| Entity Name: | BONITA SPRINGS RETIREMENT VILLAGE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 29 Feb 2008 (17 years ago) |
| Last Event: | AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 21 Oct 2024 (3 months ago) |
| Document Number: | N08000002073 |
| FEI/EIN Number | 262386152 |
| Address: | 26455 S. Tamiami Trail, Bonita Springs, FL, 34134, US |
| Mail Address: | 26455 S. Tamiami Trail, Bonita Springs, FL, 34134, US |
| ZIP code: | 34134 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700126802 | 2013-02-26 | 2022-02-10 | 26455 S TAMIAMI TRL, BONITA SPRINGS, FL, 341347815, US | 26455 S TAMIAMI TRL, BONITA SPRINGS, FL, 341347815, US | |||||||||||||||||||||||
|
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| Phone | +1 239-949-7555 |
| Fax | 2399497559 |
Authorized person
| Name | MR. KARL GOEDERT |
| Role | CONTROLLER |
| Phone | 3523378798 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF130471054 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRYAN GEORGE | Agent | 6051 VERDE TRAIL SOUTH, BOCA RATON, FL, 33433 |
| Name | Role | Address |
|---|---|---|
| Grant Gerald T | Director | 420 Delaware Drive, Fort Washington, PA, 19034 |
| Christiansen Karen I | Director | 420 Delaware Drive, Fort Washington, PA, 19034 |
| Gerner Elric C | Director | 420 Delaware Drive, Fort Washington, PA, 19034 |
| Name | Role | Address |
|---|---|---|
| Ahern Susan | Treasurer | 420 Delaware Drive, Fort Washington, PA, 19034 |
| Name | Role | Address |
|---|---|---|
| Grant Jonathan T | Officer | 420 Delaware Drive, Fort Washington, PA, 19034 |
| Fox Glenn T | Officer | 420 Delaware Drive, Fort Washington, PA, 19034 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000137998 | OAKBRIDGE TERRACE ASSISTED LIVING RESIDENCE AT THE TERRACES | ACTIVE | 2024-11-12 | 2029-12-31 | No data | 26475 TAMIAMI TRL, BONITA SPRINGS, FL, 34134 |
| G24000138000 | WILLOWBROOKE COURT SKILLED CARE CENTER AT THE TERRACES | ACTIVE | 2024-11-12 | 2029-12-31 | No data | 26475 TAMIAMI TRL, BONITA SPRINGS, FL, 34134 |
| G24000136436 | OAKBRIDGE TERRACE ASSISTED LIVING RESIDENCE AT THE TERRACES | ACTIVE | 2024-11-07 | 2029-12-31 | No data | 26475 TAMIAMI TRL, BONITA SPRINGS, FL, 34134 |
| G24000136443 | WILLOWBROOKE COURT SKILLED CARE CENTER AT THE TERRACES | ACTIVE | 2024-11-07 | 2029-12-31 | No data | 26475 TAMIAMI TRL, BONITA SPRINGS, FL, 34134 |
| G14000078646 | THE TERRACES AT BONITA SPRINGS | ACTIVE | 2014-07-30 | 2029-12-31 | No data | 26455 S TAMIAMI TRAIL, BONITA SPRINGS, FL, 34134 |
| G14000001535 | RENAISSANCE AT THE TERRACES | ACTIVE | 2014-01-06 | 2029-12-31 | No data | 26475 S TAMIAMI TRAIL, BONITA SPRINGS, FL, 34134 |
| G08325700040 | THE TERRACES AT BONITA SPRINGS | EXPIRED | 2008-11-20 | 2013-12-31 | No data | P.O. BOX 749, GAINESVILLE, FL, 32602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-11-07 | 26455 S. Tamiami Trail, Bonita Springs, FL 34134 | No data |
| AMENDED AND RESTATEDARTICLES | 2024-10-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-10-21 | BRYAN, GEORGE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-21 | 6051 VERDE TRAIL SOUTH, BOCA RATON, FL 33433 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-16 | 26455 S. Tamiami Trail, Bonita Springs, FL 34134 | No data |
| AMENDED AND RESTATEDARTICLES | 2014-01-31 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| Amended and Restated Articles | 2024-10-21 |
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-03-07 |
| AMENDED ANNUAL REPORT | 2022-06-14 |
| AMENDED ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-01-24 |
| AMENDED ANNUAL REPORT | 2020-03-12 |
| AMENDED ANNUAL REPORT | 2020-03-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
