| Entity Name: | WILLOWBROOK WEST LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Dec 2018 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 15 Mar 2021 (4 years ago) |
| Document Number: | M18000011524 |
| FEI/EIN Number | 832619517 |
| Address: | 507 NW HALL OF FAME DR, LAKE CITY, FL, 32055, US |
| Mail Address: | PO Box 21698, COLUMBUS, OH, 43221, US |
| ZIP code: | 32055 |
| County: | Columbia |
| Place of Formation: | OHIO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780141846 | 2019-02-25 | 2019-03-22 | 1309 NEIL AVE, COLUMBUS, OH, 432013121, US | 507 NW HALL OF FAME DR, LAKE CITY, FL, 320554835, US | |||||||||||||
|
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| Phone | +1 386-755-6560 |
Authorized person
| Name | EAMON BURGESS |
| Role | CEO |
| Phone | 6144404393 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| burgess jon s | Agent | 1580 S. Marion Ave, Lake City, FL, 32025 |
| Name | Role | Address |
|---|---|---|
| BURGESS EAMON | Manager | PO Box 21698, Upper Arlington, OH, 43221 |
| Name | Role | Address |
|---|---|---|
| burgess jon S | Managing Member | 5329 SW 11TH Ave, Cape Coral, FL, 33914 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000135672 | WILLOWCREEK | ACTIVE | 2018-12-26 | 2028-12-31 | No data | PO BOX 21698, COLUMBUS, OH, 43221 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-11 | 507 NW HALL OF FAME DR, LAKE CITY, FL 32055 | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-11 | 507 NW HALL OF FAME DR, LAKE CITY, FL 32055 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-31 | burgess, jon skylar | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-31 | 1580 S. Marion Ave, Lake City, FL 32025 | No data |
| LC STMNT OF RA/RO CHG | 2021-03-15 | No data | No data |
| 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 | 2019-02-26 |
| Foreign Limited | 2018-12-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
