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B.V. ASSISTED LIVING, INC. - Florida Company Profile

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Company Details

Entity Name: B.V. ASSISTED LIVING, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 12 Sep 1995 (30 years ago)
Document Number: N97000000062
FEI/EIN Number 593338728
Address: 2127 W. NEW HAVEN AVE., W. MELBOURNE, FL, 32904
Mail Address: 2127 W. NEW HAVEN AVE., W. MELBOURNE, FL, 32904
ZIP code: 32904
City: Melbourne
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BALDWIN LORI President 380 Rio Lane, Indialantic, FL, 32903
Floyd Elmer Director 340 Yuma Drive, Indian Harbour Beach, FL, 32937
Rose Hal Secretary 2403 Woodfield Circle, West Melbourne, FL, 32904
Burke James Vice President 834 Puesta Del Sol Plz, Indialantic, FL, 32903
Blue Randall Director 3592 Joslin Way, West Melbourne, FL, 32904
RIDENOUR JIM Director 4250 CAREYWOOD DRIVE, MELBOURNE, FL, 32934
Shuman Erik P Agent 1795 West Nasa Blvd, Melbourne, FL, 32901

National Provider Identifier

NPI Number:
1952690067

Authorized Person:

Name:
MR. DONALD SPALDING
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
3217248157

Legal Entity Identifier

LEI Number:
549300F3EFANQXLBR643

Registration Details:

Initial Registration Date:
2016-07-09
Next Renewal Date:
2017-07-11
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000049961 THE CLINIC AT BUENA VIDA ESTATES EXPIRED 2011-05-26 2016-12-31 - 2129 W NEW HAVEN AVE, WEST MELBOURNE, FL, 32904

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-28 Shuman, Erik P -
REGISTERED AGENT ADDRESS CHANGED 2022-04-28 1795 West Nasa Blvd, Melbourne, FL 32901 -
CHANGE OF PRINCIPAL ADDRESS 2007-05-04 2127 W. NEW HAVEN AVE., W. MELBOURNE, FL 32904 -

Documents

Name Date
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-03-09
ANNUAL REPORT 2020-03-12
ANNUAL REPORT 2019-03-14
ANNUAL REPORT 2018-03-14
ANNUAL REPORT 2017-03-09
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-03-09

Tax Exempt

Employer Identification Number (EIN) :
59-3338728
In Care Of Name:
% HENRY H DEKKER
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:
1996-02
Deductibility:
Type of organization and use of contribution: A private foundation. Deductibility Limitation: 30% (generally)

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Date of last update: 01 Jul 2025

Sources: Florida Department of State