| Entity Name: | ETS WILLOWBROOK AT MARION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Jun 2014 (11 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 15 Mar 2021 (4 years ago) |
| Document Number: | M14000004389 |
| FEI/EIN Number |
46-5657994
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | PO Box 21698, COLUMBUS, OH, 43221, US |
| Address: | 1580 S MARION AVENUE, LAKE CITY, FL, 32025, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | OHIO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114420502 | 2018-03-13 | 2018-03-13 | 7225 DRUCILLA ST, PICKERINGTON, OH, 431477962, US | 1580 S MARION AVE, LAKE CITY, FL, 320256913, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 740-964-1240 |
| Phone | +1 386-752-4454 |
Authorized person
| Name | MR. JON SKYLAR BURGESS |
| Role | SECRETARY/TREASURER |
| Phone | 6145655636 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 9909 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| burgess jon S | Member | 5329 SW 11TH Ave, Cape Coral, FL, 33914 |
| BURGESS EAMON | Managing Member | PO Box 21698, Upper Arlington, OH, 43221 |
| burgess jon s | Agent | 1580 S. Marion Ave, Lake City, FL, 32025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000078634 | WILLOWBROOK ASSISTED LIVING | EXPIRED | 2014-07-30 | 2024-12-31 | - | 1580 SOUTH MARION AVE, LAKE CITY, FL, 32025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-12-11 | 1580 S MARION AVENUE, LAKE CITY, FL 32025 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-04 | 1580 S MARION AVENUE, LAKE CITY, FL 32025 | - |
| REGISTERED AGENT NAME CHANGED | 2021-03-31 | burgess, jon skylar | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-31 | 1580 S. Marion Ave, Lake City, FL 32025 | - |
| LC STMNT OF RA/RO CHG | 2021-03-15 | - | - |
| LC STMNT CORR | 2014-09-26 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-31 |
| CORLCRACHG | 2021-03-15 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-09 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
