| Entity Name: | BLOSSOMS ASSISTED LIVING 1, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BLOSSOMS ASSISTED LIVING 1, 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 Nov 2014 (10 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | L14000177470 |
| FEI/EIN Number |
47-2411452
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1312 Mardrake Road, Daytona Beach, FL, 32114, US |
| Mail Address: | 40 Nicholas Court, Ormond Beach, FL, 32176, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588051528 | 2015-04-16 | 2015-04-16 | 1312 MARDRAKE RD, DAYTONA BEACH, FL, 321145940, US | 1799 SERENO DR, DAVENPORT, FL, 338968603, US | |||||||||||||||||||||
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| Phone | +1 386-257-2162 |
| Fax | 3862572162 |
| Phone | +1 863-420-1463 |
Authorized person
| Name | MR. PAUL STURDGESS HAYES |
| Role | ADMINISTRATOR |
| Phone | 3862572162 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 10287 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Riquer Martha LMartha | Authorized Member | 40 Nicholas Court, Ormond Beach, FL, 32176 |
| Riquer Martha L | Agent | 40 Nicholas Court, Ormond Beach, FL, 32176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-09 | 1312 Mardrake Road, Daytona Beach, FL 32114 | - |
| CHANGE OF MAILING ADDRESS | 2021-11-09 | 1312 Mardrake Road, Daytona Beach, FL 32114 | - |
| REGISTERED AGENT NAME CHANGED | 2021-11-09 | Riquer, Martha Lucia | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-11-09 | 40 Nicholas Court, Ormond Beach, FL 32176 | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2021-11-09 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-02-15 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-02-03 |
| ANNUAL REPORT | 2015-03-27 |
| Florida Limited Liability | 2014-11-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2159047410 | 2020-05-05 | 0491 | PPP | 1312 MARDRAKE ROAD, DAYTONA BEACH, FL, 32114 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
