| Entity Name: | 30 FOREST CT. LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Mar 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Dec 2022 (2 years ago) |
| Document Number: | L14000050901 |
| FEI/EIN Number | 46-5233544 |
| Address: | 30 Forest Ct, ORMOND BEACH, FL 32174 |
| Mail Address: | 1001 Old Tomoka Avenue, ORMOND BEACH, FL 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336536754 | 2015-04-23 | 2022-06-10 | 30 FOREST CT, ORMOND BEACH, FL, 321748471, US | 30 FOREST CT, ORMOND BEACH, FL, 321748471, US | |||||||||||||||||||||||||
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| Phone | +1 386-872-7797 |
| Fax | 8774731219 |
Authorized person
| Name | SHOSHANA SHARON |
| Role | OWNER |
| Phone | 3868727871 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12649 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | AL12649 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHARON, SHOSHANA | Agent | 8 CURVED CREEK WAY, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| SHARON, SHOSHANA | Manager | 8 CURVED CREEK WAY, ORMOND BEACH, FL 32174 |
| SHARON, OFER | Manager | 8 CURVED CREEK WAY, ORMOND BEACH, FL 32174 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000031347 | THE SARAH HOUSE IV | EXPIRED | 2014-03-28 | 2024-12-31 | No data | 8 CURVED CREEK WAY, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-12-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-07 | 30 Forest Ct, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-07 | 30 Forest Ct, ORMOND BEACH, FL 32174 | No data |
| REINSTATEMENT | 2016-12-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-12-12 | SHARON, SHOSHANA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-07 |
| REINSTATEMENT | 2022-12-12 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-07 |
| REINSTATEMENT | 2016-12-12 |
| ANNUAL REPORT | 2015-03-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6520327106 | 2020-04-14 | 0491 | PPP | 30 Forest Court, ORMOND BEACH, FL, 32174-6118 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
