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MONICA L. VICKERS AND ASSOCIATES, INC.

Company Details

Entity Name: MONICA L. VICKERS AND ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 10 Nov 2010 (14 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: N10000010536
FEI/EIN Number 273744929
Address: 2313 Mammoth Grove Road, LAKE WALES, FL, 33898, US
Mail Address: P O BOX 2808, HAINES CITY, FL, 33845
ZIP code: 33898
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376884437 2013-03-13 2013-03-13 2313 MAMMOTH GROVE RD, LAKE WALES, FL, 338988583, US 2313 MAMMOTH GROVE RD, LAKE WALES, FL, 338988583, US

Contacts

Phone +1 863-206-6439

Authorized person

Name MONICA L VICKERS
Role PRESIDENT
Phone 8632066439

Taxonomy

Taxonomy Code 311ZA0620X - Adult Care Home Facility
License Number 6906570
State FL
Is Primary Yes

Agent

Name Role Address
VICKERS MONICA L Agent 2313 Mammoth Grove Road, LAKE WALES, FL, 33898

President

Name Role Address
VICKERS MONICA L President PO Box 2808, Haines City, FL, 33845

Director

Name Role Address
VICKERS MONICA L Director PO Box 2808, Haines City, FL, 33845
JERRELL M P Director 2313 Mammoth Grove Road, LAKE WALES, FL, 33898
LAWSON CHENELLE Director PO Box 2808, Haines City, FL, 33845

Vice President

Name Role Address
JERRELL M P Vice President 2313 Mammoth Grove Road, LAKE WALES, FL, 33898

Secretary

Name Role Address
JERRELL M P Secretary 2313 Mammoth Grove Road, LAKE WALES, FL, 33898

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000082877 M & M ADULT FAMILY CARE HOME ACTIVE 2020-07-15 2025-12-31 No data PO BOX 2808, HAINESS CITY, FL, 33845--280
G12000058203 M & M ADULT FAMILY CARE HOME EXPIRED 2012-06-13 2017-12-31 No data PO BOX 2808, HAINES CITY, FL, 33845--280

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2018-04-25 VICKERS, MONICA L. No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-25 2313 Mammoth Grove Road, LAKE WALES, FL 33898 No data
CHANGE OF PRINCIPAL ADDRESS 2015-04-28 2313 Mammoth Grove Road, LAKE WALES, FL 33898 No data

Documents

Name Date
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-05-19
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-21
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-04-28
ANNUAL REPORT 2014-04-30
ANNUAL REPORT 2013-04-23

Date of last update: 02 Feb 2025

Sources: Florida Department of State