Entity Name: | SUMMERVILLE AT LAKELAND, 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: | 21 Jun 2005 (20 years ago) |
Date of dissolution: | 22 Oct 2017 (8 years ago) |
Last Event: | WITHDRAWAL |
Event Date Filed: | 22 Oct 2017 (8 years ago) |
Document Number: | M05000003564 |
FEI/EIN Number |
203013628
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 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1518176346 | 2007-05-21 | 2015-03-13 | 6737 W WASHINGTON ST, SUITE 2300, ATTN: AR MEDICAID, MILWAUKEE, WI, 53214, US | 2111 LAKELAND HILLS BLVD., BROOKDALE LAKELAND HILLS, LAKELAND, FL, 33803, US | |||||||||||||||||||||||||||||||
|
Phone | +1 206-298-2909 |
Fax | 2063014500 |
Phone | +1 863-688-1126 |
Fax | 8636836800 |
Authorized person
Name | MARK OHLENDORF |
Role | PRESIDENT/CEO |
Phone | 4149185403 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
License Number | AL6107 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
License Number | AL6107 |
State | FL |
Is Primary | No |
Name | Role | Address |
---|---|---|
Smith T. A | Chief Executive Officer | 111 Westwood Place, Brentwood, TN, 37027 |
SUMMERVILLE SENIOR LIVING, INC. | Managing Member | - |
CORPORATION SERVICE COMPANY | Agent | - |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G15000012750 | BROOKDALE LAKELAND HILLS | EXPIRED | 2015-02-04 | 2020-12-31 | - | 111 WESTWOOD PL STE 400, BRENTWOOD, TN, 37027 |
G09054900672 | EMERITUS AT LAKELAND | EXPIRED | 2009-02-23 | 2014-12-31 | - | 3131 ELLIOTT AVE., SUITE 500, SEATTLE, WA, 98121 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
WITHDRAWAL | 2017-10-22 | - | - |
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 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2017-04-29 |
ANNUAL REPORT | 2016-04-04 |
ANNUAL REPORT | 2015-04-13 |
ANNUAL REPORT | 2014-04-27 |
ANNUAL REPORT | 2013-04-23 |
ANNUAL REPORT | 2012-04-23 |
ANNUAL REPORT | 2011-04-15 |
ANNUAL REPORT | 2010-04-23 |
ANNUAL REPORT | 2009-04-29 |
ANNUAL REPORT | 2008-04-23 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State