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HAINES ALF MANAGEMENT LLC - Florida Company Profile

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Company Details

Entity Name: HAINES ALF MANAGEMENT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 May 2016 (9 years ago)
Document Number: L16000100139
FEI/EIN Number 81-2799487
Address: Haines Manor ALF, 301 S 10th St, Haines City, FL, 33844, US
Mail Address: Haines Manor ALF, 301 S 10th St, Haines City, FL, 33844, US
ZIP code: 33844
City: Haines City
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ALLIBHAI KARIM Manager Haines Manor ALF, Haines City, FL, 33844
AMIN RAJAN DR. Managing Member Haines Manor ALF, Haines City, FL, 33844
ALLIBHAI KARIM Agent Haines Manor ALF, Haines City, FL, 33844

National Provider Identifier

NPI Number:
1851833941

Authorized Person:

Name:
RAJAN AMIN
Role:
DIRECTOR OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000137397 HAINES MANOR ASSISTED LIVING FACILITY ACTIVE 2022-11-03 2027-12-31 - HAINES MANOR ALF, 301 S. 10TH STREET, HAINES CITY, FL, 33844
G16000054309 HAINES MANOR ALF EXPIRED 2016-06-01 2021-12-31 - 5010 N 40TH ST, TAMPA, FL, 33610

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-03-08 Haines Manor ALF, 301 S 10th St, Haines City, FL 33844 -
CHANGE OF MAILING ADDRESS 2017-03-08 Haines Manor ALF, 301 S 10th St, Haines City, FL 33844 -
REGISTERED AGENT ADDRESS CHANGED 2017-03-08 Haines Manor ALF, 301 S 10th St, Haines City, FL 33844 -

Documents

Name Date
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-02-28
ANNUAL REPORT 2018-02-23
ANNUAL REPORT 2017-03-08
Florida Limited Liability 2016-05-23

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
210900.00
Total Face Value Of Loan:
210900.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
210900.00
Total Face Value Of Loan:
210900.00

Paycheck Protection Program

Jobs Reported:
39
Initial Approval Amount:
$210,900
Date Approved:
2020-04-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$210,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$213,280.57
Servicing Lender:
DFCU Financial
Use of Proceeds:
Payroll: $168,682
Rent: $20,619
Healthcare: $5798
Debt Interest: $15,801

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Date of last update: 03 Aug 2025

Sources: Florida Department of State