| Entity Name: | LAVOIA ADULT FAMILY CARE HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Mar 2022 (3 years ago) |
| Document Number: | L22000140013 |
| FEI/EIN Number | 88-3344559 |
| Address: | 114 SMOKEY HILL AVENUE, RUSKIN, FL, 33570 |
| Mail Address: | 114 SMOKEY HILL AVENUE, RUSKIN, FL, 33570 |
| ZIP code: | 33570 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336644160 | 2018-03-25 | 2022-10-12 | 114 SMOKEY HILL AVE, RUSKIN, FL, 335706326, US | 114 SMOKEY HILL AVE, RUSKIN, FL, 335706326, US | |||||||||||||||
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| Phone | +1 941-465-5505 |
| Fax | 8137737713 |
Authorized person
| Name | LAVOIA YNETTE TAYLOR |
| Role | OWNER/ADMIN |
| Phone | 5617552841 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAVOIA ADULT FAMILY CARE HOME, LLC 401(K) PLAN | 2023 | 883344559 | 2024-07-22 | LAVOIA ADULT FAMILY CARE HOME, LLC | 2 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-22 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2023-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 9414655505 |
| Plan sponsor’s address | 114 SMOKEY HILL AVE, RUSKIN, FL, 33570 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-12 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| TAYLOR LAVOIA Y | Agent | 114 SMOKEY HILL AVENUE, RUSKIN, FL, 33570 |
| Name | Role | Address |
|---|---|---|
| TAYLOR LAVOIA Y | Manager | 114 SMOKEY HILL AVENUE, RUSKIN, FL, 33570 |
| TAYLOR ANDRE SR | Manager | 114 SMOKEY HILL AVENUE, RUSKIN, FL, 33570 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-27 |
| Florida Limited Liability | 2022-03-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
