| Entity Name: | FT. MYERS ALF BSLC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 08 Feb 2016 (9 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L16000027012 |
| FEI/EIN Number | 81-1369869 |
| Address: | 1896 PARK MEADOWS DRIVE, FT. MYERS, FL 33907 |
| Mail Address: | 11611 WATER POPPY TERRACE, LAKEWOOOD RANCH, FL 34202 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184073363 | 2016-06-08 | 2016-06-08 | 1896 PARK MEADOWS DR, FORT MYERS, FL, 339073738, US | 1896 PARK MEADOWS DR, FORT MYERS, FL, 339073738, US | |||||||||||||||||||||||
|
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| Phone | +1 239-939-5421 |
Authorized person
| Name | LIZA ROJAS |
| Role | MANAGER |
| Phone | 9418096147 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL5096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | AL5096 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DORMAN, LORI M | Agent | 515 9TH ST E #100, BRADENTON, FL 34202 |
| Name | Role | Address |
|---|---|---|
| ANDERSON, LYNN M | Authorized Member | 11611 WATER POPPY TERRACE, LAKEWOOD RANCH, FL 34202 |
| ROJAS, LIZAIDA | Authorized Member | 11611 WATER POPPY TERRACE, LAKEWOOD RANCH, FL 34202 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000030372 | LAMPLIGHT INN | EXPIRED | 2016-03-23 | 2021-12-31 | No data | 1896 PARK MEADOWS DR, FT. MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000063830 | ACTIVE | 1000000855929 | LEE | 2020-01-16 | 2040-01-29 | $ 937.66 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, SARASOTA SERVICE CENTER, 100 PARAMOUNT DR STE 200, SARASOTA FL342326051 |
| J17000325094 | TERMINATED | 1000000744228 | LEE | 2017-05-25 | 2027-06-08 | $ 13,647.30 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, SARASOTA SERVICE CENTER, 1991 MAIN ST STE 240, SARASOTA FL342365940 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-05-01 |
| Florida Limited Liability | 2016-02-08 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
