| Entity Name: | FT. WHITE ALF BSLC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 26 Jan 2017 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L17000021507 |
| FEI/EIN Number | 81-5195434 |
| Mail Address: | 11611 WATER POPPY TERRACE, LAKEWOOD RANCH, FL 34202 |
| Address: | 6873 US HWY 27, FORT WHITE, FL 32038 |
| ZIP code: | 32038 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215475017 | 2017-02-01 | 2017-02-01 | 11611 WATER POPPY TER, LAKEWOOD RANCH, FL, 342025127, US | 6873 SW US HIGHWAY 27, FORT WHITE, FL, 320383539, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 941-809-6147 |
Authorized person
| Name | LIZA ROJAS |
| Role | MANAGER |
| Phone | 9418096147 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | AL12714 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROJAS, LIZAIDA | Agent | 11611 WATER POPPY TER, LAKEWOOD RANCH, 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 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-30 | 6873 US HWY 27, FORT WHITE, FL 32038 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-30 | 11611 WATER POPPY TER, LAKEWOOD RANCH, FL 34202 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000278299 | ACTIVE | 1000000822275 | COLUMBIA | 2019-04-09 | 2029-04-17 | $ 2,053.06 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, SARASOTA SERVICE CENTER, 1991 MAIN ST STE 240, SARASOTA FL342365940 |
| J19000148302 | TERMINATED | 1000000816305 | COLUMBIA | 2019-02-18 | 2029-02-27 | $ 459.17 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, SARASOTA SERVICE CENTER, 1991 MAIN ST STE 240, SARASOTA FL342365940 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| Florida Limited Liability | 2017-01-26 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
