| Entity Name: | IMPACT FOR LIFE DEVELOPMENTAL CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 21 Oct 2015 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L15000178717 |
| FEI/EIN Number | 47-5377402 |
| Address: | 9541 103RD STREET, 1301, JACKSONVILLE, FL 32210 |
| Mail Address: | 9541 103RD STREET, 1301, JACKSONVILLE, FL 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629430848 | 2016-03-26 | 2016-03-26 | 9541 103RD ST, 1301, JACKSONVILLE, FL, 322100323, US | 9541 103RD ST, 1301, JACKSONVILLE, FL, 322100323, US | |||||||||||||
|
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| Phone | +1 904-482-8085 |
Authorized person
| Name | MRS. SHENAVIAN F BURNS |
| Role | MEMBER MANAGER |
| Phone | 9044828085 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BURNS, SHENAVIAN F | Agent | 9541 103RD STREET, 1301, JACKSONVILLE, FL 32210 |
| Name | Role | Address |
|---|---|---|
| BURNS, SHENAVIAN | Authorized Member | 9541 103RD STREET, JACKSONVILLE, FL 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-10-03 | 9541 103RD STREET, 1301, JACKSONVILLE, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2025-10-03 | 9541 103RD STREET, 1301, JACKSONVILLE, FL 32210 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-03 | 9541 103RD STREET, 1301, JACKSONVILLE, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-03 | 9541 103RD STREET, 1301, JACKSONVILLE, FL 32210 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC AMENDMENT | 2016-04-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-28 |
| LC Amendment | 2016-04-01 |
| Florida Limited Liability | 2015-10-21 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
