| Entity Name: | FAMILYTIES SUPPORT SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Apr 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L16000070727 |
| FEI/EIN Number | 32-0493460 |
| Address: | 5213 E 127TH AVE, TEMPLE TERRACE, FL, 33617, US |
| Mail Address: | 5213 E 127TH AVE, TEMPLE TERRACE, FL, 33617, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003352352 | 2017-01-10 | 2017-01-10 | 1120 SILAS DR SW APT 1406, LIVE OAK, FL, 320642969, US | 1120 SILAS DR SW APT 1406, LIVE OAK, FL, 320642969, US | |||||||||||||||||||||||||
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| Phone | +1 813-482-7962 |
| Fax | 8134152266 |
Authorized person
| Name | MS. LORIS TUCKER |
| Role | PARTNER/DIRECTOR |
| Phone | 8134827962 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 015600300 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015717400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TUCKER LORIS L | Agent | 5213 E 127TH AVE, TEMPLE TERRACE, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| TUCKER LORIS L | Manager | 5213 E 127TH AVE, TEMPLE TERRACE, FL, 33617 |
| GLOVER-RICHARDSON VENUS L | Manager | 5213 E. 127TH. AVE., TEMPLE TERRACE, FL, 33617 |
| GLOVER SIMON PJR. | Manager | 3010 Grand Cypress Drive, Lutz, FL, 33559 |
| GLOVER SAMUEL T | Manager | 2331 Terra Cotta Cove, Land O' Lakes, FL, 34639 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-11-05 | TUCKER, LORIS L | No data |
| REINSTATEMENT | 2023-11-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-15 | 5213 E 127TH AVE, TEMPLE TERRACE, FL 33617 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-05 | 5213 E 127TH AVE, TEMPLE TERRACE, FL 33617 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-05 | 5213 E 127TH AVE, TEMPLE TERRACE, FL 33617 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2023-11-05 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-04-19 |
| Florida Limited Liability | 2016-04-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
