| Entity Name: | CHRISTALLIS MANOR III LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Dec 2019 (5 years ago) |
| Document Number: | L20000004379 |
| FEI/EIN Number | 84-4069762 |
| Address: | 420 NORTH RIVERSIDE DRIVE, POMPANO BEACH, FL 33062 |
| Mail Address: | 420 NORTH RIVERSIDE DRIVE, POMPANO BEACH, FL 33062 |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386258218 | 2020-09-08 | 2020-09-08 | 420 N RIVERSIDE DR, POMPANO BEACH, FL, 330625035, US | 420 N RIVERSIDE DR, POMPANO BEACH, FL, 330625035, US | |||||||||||||
|
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| Phone | +1 954-274-5573 |
Authorized person
| Name | AMPARO DIERKING |
| Role | OWNER |
| Phone | 9542745573 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HEADSTART TAX AND FINANCIAL SOLUTIONS INC. | Agent |
| Name | Role | Address |
|---|---|---|
| AMPARO DIERKING LIVING TRUST | Trustee | 2119 WILSON STREET, HOLLYWOOD, FL 33020 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000064395 | BEACHSIDE LIVING LLC | ACTIVE | 2020-06-08 | 2025-12-31 | No data | 420 NORTH RIVERSIDE DRIVE, POMPANO BEACH, FL, 33062 |
| G20000064399 | SUNSET BY THE SEA | ACTIVE | 2020-06-08 | 2025-12-31 | No data | 420 NORTH RIVERSIDE DRIVE, POMPANO BEACH, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-16 | 420 NORTH RIVERSIDE DRIVE, POMPANO BEACH, FL 33062 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-16 | 420 NORTH RIVERSIDE DRIVE, POMPANO BEACH, FL 33062 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000424897 | TERMINATED | 1000000932984 | BROWARD | 2022-09-01 | 2032-09-07 | $ 331.76 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-16 |
| Florida Limited Liability | 2019-12-24 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
