Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Lee
    4. ›
  4. 33905
    5. ›
  5. SHALIMARE INC.

SHALIMARE INC. - Florida Company Profile

Company Details

Entity Name: SHALIMARE INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 30 Jun 2004 (21 years ago)
Last Event: AMENDMENT
Event Date Filed: 12 Jun 2006 (19 years ago)
Document Number: N04000006506
FEI/EIN Number 201344455

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 613 CAROLINA AVENUE, FT MYERS, FL, 33905
Mail Address: 613 CAROLINA AVENUE, FT MYERS, FL, 33905
ZIP code: 33905
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578760187 2007-06-27 2020-08-22 613 CAROLINA AVE, FORT MYERS, FL, 339054015, US 613 CAROLINA AVE, FORT MYERS, FL, 339054015, US

Contacts
Phone +1 239-839-4997
Fax 2396931121

Authorized person
Name MS. MARY ELLEN PROVENCHER
Role PRESIDENT OF SHALIMARE INC.
Phone 2398394997

Taxonomy
Taxonomy Code 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHALIMARE, INC. SAFE HARBOR 401(K) PLAN 2023 201344455 2024-09-04 SHALIMARE, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 2398394997
Plan sponsor’s address 613 CAROLINA AVENUE, FORT MYERS, FL, 33905

Signature of
Role Plan administrator
Date 2024-09-04
Name of individual signing SHARON JASKE
Valid signature Filed with authorized/valid electronic signature
SHALIMARE, INC. SAFE HARBOR 401(K) PLAN 2022 201344455 2023-08-17 SHALIMARE, INC. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 2398394997
Plan sponsor’s address 613 CAROLINA AVENUE, FORT MYERS, FL, 33905

Signature of
Role Plan administrator
Date 2023-08-17
Name of individual signing SHARON JASKE
Valid signature Filed with authorized/valid electronic signature
SHALIMARE, INC. SAFE HARBOR 401(K) PLAN 2021 201344455 2022-10-10 SHALIMARE, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 2398394997
Plan sponsor’s address 613 CAROLINA AVENUE, FORT MYERS, FL, 33905

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing SHARON JASKE
Valid signature Filed with authorized/valid electronic signature
SHALIMARE, INC. SAFE HARBOR 401(K) PLAN 2020 201344455 2021-07-30 SHALIMARE, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 2398394997
Plan sponsor’s address 613 CAROLINA AVENUE, FORT MYERS, FL, 33905

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing SHARON JASKE
Valid signature Filed with authorized/valid electronic signature
SHALIMARE, INC. SAFE HARBOR 401(K) PLAN 2019 201344455 2020-09-01 SHALIMARE, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 2398394997
Plan sponsor’s address 613 CAROLINA AVENUE, FORT MYERS, FL, 33905

Signature of
Role Plan administrator
Date 2020-09-01
Name of individual signing MARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature
SHALIMARE, INC. SAFE HARBOR 401(K) PLAN 2018 201344455 2019-09-26 SHALIMARE, INC. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 2398394997
Plan sponsor’s address 613 CAROLINA AVENUE, FORT MYERS, FL, 33905

Signature of
Role Plan administrator
Date 2019-09-26
Name of individual signing MARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature
SHALIMARE, INC. SAFE HARBOR 401(K) PLAN 2017 201344455 2018-10-02 SHALIMARE, INC. 62
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 2398394997
Plan sponsor’s address 613 CAROLINA AVENUE, FORT MYERS, FL, 33905

Signature of
Role Plan administrator
Date 2018-10-02
Name of individual signing MARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature
SHALIMARE, INC. SAFE HARBOR 401(K) PLAN 2017 201344455 2018-10-25 SHALIMARE, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 623000
Sponsor’s telephone number 2398394997
Plan sponsor’s address 613 CAROLINA AVENUE, FORT MYERS, FL, 33905

Signature of
Role Plan administrator
Date 2018-10-24
Name of individual signing MARY PROVENCHER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
PROVENCHER MARY E President 10257 BELCREST BLVD, FORT MYERS, FL, 33913
NATOLI DENISE Secretary 812 JEFFERSON AVE., FT MYERS, FL, 33905
Provencher Linda A Vice President 1939 S. Palmetto Ave., Flagler Beach, FL, 32136
BLAND Gaynell D Treasurer 770 CAYCE LANE, FORT MYERS, FL, 33905
PROVENCHER MARY E Agent 613 CAROLINA AVE., FORT MYERS, FL, 33905

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2007-01-03 613 CAROLINA AVE., FORT MYERS, FL 33905 -
AMENDMENT 2006-06-12 - -
CHANGE OF PRINCIPAL ADDRESS 2005-06-01 613 CAROLINA AVENUE, FT MYERS, FL 33905 -
CHANGE OF MAILING ADDRESS 2005-06-01 613 CAROLINA AVENUE, FT MYERS, FL 33905 -

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-01-15
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-01-20
ANNUAL REPORT 2018-01-13
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6140498900 2021-05-01 0455 PPP 613 Carolina Ave, Fort Myers, FL, 33905-4015
Loan Status Date 2022-03-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 650677.32
Loan Approval Amount (current) 650677.32
Undisbursed Amount 0
Franchise Name -
Lender Location ID 16930
Servicing Lender Name First Bank
Servicing Lender Address 300 E Sugarland Hwy, CLEWISTON, FL, 33440-3124
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Fort Myers, LEE, FL, 33905-4015
Project Congressional District FL-17
Number of Employees 102
NAICS code 623210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type 501(c)3 � Non Profit
Originating Lender ID 16930
Originating Lender Name First Bank
Originating Lender Address CLEWISTON, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 656153.85
Forgiveness Paid Date 2022-03-03

Companies related by officers

PROVENCHER MARY E

PANACHE HOLISTICS INC - Active
Domestic Profit (2006 )
C.B.'S HOUSE OF SOUL FOOD INC. - Inactive
Domestic Profit (2007 - 2008)
TICE LLC - Active
Florida Limited Liability Co. (2017 )
JEANIE HOLDINGS LLC - Active
Florida Limited Liability Co. (2009 )
JEANIE HOLDINGS LLC - Active
Florida Limited Liability Co. (2009 )
MAE'S PLACE, HOUSE OF SOUL FOOD INC. - Inactive
Domestic Profit (2007 - 2008)
MAE'S PLACE, HOUSE OF SOUL FOOD INC. - Inactive
Domestic Profit (2007 - 2008)
C.B.'S HOUSE OF SOUL FOOD INC. - Inactive
Domestic Profit (2007 - 2008)
13631 LEARNING COURT, LLC - Active
Florida Limited Liability Co. (2017 )
160 SCHNEIDER, LLC - Active
Florida Limited Liability Co. (2017 )

Provencher Linda A

PANACHE HOLISTICS INC - Active
Domestic Profit (2006 )
CHATTANOOGA HOLDINGS LLC - Active
Florida Limited Liability Co. (2008 )

Companies related by address

No other companies in our directory share the same address as SHALIMARE INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated