| Entity Name: | FSL JAX BEACH TENANT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Nov 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Oct 2021 (3 years ago) |
| Document Number: | M20000010815 |
| FEI/EIN Number | 85-3874591 |
| Address: | 420 S ORANGE AVE STE 400, ORLANDO, FL 32801 |
| Mail Address: | 420 S ORANGE AVE STE 400, ORLANDO, FL 32801 |
| ZIP code: | 32801 |
| County: | Orange |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073280988 | 2021-08-27 | 2021-08-27 | 1240 E INDEPENDENCE ST STE 200, SPRINGFIELD, MO, 658044201, US | 1315 2ND AVE N, JACKSONVILLE BEACH, FL, 322503694, US | |||||||||||||||
|
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| Phone | +1 417-877-1717 |
| Phone | +1 904-829-6479 |
Authorized person
| Name | LESLIE DAWN CRAYTON |
| Role | PROJECT MANAGER |
| Phone | 4178771717 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Patterson, Amy | Agent | 420 S ORANGE AVE STE 400, ORLANDO, FL 32801 |
| Name | Role | Address |
|---|---|---|
| FC-FP PARTNERS LLC | Member | 420 S ORANGE AVE STE 400, ORLANDO, FL 32801 |
| Name | Role | Address |
|---|---|---|
| Maddron, Kevin R | Vice President | 420 S ORANGE AVE STE 400, ORLANDO, FL 32801 |
| Elam, Pryse | Vice President | 120 E. Palmetto Park Rd., Suite 200 Boca Raton, FL 33432 |
| Name | Role | Address |
|---|---|---|
| Gottlieb, Laurence | President | 745 Fifth Avenue, 25th Floor, New York, NY 10151 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000021318 | BEACH HOUSE ASSISTED LIVING AND MEMORY CARE | ACTIVE | 2021-02-12 | 2026-12-31 | No data | 420 S ORANGE AVENUE STE 400, ORLANDO, FL, 32801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-05-03 | Patterson, Amy | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-03 | 420 S ORANGE AVE STE 400, ORLANDO, FL 32801 | No data |
| REINSTATEMENT | 2021-10-06 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-05-03 |
| REINSTATEMENT | 2021-10-06 |
| Foreign Limited | 2020-11-25 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
