| Entity Name: | FLORIDA MENTOR II, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Sep 2020 (4 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 05 Nov 2020 (4 years ago) |
| Document Number: | M20000007813 |
| FEI/EIN Number | 85-2621094 |
| Address: | 6600 France Avenue South, Suite 350, Edina, MN 55435 |
| Mail Address: | 6600 France Avenue South, Suite 350, Edina, MN 55435 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962009019 | 2020-10-01 | 2020-11-18 | 3258 PARKSIDE CENTER CIR, TAMPA, FL, 336190907, US | 1045 MAR WALT DR, FORT WALTON BEACH, FL, 325476738, US | |||||||||||||||||
|
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| Phone | +1 813-389-8300 |
| Phone | +1 850-862-0108 |
| Fax | 8508627103 |
Authorized person
| Name | CAROL SWANSON |
| Role | VICE PRESIDENT OF OPERATIONS |
| Phone | 8133898300 |
Taxonomy
| Taxonomy Code | 315P00000X - Intellectual Disabilities Intermediate Care Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| MARTIN, GINA L | Secretary | 6600 France Avenue South, Suite 350 Edina, MN 55435 |
| Name | Role | Address |
|---|---|---|
| Kaufman, Philip Roberts | Manager and CEO | 6600 France Avenue South, Suite 350 Edina, MN 55435 |
| Name | Role | Address |
|---|---|---|
| Callen, David R. | Manager | 6600 France Avenue South, Suite 350 Edina, MN 55435 |
| Szwed, Danna M. | Manager | 6600 France Avenue South, Suite 350 Edina, MN 55435 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000148984 | PANAMA CITY DEVELOPMENTAL CENTER | ACTIVE | 2020-11-20 | 2025-12-31 | No data | 313 CONGRESS STREET, 5TH FLOOR, BOSTON, MA, 02210 |
| G20000148985 | TALLAHASSEE DEVELOPMENTAL CENTER | ACTIVE | 2020-11-20 | 2025-12-31 | No data | 313 CONGRESS STREET, 5TH FLOOR, BOSTON, MA, 02210 |
| G20000147301 | FORT WALTON BEACH DEVELOPMENTAL CENTER | ACTIVE | 2020-11-17 | 2025-12-31 | No data | 313 CONGRESS STREET, 5TH FLOOR, BOSTON, MA, 02210 |
| G20000147302 | HILLSBOROUGH COUNTY DEVELOPMENTAL CENTER | ACTIVE | 2020-11-17 | 2025-12-31 | No data | 313 CONGRESS STREET, 5TH FLOOR, BOSTON, MA, 02210 |
| G20000147300 | PENSACOLA DEVELOPMENTAL CENTER | ACTIVE | 2020-11-17 | 2025-12-31 | No data | 313 CONGRESS STREET, 5TH FLOOR, BOSTON, MA, 02210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 6600 France Avenue South, Suite 350, Edina, MN 55435 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 6600 France Avenue South, Suite 350, Edina, MN 55435 | No data |
| LC STMNT OF RA/RO CHG | 2020-11-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-11-05 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-11-05 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| LC AMENDMENT | 2020-10-13 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2024-02-14 |
| AMENDED ANNUAL REPORT | 2023-11-28 |
| AMENDED ANNUAL REPORT | 2023-08-15 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-04-16 |
| CORLCRACHG | 2020-11-05 |
| LC Amendment | 2020-10-13 |
| Foreign Limited | 2020-09-09 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
