| Entity Name: | NIC 4 BALMORAL LEASING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Apr 2013 (12 years ago) |
| Date of dissolution: | 04 Dec 2019 (5 years ago) |
| Last Event: | LC WITHDRAWAL |
| Event Date Filed: | 04 Dec 2019 (5 years ago) |
| Document Number: | M13000002354 |
| FEI/EIN Number | 46-2540807 |
| Address: | 55 WEST 46TH STREET SUITE 2204, NEW YORK, NY, 10036, US |
| Mail Address: | 55 WEST 46TH STREET SUITE 2204, NEW YORK, NY, 10036, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720422405 | 2013-04-24 | 2016-11-30 | PO BOX 1700, NIC 4 BALMORAL LEASING LLC, C/O HOLIDAY RETIREMENT, LAKE OSWEGO, OR, 97035, US | 93 BALMORAL DRIVE, LAKE PLACID, FL, 33852, US | |||||||||||||||||||||||||||||
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| Phone | +1 971-245-8020 |
| Fax | 5034312296 |
| Phone | +1 863-465-6584 |
| Fax | 8634656585 |
Authorized person
| Name | JANE RYU |
| Role | PRESIDENT/CEO/CFO |
| Phone | 2124795270 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 11307 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID AL WAIVER |
| Number | 003688600 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| NIC 4 FLORIDA LEASING LLC | Member | 55 WEST 46TH STREET SUITE 2204, NEW YORK, NY, 10036 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000035682 | PLATINUM COMPANIONS HIGHLANDS COUNTY | EXPIRED | 2014-04-10 | 2019-12-31 | No data | 1345 AVENUE OF THE AMERICAS, 46TH FL, NEW YORK, NY, 10105 |
| G14000009344 | CARING FOR SENIORS HIGHLAND COUNTY | EXPIRED | 2014-01-28 | 2019-12-31 | No data | 1345 AVENUE OF THE AMERICAS, 46TH FLOOR, NEW YORK, NY, 10105 |
| G13000046184 | BALMORAL ASSISTED LIVING | EXPIRED | 2013-05-15 | 2018-12-31 | No data | C/O FIG LLC 1345 AVENUE OF THE AMERICAS, NEW YORK, NY, 10105 |
| G13000041988 | BALMORAL | EXPIRED | 2013-05-01 | 2018-12-31 | No data | C/O FIG LLC, 1345 AVENUE OF THE AMERICAS, NEW YORK, NY, 10105 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC WITHDRAWAL | 2019-12-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-24 | 55 WEST 46TH STREET SUITE 2204, NEW YORK, NY 10036 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-24 | 55 WEST 46TH STREET SUITE 2204, NEW YORK, NY 10036 | No data |
| LC STMNT OF RA/RO CHG | 2018-12-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-12-21 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-12-21 | 120 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| LC Withdrawal | 2019-12-04 |
| ANNUAL REPORT | 2019-04-24 |
| CORLCRACHG | 2018-12-21 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-04-09 |
| ANNUAL REPORT | 2015-04-16 |
| ANNUAL REPORT | 2014-05-01 |
| Foreign Limited | 2013-04-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
