| Entity Name: | BROOKS SKILLED NURSING FACILITY HOLDINGS A, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 22 Mar 2010 (15 years ago) |
| Document Number: | N10000002935 |
| FEI/EIN Number | 272187557 |
| Address: | 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216 |
| Mail Address: | 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300UPSCIBM07UKX89 | N10000002935 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
|
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| Legal | C/O Pritchard, Robert H, 1 Riverplace Boulevard, Suite 1500, Jacksonville, US-FL, US, 32207 |
| Headquarters | C/O Pritchard, Robert H, 1 Riverplace Boulevard, Suite 1500, Jacksonville, US-FL, US, 32207 |
Registration details
| Registration Date | 2013-04-09 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2014-04-09 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | N10000002935 |
| Name | Role |
|---|---|
| URS AGENTS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BAER DOUGLAS M | Director | 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216 |
| Serkin Howard C | Director | 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216 |
| Tabor J. B | Director | 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216 |
| Mann Eric | Director | 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| BAER DOUGLAS M | Chairman | 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| BAER DOUGLAS M | President | 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| DERIENZO VICTOR | Vice President | 3599 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-08-19 | URS AGENTS, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-08-19 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| AMENDMENT | 2011-05-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-03-22 |
| Reg. Agent Change | 2020-08-19 |
| AMENDED ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-24 |
| Reg. Agent Change | 2018-02-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
