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THE MANOR AT LAKE JACKSON-MEMORY CARE, LLC - Florida Company Profile

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Company Details

Entity Name: THE MANOR AT LAKE JACKSON-MEMORY CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Nov 2013 (12 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 29 Jul 2014 (11 years ago)
Document Number: L13000164266
FEI/EIN Number 46-4223651
Address: 505 Ariana Ave, Auburndale, FL, 33823, US
Mail Address: 505 Ariana Ave, Aubrundale, FL, 33823, US
ZIP code: 33823
City: Auburndale
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GARRARD LOUIS F Manager 505 Ariana Ave, Auburndale, FL, 33823
GRAY N. DWAYNE JR ESQ Agent 315 E. ROBINSON STREET STE 600, ORLANDO, FL, 32801

National Provider Identifier

NPI Number:
1114323805
Certification Date:
2022-02-16

Authorized Person:

Name:
MR. LOUIS FORD GARRARD V
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
8635105952
Fax:
8634710776

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-03-20 505 Ariana Ave, Auburndale, FL 33823 -
CHANGE OF MAILING ADDRESS 2019-03-20 505 Ariana Ave, Auburndale, FL 33823 -
LC NAME CHANGE 2014-07-29 THE MANOR AT LAKE JACKSON-MEMORY CARE, LLC -

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-04-24
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-03-13
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-02-12

USAspending Awards / Financial Assistance

Date:
2020-05-18
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:
160340.00
Total Face Value Of Loan:
160340.00
Date:
2020-05-18
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:
160340.00
Total Face Value Of Loan:
160340.00

Paycheck Protection Program

Jobs Reported:
38
Initial Approval Amount:
$160,340
Date Approved:
2020-05-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$160,340
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$161,161.47
Servicing Lender:
Bank of Central Florida
Use of Proceeds:
Payroll: $160,340

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Date of last update: 02 Aug 2025

Sources: Florida Department of State