| Entity Name: | LAKE WALES SLC OPCO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Apr 2022 (3 years ago) |
| Document Number: | L22000184195 |
| FEI/EIN Number | 88-2263053 |
| Address: | 941 W MORSE BLVD, SUITE 100, WINTER PARK, FL, 32789, US |
| Mail Address: | 941 W MORSE BLVD, SUITE 100, WINTER PARK, FL, 32789, US |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396482329 | 2022-05-20 | 2023-02-27 | 941 W MORSE BLVD STE 100, WINTER PARK, FL, 327893781, US | 12 E GROVE AVE, LAKE WALES, FL, 338534760, US | |||||||||||||||||||
|
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| Phone | +1 305-428-2480 |
| Fax | 3054282480 |
| Phone | +1 863-679-8146 |
| Fax | 8634220267 |
Authorized person
| Name | MRS. PILAR CARVAJAL |
| Role | CEO |
| Phone | 3054282480 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARVAJAL EDUARDO | Agent | 941 W MORSE BLVD, WINTER PARK, FL, 32789 |
| Name | Role |
|---|---|
| ACQUISITIONS SLC HOLDINGS I, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000064205 | THE CLUB AT LAKE WALES | ACTIVE | 2022-05-24 | 2027-12-31 | No data | C/O INNOVATION SENIOR LIVING HOLDINGS I, 941 WEST MORSE BLVD., SUITE 100, WINTER PARK, FL, 32789 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-14 | 941 W MORSE BLVD, SUITE 100, WINTER PARK, FL 32789 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-14 | 941 W MORSE BLVD, SUITE 100, WINTER PARK, FL 32789 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-14 | 941 W MORSE BLVD, SUITE 100, WINTER PARK, FL 32789 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-03-28 |
| Florida Limited Liability | 2022-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
