| Entity Name: | TLC PROVIDERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
TLC PROVIDERS, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 16 Feb 2000 (25 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 20 Oct 2004 (21 years ago) |
| Document Number: | P00000016536 |
| FEI/EIN Number |
593632784
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8317 FRONT BEACH ROAD, SUITE 29A1, PANAMA CITY BEACH, FL, 32407 |
| Mail Address: | 8317 FRONT BEACH ROAD, SUITE 29A1, PANAMA CITY BEACH, FL, 32407 |
| ZIP code: | 32407 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417251638 | 2011-01-03 | 2011-01-03 | 8317 FRONT BEACH RD, SUITE 29A1, PANAMA CITY BEACH, FL, 324074885, US | 8317 FRONT BEACH RD, SUITE 29A1, PANAMA CITY BEACH, FL, 324074885, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-236-0073 |
| Fax | 8502360403 |
Authorized person
| Name | MR. TERRY WAYNE BOOKER |
| Role | OWNER/OPERATOR |
| Phone | 8502360073 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 679970198 |
| State | FL |
| Issuer | MEDICAID |
| Number | 679970196 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOOKER TERRY W | President | 325 EAGLE DRIVE, PANAMA CITY BEACH, FL, 32407 |
| BOOKER TERRY W | Director | 325 EAGLE DRIVE, PANAMA CITY BEACH, FL, 32407 |
| WILLIAMS MARY A | Secretary | 31 HARBESON AVE NE, FORT WALTON BEACH, FL, 32548 |
| BOOKER CARMON J | Vice President | 325 EAGLE DR, PANAMA CITY BEACH, FL, 32407 |
| Booker JoAnne | Asst | 325 Eagle Drive, Panama City Beach, FL, 32407 |
| BOOKER TERRY W | Agent | 325 EAGLE DRIVE, PANAMA CITY BEACH, FL, 32407 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000043128 | TERRY BOOKER GROUP HOMES | ACTIVE | 2011-05-04 | 2026-12-31 | - | 8317 FRONT BEACH ROAD SUITE 29 A1, PANAMA CITY BEACH, FL, 32407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2011-04-29 | BOOKER, TERRY W | - |
| CHANGE OF MAILING ADDRESS | 2004-10-20 | 8317 FRONT BEACH ROAD, SUITE 29A1, PANAMA CITY BEACH, FL 32407 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2004-10-20 | 8317 FRONT BEACH ROAD, SUITE 29A1, PANAMA CITY BEACH, FL 32407 | - |
| CANCEL ADM DISS/REV | 2004-10-20 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2001-06-27 | 325 EAGLE DRIVE, PANAMA CITY BEACH, FL 32407 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000738086 | ACTIVE | 1000001019893 | BAY | 2024-11-13 | 2034-11-20 | $ 2,667.59 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PANAMA CITY SERVICE CENTER, 2480 SAINT ANDREWS BLVD, PANAMA CITY FL324052169 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-17 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-03-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4905047706 | 2020-05-01 | 0491 | PPP | 8317 FRONT BEACH RD 29A1, PANAMA CITY BEACH, FL, 32407 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
