| Entity Name: | MJT HOMECARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jul 2013 (12 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 08 Sep 2014 (10 years ago) |
| Document Number: | L13000106978 |
| FEI/EIN Number | 46-3306478 |
| Address: | 10035 Water Works Lane, Riverview, FL, 33578, US |
| Mail Address: | 10035 Water Works Lane, Riverview, FL, 33578, US |
| ZIP code: | 33578 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285062034 | 2013-10-14 | 2024-06-12 | 10035 WATER WORKS LN, RIVERVIEW, FL, 335785304, US | 10035 WATER WORKS LN, RIVERVIEW, FL, 335785304, US | |||||||||||||||||
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| Phone | +1 813-677-2047 |
Authorized person
| Name | RICHARD KASE |
| Role | OWNER/CEO |
| Phone | 8135031191 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 233311 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FIRSTLIGHT HOMECARE 401(K) PLAN | 2023 | 463306478 | 2024-06-21 | MJT HOMECARE, LLC | 82 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-21 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-10-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8136772047 |
| Plan sponsor’s address | 10035 WATER WORKS LANE, RIVERVIEW, FL, 33578 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-03 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KASE Richard S | Agent | 5124 PINE ROCKLANDS AVENUE, LITHIA, FL, 33547 |
| Name | Role | Address |
|---|---|---|
| KASE MICHELLE A | Auth | 5124 Pine Rocklands Ave, Lithia, FL, 33578 |
| BAYRUNS JANICE | Auth | 920 Golf Island Drive, Apollo Beach, FL, 33572 |
| Name | Role | Address |
|---|---|---|
| KASE RICHARD S | Manager | 5124 PINE ROCKLANDS AVENUE, LITHIA, FL, 33547 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000013357 | FIRST LIGHT HOME CARE OF PINELLAS COUNTY | ACTIVE | 2024-01-24 | 2029-12-31 | No data | 28163 US HWY 19 N, SUITE 206, CLEARWATER, FL, 33761 |
| G22000091448 | FIRSTLIGHT HOMECARE OF SOUTHERN HILLSBOROUGH COUNTY | ACTIVE | 2022-08-03 | 2027-12-31 | No data | 10035 WATERWORKS LANE, RIVERVIEW, FL, 33578 |
| G22000091449 | FIRSTLIGHT HOME CARE OF TAMPA | ACTIVE | 2022-08-03 | 2027-12-31 | No data | 10035 WATERWORKS LANE, RIVERVIEW, FL, 33578 |
| G18000012988 | FIRSTLIGHT HOMECARE OF SOUTHERN HILLSBOROUGH COUNTY | ACTIVE | 2018-01-24 | 2028-12-31 | No data | 10035 WATER WORKS LANE, RIVERVIEW, FL, 33578 |
| G14000080780 | FIRSTLIGHT HOMECARE SOUTHERN HILLSBOROUGH/MANATEE COUNTY | ACTIVE | 2014-08-06 | 2029-12-31 | No data | 10035 WATER WORKS LANE, RIVERVIEW, FL, 33578 |
| G13000087330 | FIRSTLIGHT HOMECARE SOUTHERN HILLSBOROUGH COUNTY | EXPIRED | 2013-09-03 | 2018-12-31 | No data | 5124 PINE ROCKLANDS AVENUE, LITHIA, FL, 33547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-01-09 | KASE, Richard S | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-11 | 10035 Water Works Lane, Riverview, FL 33578 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-19 | 10035 Water Works Lane, Riverview, FL 33578 | No data |
| LC AMENDMENT | 2014-09-08 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-20 | 5124 PINE ROCKLANDS AVENUE, LITHIA, FL 33547 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-03-19 |
| ANNUAL REPORT | 2016-01-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
