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EAGLE LAKE FOUNDATION, INC. - Florida Company Profile

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Company Details

Entity Name: EAGLE LAKE FOUNDATION, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 10 May 2005 (20 years ago)
Date of dissolution: 27 Sep 2024 (9 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (9 months ago)
Document Number: N05000004803
FEI/EIN Number 202813348

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 24641 US HWY 19 N, Clearwater, FL, 33763, US
Mail Address: 24641 US HWY 19 N, Clearwater, FL, 33763, US
ZIP code: 33763
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
C T CORPORATION SYSTEM Agent -
Atkins Benjamin President 500 McLennan Street, CLEARWATER, FL, 33756
Hines Virginia Secretary 24641 US HWY 19 N, Clearwater, FL, 33763

National Provider Identifier

NPI Number:
1225046584

Authorized Person:

Name:
LYNDA HEBBELN
Role:
VP OF ACCT & FINANCE
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
7277233076
Fax:
7273457064

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
REINSTATEMENT 2023-07-10 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2019-03-31 24641 US HWY 19 N, Clearwater, FL 33763 -
AMENDMENT 2015-09-21 - -
CHANGE OF MAILING ADDRESS 2015-03-12 24641 US HWY 19 N, Clearwater, FL 33763 -
AMENDMENT 2015-01-09 - -
AMENDMENT 2014-12-24 - -
AMENDMENT 2014-12-03 - -
REGISTERED AGENT ADDRESS CHANGED 2014-11-24 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -

Documents

Name Date
REINSTATEMENT 2023-07-10
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-03-31
ANNUAL REPORT 2018-03-18
ANNUAL REPORT 2017-02-17
ANNUAL REPORT 2016-01-20
Amendment 2015-09-21
ANNUAL REPORT 2015-03-12
Amendment 2015-01-09

Trademarks

Serial Number:
86906197
Mark:
LADIES CHOICE AT CHESHIRE REGIONAL
Status:
CANCELLED - SECTION 8
Mark Type:
SERVICE MARK
Application Filing Date:
2016-02-12
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
LADIES CHOICE AT CHESHIRE REGIONAL

Goods And Services

For:
Health care
First Use:
2016-05-09
International Classes:
044 - Primary Class
Class Status:
Sec. 8 – Entire Registration

Tax Exempt

Employer Identification Number (EIN) :
20-2813348
In Care Of Name:
% BEN ATKINS
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2006-02
National Taxonomy Of Exempt Entities:
Health Care: Hospitals and Related Primary Medical Care Facilities
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 01 Jun 2025

Sources: Florida Department of State