| Entity Name: | MOMENTS ASSISTED LIVING FACILITY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Apr 2021 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L21000200077 |
| FEI/EIN Number | 87-1701578 |
| Address: | 3240 COUNTY ROAD 1, DUNEDIN, FL, 34698 |
| Mail Address: | 2143 BURNICE DR, CLEARWATER, FL, 33764 |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720747017 | 2021-12-14 | 2021-12-14 | 2143 BURNICE DR, CLEARWATER, FL, 337644859, US | 3240 COUNTY ROAD 1, DUNEDIN, FL, 346989208, US | |||||||||||||||
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| Phone | +1 727-738-5392 |
| Fax | 7277385392 |
Authorized person
| Name | CHAD ROBERT DASO |
| Role | CEO/ ADMINISTRATOR |
| Phone | 8132799232 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DASO CHAD | Agent | 2143 BURNICE DR, CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| DASO CHAD R | Manager | 2143 BURNICE DR, CLEARWATER, FL, 33764 |
| BEREAU DIANA N | Manager | 2143 BURNICE DR, CLEARWATER, FL, 33764 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000162593 | MOMENTS ASSISTED LIVING FACILITY | ACTIVE | 2021-12-08 | 2026-12-31 | No data | 2143 BURNICE DR, CLEARWATER, FL, 33764 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-21 |
| Florida Limited Liability | 2021-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
