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WILLOWBROOK WEST LLC - Florida Company Profile

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Company Details

Entity Name: WILLOWBROOK WEST LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Inactive
Date Filed: 10 Dec 2018 (7 years ago)
Date of dissolution: 14 Feb 2025 (7 months ago)
Last Event: WITHDRAWAL
Event Date Filed: 14 Feb 2025 (7 months ago)
Document Number: M18000011524
FEI/EIN Number 832619517
Address: 507 NW HALL OF FAME DR, LAKE CITY, FL, 32055, US
ZIP code: 32055
City: Lake City
County: Columbia
Place of Formation: OHIO

Key Officers & Management

Name Role Address
- Agent -
BURGESS EAMON Manager PO Box 21698, Upper Arlington, OH, 43221
burgess jon S Managing Member 5329 SW 11TH Ave, Cape Coral, FL, 33914

National Provider Identifier

NPI Number:
1780141846

Authorized Person:

Name:
EAMON BURGESS
Role:
CEO
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
G18000135672 WILLOWCREEK ACTIVE 2018-12-26 2028-12-31 - PO BOX 21698, COLUMBUS, OH, 43221

Events

Event Type Filed Date Value Description
WITHDRAWAL 2025-02-14 - -
CHANGE OF PRINCIPAL ADDRESS 2021-12-11 507 NW HALL OF FAME DR, LAKE CITY, FL 32055 -
CHANGE OF MAILING ADDRESS 2021-12-11 507 NW HALL OF FAME DR, LAKE CITY, FL 32055 -
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 - -

Documents

Name Date
WITHDRAWAL 2025-02-14
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 2019-02-26
Foreign Limited 2018-12-10

USAspending Awards / Financial Assistance

Date:
2020-05-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
0.00
Date:
2020-05-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
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:
165000.00
Total Face Value Of Loan:
165000.00
Date:
2020-04-07
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:
165000.00
Total Face Value Of Loan:
165000.00

Paycheck Protection Program

Jobs Reported:
26
Initial Approval Amount:
$165,000
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$165,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$166,541.51
Servicing Lender:
Ameris Bank
Use of Proceeds:
Payroll: $165,000

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Date of last update: 02 Aug 2025

Sources: Florida Department of State