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SPECIALLY FIT FOUNDATION CORPORATION

Company Details

Entity Name: SPECIALLY FIT FOUNDATION CORPORATION
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 01 Oct 2018 (6 years ago)
Last Event: AMENDMENT
Event Date Filed: 21 Sep 2021 (3 years ago)
Document Number: N18000010527
FEI/EIN Number 83-1994985
Address: 2112 Martin Road, Dover, FL, 33527, US
Mail Address: 2112 Martin Road, Dover, FL, 33527, US
ZIP code: 33527
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881345684 2022-01-12 2022-01-12 11118 LAKESIDE VISTA DR, RIVERVIEW, FL, 335692919, US 2224 ARCH MCDONALD DR, DOVER, FL, 335276342, US

Contacts

Phone +1 727-831-2829
Fax 8888140945

Authorized person

Name MARK STEPHAN OLIVER
Role CERTIFIED ALF ADMIN
Phone 8133899474

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role Address
OLIVER MARK SJR Agent 11118 Lakeside Vista Drive, Riverview, FL, 33569

President

Name Role Address
OLIVER MARK SJR President 11118 Lakeside Vista Drive, Riverview, FL, 33569

Director

Name Role Address
Weaver Leigh Director 11118 Lakeside Vista Drive, Riverview, FL, 33569
HORACE SHANNA Director 11118 Lakeside Vista Drive, Riverview, FL, 33569
Thomas David JR Director 11118 Lakeside Vista Drive, Riverview, FL, 33569
Truman Matthew Director 11118 Lakeside Vista Drive, Riverview, FL, 33569
McClellan Matthew S Director 19250 Wood Sage Dr, Tampa, FL, 33467

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000086750 SPECIALLY FIT CLOUD ACTIVE 2024-07-19 2029-12-31 No data 2112 MARTIN ROAD DOVER, DOVER, LAKESIDE VISTA DRIVE RIVERVI, FL, 33569

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-31 2112 Martin Road, Dover, FL 33527 No data
CHANGE OF MAILING ADDRESS 2024-01-31 2112 Martin Road, Dover, FL 33527 No data
REGISTERED AGENT ADDRESS CHANGED 2022-07-12 11118 Lakeside Vista Drive, Riverview, FL 33569 No data
AMENDMENT 2021-09-21 No data No data
REGISTERED AGENT NAME CHANGED 2019-09-30 OLIVER, MARK S, JR No data
REINSTATEMENT 2019-09-30 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-08-22
ANNUAL REPORT 2022-07-12
Amendment 2021-09-21
ANNUAL REPORT 2021-09-13
ANNUAL REPORT 2020-08-25
REINSTATEMENT 2019-09-30
Domestic Non-Profit 2018-10-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State