| Entity Name: | SUPREME SENIOR LIVING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Aug 2017 (8 years ago) |
| Document Number: | L17000172712 |
| FEI/EIN Number | 825361039 |
| Address: | 502 SOUTHRIDGE ROAD, CLERMONT, FL, 34711, US |
| Mail Address: | 502 SOUTHRIDGE ROAD, CLERMONT, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801351770 | 2019-02-05 | 2019-02-05 | 502 SOUTHRIDGE RD FL 34711USA, CLERMONT, FL, 347116487, US | 502 SOUTHRIDGE RD FL 34711USA, CLERMONT, FL, 347116487, US | |||||||||||||
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| Phone | +1 407-929-7247 |
Authorized person
| Name | AMOY YOUNG |
| Role | ADMINISTRATOR |
| Phone | 4079297247 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Young Amoy K | Agent | 502 Southridge road, Clermont, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| YOUNG AMOY K | Manager | 502 SOUTHRIDGE RD, CLERMONT, FL, 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000115571 | AMOY'S CARE & TRANSPORTATION SERVICES | ACTIVE | 2022-09-14 | 2027-12-31 | No data | 502 SOUTHRIDGE ROAD, CLERMONT, FL, 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-05 | 502 Southridge road, Clermont, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-07 | Young, Amoy K | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-06-16 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-04-27 |
| Florida Limited Liability | 2017-08-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8980548610 | 2021-03-25 | 0491 | PPS | 502 Southridge Rd, Clermont, FL, 34711-6487 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9800367704 | 2020-05-01 | 0491 | PPP | 502 Southridge Road, Clermont, FL, 34711 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
