| Entity Name: | SUMMERVILLE 9 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 27 Apr 2005 (20 years ago) |
| Date of dissolution: | 29 Sep 2023 (a year ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 29 Sep 2023 (a year ago) |
| Document Number: | M05000002183 |
| FEI/EIN Number |
743135533
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 111 Westwood Place, Brentwood, TN, 37027, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609103308 | 2009-11-17 | 2016-05-13 | 6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI, 532145647, US | 2155 MONTCLAIR RD, CLEARWATER, FL, 337634287, US | |||||||||||||||||||||||
|
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| Phone | +1 727-797-7257 |
Authorized person
| Name | BRYAN RICHARDSON |
| Role | EVP, CHIEF ADMIN. OFFICER |
| Phone | 6155648131 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10143 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0110301-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SUMMERVILLE INVESTORS LLC | Managing Member | 111 Westwood Place, Brentwood, TN, 37027 |
| Baier Lucinda M | Chief Executive Officer | 111 Westwood Place, Brentwood, TN, 37027 |
| FISCHER LAURA E | Director | 111 Westwood Place, Brentwood, TN, 37027 |
| FISCHER LAURA E | Vice President | 111 Westwood Place, Brentwood, TN, 37027 |
| White Chad C | Executive Vice President | 111 Westwood Place, Brentwood, TN, 37027 |
| KUSSOW DAWN L | Chief Financial Officer | 6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI, 53214 |
| Leskowicz Joanne | Secretary | 6737 W Washington Street, MILWAUKEE, WI, 53214 |
| Leskowicz Joanne | Vice President | 6737 W Washington Street, MILWAUKEE, WI, 53214 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000117979 | BROOKDALE BECKETT LAKE | EXPIRED | 2014-11-24 | 2019-12-31 | - | 3131 ELLIOTT AVE STE 500, SEATTLE, WA, 98121 |
| G09054900664 | EMERITUS AT BECKETT LAKE | EXPIRED | 2009-02-23 | 2014-12-31 | - | 3131 ELLIOTT AVE., SUITE 500, SEATTLE, WA, 98121 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2023-09-29 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-29 | 111 Westwood Place, Suite 400, Brentwood, TN 37027 | - |
| REGISTERED AGENT NAME CHANGED | 2007-09-07 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-09-07 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| Name | Date |
|---|---|
| WITHDRAWAL | 2023-09-29 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-04-13 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
