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RETIREMENT FIVE, LLC - Florida Company Profile

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Company Details

Entity Name: RETIREMENT FIVE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Aug 2017 (8 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 10 Jul 2018 (7 years ago)
Document Number: L17000168790
FEI/EIN Number 822627090
Address: 200 Clearwater Largo Road south, Largo, FL, 33770, US
Mail Address: 200 Clearwater Largo Road south, Largo, FL, 33770, US
ZIP code: 33770
City: Largo
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KELSEY PHILIP J Manager 200 Clearwater Largo Road South, Largo, FL, 33770
ROCKEFELLER KEVIN R Manager 200 Clearwater Largo Road South, largo, FL, 33770
HUDSON BRIAN DESQ. Agent 3617 KIESSEL ROAD, THE VILLAGES, FL, 32163

National Provider Identifier

NPI Number:
1639719081
Certification Date:
2020-09-23
Link:
View on NPI website

Authorized Person:

Name:
KEVIN RYAN ROCKEFELLER
Role:
MANAGER
Phone:
7275814648

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Phone:
+1 727-581-4648
Phone:
+1 352-362-1888
Fax:
3523585640

Legal Entity Identifier

LEI Number:
254900E25B67LPK27555

Registration Details:

Initial Registration Date:
2024-07-02
Next Renewal Date:
2025-07-02
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000107911 CHATHAM GLEN HEALTHCARE AND REHABILITATION CENTER ACTIVE 2017-09-29 2027-12-31 - 200 CLEARWATER-LARGO RD S., LARGO, FL, 33770

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-06-30 200 Clearwater Largo Road south, Largo, FL 33770 -
CHANGE OF MAILING ADDRESS 2020-06-30 200 Clearwater Largo Road south, Largo, FL 33770 -
LC STMNT OF RA/RO CHG 2018-07-10 - -
REGISTERED AGENT ADDRESS CHANGED 2018-07-10 3617 KIESSEL ROAD, THE VILLAGES, FL 32163 -
LC AMENDMENT 2017-08-28 - -

Documents

Name Date
ANNUAL REPORT 2024-04-27
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-03-09
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-02-07
CORLCRACHG 2018-07-10
ANNUAL REPORT 2018-05-01
LC Amendment 2017-08-28
Florida Limited Liability 2017-08-08

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Date of last update: 01 Aug 2025

Sources: Florida Department of State

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