| Entity Name: | CHANGING LIVES GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Apr 2017 (8 years ago) |
| Document Number: | L17000073722 |
| FEI/EIN Number | 82-1070624 |
| Address: | 6213 Presidential Court Suit 100, Fort Myers, FL 33919 |
| Mail Address: | 2444 BRAMAN AVE, Fort Myers, FL 33901 |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679218556 | 2022-05-04 | 2022-05-04 | 10500 CLEAR LAKE LOOP APT 105, FORT MYERS, FL, 339082395, US | 10500 CLEAR LAKE LOOP APT 105, FORT MYERS, FL, 339082395, US | |||||||||||||
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| Phone | +1 941-883-1076 |
Authorized person
| Name | ANNIE D WILLIAMS |
| Role | MANAGER/OWNER |
| Phone | 9418831076 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHANGING LIVES GROUP LLC 401(K) PROFIT SHARING PLAN & TRUST | 2022 | 821070624 | 2023-07-31 | CHANGING LIVES GROUP LLC | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-07-31 |
| Name of individual signing | ANNIE WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 812190 |
| Sponsor’s telephone number | 9418831076 |
| Plan sponsor’s address | 4570 WINKLER AVE, APT 203, FORT MYERS, FL, 339667023 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-31 |
| Name of individual signing | ANNIE WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 812190 |
| Sponsor’s telephone number | 9418831076 |
| Plan sponsor’s address | 2945 MARKET ST, FORT MYERS, FL, 339164304 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-18 |
| Name of individual signing | ANNIE WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 812190 |
| Sponsor’s telephone number | 9418831076 |
| Plan sponsor’s address | 2945 MARKET ST, FORT MYERS, FL, 339164304 |
Signature of
| Role | Plan administrator |
| Date | 2020-05-08 |
| Name of individual signing | ANNIE WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 812190 |
| Sponsor’s telephone number | 9418831076 |
| Plan sponsor’s address | 2945 MARKET ST, FORT MYERS, FL, 339164304 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-15 |
| Name of individual signing | ANNIE WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, ANNIE D | Agent | 2444 Braman ave, Fort Myers, FL 33919 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, ANNIE D | Manager | 6237 Presidental Court, 140 c Fort Myers, FL 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-21 | 6213 Presidential Court Suit 100, Fort Myers, FL 33919 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-08 | 6213 Presidential Court Suit 100, Fort Myers, FL 33919 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-12-18 | 2444 Braman ave, Fort Myers, FL 33919 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| AMENDED ANNUAL REPORT | 2023-12-18 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-05-07 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-04-27 |
| Florida Limited Liability | 2017-04-03 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
