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GREEN LIFE ASSISTED LIVING FACILITY LLC - Florida Company Profile

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Company Details

Entity Name: GREEN LIFE ASSISTED LIVING FACILITY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

GREEN LIFE ASSISTED LIVING FACILITY 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: 21 Aug 2013 (12 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 05 Oct 2022 (3 years ago)
Document Number: L13000118275
FEI/EIN Number 46-3483106

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

Mail Address: 11290 WALSINGHAM ROAD, LARGO, FL, 33778, US
Address: 11290 Walsingham Road, Largo, FL, 33778, US
ZIP code: 33778
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CLARK MARISABEL Manager 3771 DARSTON ST., PALM HARBOR, FL, 34685
SCOTT DANA D Manager 11290 WALSINGHAM ROAD, LARGO, FL, 33778
Dandache Molly H Agent 11290 WALSINGHAM ROAD, LARGO, FL, 33778

National Provider Identifier

NPI Number:
1124423470

Authorized Person:

Name:
MS. MARI CLARK
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
8556384902

Legal Entity Identifier

LEI Number:
549300WYXM0FIQ8M9M69

Registration Details:

Initial Registration Date:
2019-04-23
Next Renewal Date:
2020-04-21
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-05 - -
REGISTERED AGENT NAME CHANGED 2022-10-05 Dandache, Molly Herrick -
REGISTERED AGENT ADDRESS CHANGED 2022-10-05 11290 WALSINGHAM ROAD, LARGO, FL 33778 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2021-04-30 11290 Walsingham Road, Largo, FL 33778 -
CHANGE OF MAILING ADDRESS 2019-03-27 11290 Walsingham Road, Largo, FL 33778 -

Documents

Name Date
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-02-13
REINSTATEMENT 2022-10-05
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-03-30
ANNUAL REPORT 2017-04-28
AMENDED ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2016-03-08

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
119894.00
Total Face Value Of Loan:
119894.00
Date:
2020-04-14
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:
103900.00
Total Face Value Of Loan:
103900.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
103900
Current Approval Amount:
103900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
104506.08
Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
119894
Current Approval Amount:
119894
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
120729.93

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Date of last update: 02 Jun 2025

Sources: Florida Department of State