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SUMMERVILLE AT MANDARIN, LLC - Florida Company Profile

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Company Details

Entity Name: SUMMERVILLE AT MANDARIN, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 21 Jun 2005 (20 years ago)
Document Number: M05000003563
FEI/EIN Number 203013975

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 111 Westwood Place, Brentwood, TN, 37027, US
Mail Address: 111 Westwood Place, Suite 400, Brentwood, TN, 37027, US
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
RICCI BENJAMIN Vice President 111 Westwood Place, Brentwood, TN, 37027
SUMMERVILLE SENIOR LIVING, INC. Managing Member -
Baier Lucinda M Chief Executive Officer 111 Westwood Place, Brentwood, TN, 37027
White Chad C Executive Vice President 111 Westwood Place, Brentwood, TN, 37027
KUSSOW DAWN L Chief Financial Officer 111 Westwood Place, Brentwood, TN, 37027
Kussow Dawn Executive Vice President 111 Westwood Place, Brentwood, TN, 37027
RICCI BENJAMIN Director 111 Westwood Place, Brentwood, TN, 37027
CORPORATION SERVICE COMPANY Agent -

National Provider Identifier

NPI Number:
1114253945

Authorized Person:

Name:
BRYAN RICHARDSON
Role:
EVP, CHIEF ADMIN. OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000116926 BROOKDALE MANDARIN ACTIVE 2014-11-20 2029-12-31 - 10790 OLD ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32257
G08149900374 EMERITUS AT MANDARIN EXPIRED 2008-05-28 2013-12-31 - 3131 ELLIOTT AVENUE, SUITE 500, SEATTLE, WA, 98121

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-04-29 111 Westwood Place, Suite 400, Brentwood, TN 37027 -
CHANGE OF MAILING ADDRESS 2015-04-13 111 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 -

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-26
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

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Date of last update: 01 Jun 2025

Sources: Florida Department of State