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COZY CARE RESIDENCE ALF LLC - Florida Company Profile

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Company Details

Entity Name: COZY CARE RESIDENCE ALF LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Aug 2013 (12 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 04 Feb 2025 (6 months ago)
Document Number: L13000108900
FEI/EIN Number 46-4093326
Address: 1130 NE 136TH STREET, NORTH MIAMI, FL, 33161, US
Mail Address: 1130 NE 136TH STREET, NORTH MIAMI, FL, 33161, US
ZIP code: 33161
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
A & S PRIVATE TRUST Manager 18128 NW 89TH PL, HIALEAH, FL, 33018
HALL SCOTT B Agent 9570 REGENCY SQUARE BLVD, JACKSONVILLE, FL, 32225
BEAUDOUIN BERNICE A Authorized Member 1130 NE 136TH STREET, NORTH MIAMI, FL, 33161

National Provider Identifier

NPI Number:
1962815167

Authorized Person:

Name:
ERNICE B ALLEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
3058198840

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-02-04 HALL, SCOTT B -
REGISTERED AGENT ADDRESS CHANGED 2025-02-04 9570 REGENCY SQUARE BLVD, JACKSONVILLE, FL 32225 -
LC AMENDMENT 2025-02-04 - -
CHANGE OF MAILING ADDRESS 2024-03-06 1130 NE 136TH STREET, NORTH MIAMI, FL 33161 -

Documents

Name Date
ANNUAL REPORT 2025-02-08
LC Amendment 2025-02-04
ANNUAL REPORT 2024-01-06
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-01-18
ANNUAL REPORT 2020-01-29
ANNUAL REPORT 2019-03-26
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-01-15

USAspending Awards / Financial Assistance

Date:
2020-05-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
10000.00
Total Face Value Of Loan:
10000.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$10,000
Date Approved:
2020-05-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$10,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$5,058.87
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $10,000

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Date of last update: 01 Jul 2025

Sources: Florida Department of State