| Entity Name: | INTEGRITY - CRESCENT PARK VILLAGE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Jan 2016 (9 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 28 Feb 2018 (7 years ago) |
| Document Number: | L16000009206 |
| FEI/EIN Number | 30-0931315 |
| Mail Address: | 4900 Koger Blvd, Suite 150, Greensboro, NC 27407 |
| Address: | 1515 Indian River Blvd, Suite A245, Vero Beach, FL 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396264263 | 2017-09-12 | 2021-11-18 | 3053 S CHURCH ST, BURLINGTON, NC, 272155154, US | 551 REDSTONE AVE W, CRESTVIEW, FL, 325366435, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 336-438-1376 |
| Fax | 3364381387 |
| Phone | +1 850-683-3997 |
Authorized person
| Name | JONATHAN SWAIN SHORT |
| Role | CIO |
| Phone | 3364381383 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10102 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Short, Jonathan Swain | Chief Information Officer | 4900 Koger Blvd, Suite 150 Greensboro, NC 27407 |
| Name | Role | Address |
|---|---|---|
| Leonard, Frederic H | Chief Executive Officer | 4900 Koger Blvd, Suite 150 Greensboro, NC 27407 |
| Name | Role | Address |
|---|---|---|
| Wright, Don | Chairman | 1515 Indian River Blvd, Suite A245, Vero Beach, FL 32960 |
| Name | Role | Address |
|---|---|---|
| INTEGRITY SENIOR PROPERTIES INVESTMENT LLC | Authorized Member | 4900 Koger Blvd, Suite 150 Greensboro, NC 27407 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000061188 | CRESCENT PARK VILLAGE | ACTIVE | 2016-06-21 | 2026-12-31 | No data | 551 REDSTONE AVE WEST, CRESTVIEW, FL, 32536 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-02 | 1515 Indian River Blvd, Suite A245, Vero Beach, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-02 | 1515 Indian River Blvd, Suite A245, Vero Beach, FL 32960 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-19 | C T CORPORATION SYSTEM | No data |
| LC STMNT OF RA/RO CHG | 2018-02-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-28 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-02-02 |
| AMENDED ANNUAL REPORT | 2021-02-19 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-01-14 |
| CORLCRACHG | 2018-02-28 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-06-22 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
