EAST BLVD SUITE 30, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2022-07-21
Name of individual signing KAREN ZYRA
Valid signature Filed with authorized/valid electronic signature
AVALON SH MANAGEMENT, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 462171289 2022-08-01 AVALON SH MANAGEMENT, LLC 77
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 4072707500
Plan sponsor’s address 3801 AVALON PARK E BLVD., SUITE 400, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2022-08-01
Name of individual signing KAREN ZYRA
Valid signature Filed with authorized/valid electronic signature
AVALON SH MANAGEMENT LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 462171289 2021-06-04 AVALON SH MANAGEMENT LLC 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 4072707500
Plan sponsor’s address 3680 AVALON PARK EAST BLVD SUITE 30, ORLANDO, FL, 32828

Signature of
Role Plan administrator
Date 2021-06-04
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
ENCORE AT AVALON PARK 401(K) SAVINGS PLAN 2019 462171289 2020-07-09 AVALON SH MANAGEMENT LLC 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 4076586565
Plan sponsor’s address 13798 CYGNUS DR, ORLANDO, FL, 328289375

Signature of
Role Plan administrator
Date 2020-07-09
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
ENCORE AT AVALON PARK 401 (K) 2018 462171289 2019-08-22 AVALON SH MANAGEMENT LLC 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 4076586565
Plan sponsor’s address 13798 CYGNUS DR, ORLANDO, FL, 328289375

Signature of
Role Plan administrator
Date 2019-08-22
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature
ENCORE AT AVALON PARK 401(K) SAVINGS PLAN 2017 462171289 2019-10-22 AVALON SH MANAGEMENT LLC 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 4072707500
Plan sponsor’s address 13798 CYGNUS DR, ORLANDO, FL, 328289375

Signature of
Role Plan administrator
Date 2019-10-22
Name of individual signing EDWARD ROJAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DEFILLO MARYBEL Agent 3801 AVALON PARK EAST BLVD, ORLANDO, FL, 32828

President

Name Role Address
KAHLI BEAT M President 3801 AVALON PARK EAST BLVD, ORLANDO, FL, 32828

Vice President

Name Role Address
DEFILLO MARYBEL Vice President 3801 AVALON PARK EAST BLVD, ORLANDO, FL, 32828

Secretary

Name Role Address
Novoa Cynthia Secretary 3801 AVALON PARK EAST BLVD., ORLANDO, FL, 32828

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000159622 ENCORE AT AVALON PARK ACTIVE 2020-12-16 2025-12-31 No data 3680 AVALON PARK EAST BLVD., STE. 3, 300, ORLANDO, FL, 32828
G14000115174 ENCORE AT AVALON PARK EXPIRED 2014-11-15 2019-12-31 No data 3680 AVALON PARK EAST BLVD, SUITE 300, ORLANDO, FL, 32828

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-02-25 3801 AVALON PARK EAST BLVD, 400, ORLANDO, FL 32828 No data
CHANGE OF MAILING ADDRESS 2021-02-25 3801 AVALON PARK EAST BLVD, 400, ORLANDO, FL 32828 No data
REGISTERED AGENT ADDRESS CHANGED 2021-02-25 3801 AVALON PARK EAST BLVD, 400, ORLANDO, FL 32828 No data
LC AMENDMENT 2015-07-07 No data No data
REGISTERED AGENT NAME CHANGED 2015-07-07 DEFILLO, MARYBEL No data

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-02-25
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-03-24
ANNUAL REPORT 2016-03-17
LC Amendment 2015-07-07

Related by officers

KAHLI BEAT M

NEW RIVER SENIOR HOUSING, LLC AVALON TC III HOLDINGS, LLC NRP PROPERTY HOLDINGS, LLC NRP IC HOLDINGS, LLC POLARIS HEALTHCARE DEVELOPMENT, LLC BEAJILL SENIOR HOLDING, LLC AVALON SENIOR GP, LLC BKI RESIDENTIAL HOLDINGS, LLC AVALON PARK LW 10, LLC KAHLI HOLDINGS USA, INC.

DEFILLO MARYBEL

NEW RIVER SENIOR HOUSING, LLC AVALON TC III HOLDINGS, LLC NRP PROPERTY HOLDINGS, LLC NRP IC HOLDINGS, LLC POLARIS HEALTHCARE DEVELOPMENT, LLC BEAJILL SENIOR HOLDING, LLC APG TAX CERTIFICATES I, LLC APG POLARIS, LLC BKI RESIDENTIAL HOLDINGS, LLC KAHLI HOLDINGS USA, INC.

Novoa Cynthia

AVALON TC III HOLDINGS, LLC NRP IC HOLDINGS, LLC BEAJILL SENIOR HOLDING, LLC APG TAX CERTIFICATES I, LLC SITEX PROPERTIES USA, INC. SITEX TOWN CENTER, LLC SITEX NR HOLDING, LLC SITEX PASCO HOLDINGS, LLC AVALON INNOVATION CENTRE, LLC AVALON PARK HEALTH VILLAGE, LLC

Related by address

3801 AVALON PARK EAST BLVD, ORLANDO, FL, 32828, US

EASTSIDE CYCLING CLUB, INC. D & Y ENTERPRISES OF CENTRAL FLORIDA, LLC THE OLAN GROUP, LLC AVEX LONGWOOD TOWN HOLDINGS LLC MARKETPLACE AT AVALON PARK, LLC AVALON DRIVING SCHOOL LLC AVALON PARK DAYTONA LAND HOLDING, LP CENTURION HEALTH SERVICES LLC MENTES BRILLANTES LLC

3801 AVALON PARK EAST BLVD, ORLANDO, FL, 32828, US

EASTSIDE CYCLING CLUB, INC. D & Y ENTERPRISES OF CENTRAL FLORIDA, LLC THE OLAN GROUP, LLC AVEX LONGWOOD TOWN HOLDINGS LLC MARKETPLACE AT AVALON PARK, LLC AVALON DRIVING SCHOOL LLC AVALON PARK DAYTONA LAND HOLDING, LP CENTURION HEALTH SERVICES LLC MENTES BRILLANTES LLC

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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