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LAKE GIBSON VILLAGE, LLC - Florida Company Profile

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Company Details

Entity Name: LAKE GIBSON VILLAGE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 02 Mar 2017 (8 years ago)
Date of dissolution: 27 Sep 2024 (8 months ago)
Last Event: REVOKED FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (8 months ago)
Document Number: M17000001885
FEI/EIN Number 820590161

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 444 Seabreeze Blvd, Suite 200, Daytona Beach, FL, 32118, US
Mail Address: 444 Seabreeze Blvd, Suite 200, Daytona Beach, FL, 32118, US
ZIP code: 32118
County: Volusia
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
COOK SANDRA J Manager 14 ELIZABETH LANE, DAYTONA BEACH, FL, 32118
Dyer Eileen T Chief Executive Officer 21 Ocean Ridge Blvd S., Palm Coast, FL, 32137
Anderson David C Manager 444 Seabreeze Blvd, Daytona Beach, FL, 32118
ANDERSON DAVID C Agent 444 Seabreeze Blvd., DAYTONA BEACH, FL, 32118
GDAF MANAGEMENT, LLC Manager -

National Provider Identifier

NPI Number:
1427547025

Authorized Person:

Name:
RENEE TUCKER
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000056446 LAKE GIBSON VILLAGE EXPIRED 2017-05-23 2022-12-31 - 771 CARPENTERS WAY, LAKELAND, FL, 33809

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2024-09-27 - -
REGISTERED AGENT NAME CHANGED 2022-11-07 ANDERSON, DAVID C -
CHANGE OF PRINCIPAL ADDRESS 2021-04-22 444 Seabreeze Blvd, Suite 200, Daytona Beach, FL 32118 -
CHANGE OF MAILING ADDRESS 2021-04-22 444 Seabreeze Blvd, Suite 200, Daytona Beach, FL 32118 -
REGISTERED AGENT ADDRESS CHANGED 2019-02-20 444 Seabreeze Blvd., 200, DAYTONA BEACH, FL 32118 -

Documents

Name Date
ANNUAL REPORT 2023-01-24
AMENDED ANNUAL REPORT 2022-11-07
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-07-20
Foreign Limited 2017-03-02

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
424829.00
Total Face Value Of Loan:
424829.00

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
424829
Current Approval Amount:
424829
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
427189.16

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Date of last update: 02 Jun 2025

Sources: Florida Department of State