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NIC 4 ROYAL PALM LEASING LLC

Company Details

Entity Name: NIC 4 ROYAL PALM LEASING LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Inactive
Date Filed: 27 Jun 2013 (12 years ago)
Date of dissolution: 10 Aug 2021 (3 years ago)
Last Event: LC WITHDRAWAL
Event Date Filed: 10 Aug 2021 (3 years ago)
Document Number: M13000004121
FEI/EIN Number 90-1000654
Address: 55 WEST 46TH STREET SUITE 2204, NEW YORK, NY 10036
Mail Address: 55 WEST 46TH STREET SUITE 2204, NEW YORK, NY 10036
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619318219 2013-07-11 2016-12-01 PO BOX 1700, NIC 4 ROYAL PALM LEASING LLC, C/O HOLIDAY RETIREMENT, LAKE OSWEGO, OR, 97035, US 2500 AARON ST., PORT CHARLOTTE, FL, 33952, US

Contacts

Phone +1 971-245-8020
Fax 5034312295
Phone +1 941-627-6762
Fax 9416279890

Authorized person

Name JANE RYU
Role PRESIDENT/CEO/CFO
Phone 2124795270

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number 3915
State FL
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

MEMBER

Name Role Address
NIC 4 FLORIDA LEASING LLC MEMBER 55 WEST 46TH STREET SUITE 2204, NEW YORK, NY 10036

AUTHORIZED PERSON

Name Role Address
HERNANDEZ, IVY AUTHORIZED PERSON 55 WEST 46TH STREET SUITE 2204, NEW YORK, NY 10036

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000093920 ROYAL PALM RETIREMENT CENTRE EXPIRED 2019-08-28 2024-12-31 No data 55 WEST 46TH STREET, SUITE 2204, NEW YORK, NY, 10036
G13000068741 ROYAL PALM RETIREMENT CENTRE EXPIRED 2013-07-09 2018-12-31 No data 1345 AVENUE OF THE AMERICAS, 46TH FLOOR, NEW YORK, NY, 10105

Events

Event Type Filed Date Value Description
LC WITHDRAWAL 2021-08-10 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-04-17 55 WEST 46TH STREET SUITE 2204, NEW YORK, NY 10036 No data
CHANGE OF MAILING ADDRESS 2019-04-17 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 1201 HAYS STREET, TALLAHASSEE, FL 32301 No data

Documents

Name Date
LC Withdrawal 2021-08-10
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-17
CORLCRACHG 2018-12-21
ANNUAL REPORT 2018-04-10
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-04-09
ANNUAL REPORT 2015-04-16
ANNUAL REPORT 2014-05-01

Date of last update: 22 Jan 2025

Sources: Florida Department of State