| Entity Name: | MF LAKE EUSTIS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Jun 2008 (17 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | M08000002728 |
| FEI/EIN Number | 262694775 |
| Mail Address: | 9511 Holsberry Lane, PENSACOLA, FL, 32534, US |
| Address: | 411 W. WOODWARD AVENUE, EUSTIS, FL, 32726, US |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629238159 | 2008-06-09 | 2015-10-05 | 40 SOUTH PALAFOX PLACE, SUITE 400, PENSACOLA, FL, 325025697, US | 411 W WOODWARD AVE, EUSTIS, FL, 327264554, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 352-357-3565 |
Authorized person
| Name | JAMES RICHARDSON |
| Role | PRESIDENT |
| Phone | 8504300000 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| WOLF SHERYL | Treasurer | 9511 Holsberry Lane, PENSACOLA, FL, 32534 |
| Name | Role |
|---|---|
| FLORIDA FACILITIES, LLC | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000053853 | LAKE EUSTIS HEALTH AND REHABILITATION CENTER | EXPIRED | 2014-06-04 | 2019-12-31 | No data | 411 W. WOODWARD AVENUE, EUSTIS, FL, 32726 |
| G08337900069 | LAKE EUSTIS CARE CENTER | EXPIRED | 2008-12-02 | 2013-12-31 | No data | 411 W. WOODWARD AVENUE, EUSTIS, FL, 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-05 | 411 W. WOODWARD AVENUE, EUSTIS, FL 32726 | No data |
| LC AMENDMENT | 2015-10-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-07-22 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-07-22 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-23 | 411 W. WOODWARD AVENUE, EUSTIS, FL 32726 | No data |
| LC AMENDMENT | 2008-08-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-09 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-04-29 |
| Reg. Agent Change | 2013-07-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
