| Entity Name: | NIC 4 SOUTHERN GARDENS LEASING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 15 Apr 2013 (12 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | M13000002373 |
| Address: | C/O FIG LLC, 1345 AVENUE OF THE AMERICAS, NEW YORK, NY 10105 |
| Mail Address: | C/O FIG LLC, 1345 AVENUE OF THE AMERICAS, NEW YORK, NY 10105 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710321112 | 2013-04-29 | 2013-04-29 | 255 E MAIN ST, LAKE ALFRED, FL, 338502133, US | 255 E MAIN ST, LAKE ALFRED, FL, 338502133, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 212-479-5343 |
Authorized person
| Name | MR. BRIAN SIGMAN |
| Role | CFO |
| Phone | 2124795343 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 8937 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID AL WAIVER |
| Number | 689986200 |
| State | FL |
| Issuer | MEDICAID ACS |
| Number | 1423860 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| NIC 4 FLORIDA LEASING LLC | Managing Member | C/O FIG LLC, 1345 AVENUE OF THE AMERICAS, NEW YORK, NY 10105 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000041964 | SOUTHERN GARDENS | 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 |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Foreign Limited | 2013-04-15 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
