| Entity Name: | PEMBROOK PLACE ALF, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 Jul 2000 (25 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P00000073818 |
| FEI/EIN Number | 593669619 |
| Address: | 2331 PEMBROOK DRIVE, CLEARWATER, FL, 33764, US |
| Mail Address: | 1623 ROBINHOOD LN, CLEARWATER, FL, 33764, US |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477884104 | 2010-01-20 | 2010-01-20 | 2331 PEMBROOK DR., PEMBROOK PLACE ALF INC., CLEARWATER, FL, 33764, US | 2331 PEMBROOK DR., CLEARWATER, FL, 33764, US | |||||||||||||||||||
|
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| Phone | +1 727-536-5865 |
| Fax | 7275391484 |
Authorized person
| Name | MRS. ESTRELLA LABIOS MONTECLARO |
| Role | PRESIDENT |
| Phone | 7275365865 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | ALF LEVEL 2 #AL7581 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONTECLARO MICHAEL L | Agent | 2723 VIA CAPRI UNIT 815, CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| MONTECLARO MICHAEL L | President | 2723 VIA CAPRI UNIT 815, CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| MONTECLARO MICHAEL L | Vice President | 2723 VIA CAPRI UNIT 815, CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| MONTECLARO MICHELLE L | Treasurer | 2723 VIA CAPRI UNIT 815, CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| MONTECLARO MICHELLE L | Secretary | 2723 VIA CAPRI UNIT 815, CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| MONTECLARO GEORGE T | BOD | 2723 VIA CAPRI UNIT 815, CLEARWATER, FL, 33764 |
| MONTECLARO ESTRELLA L | BOD | 2723 VIA CAPRI UNIT 815, CLEARWATER, FL, 33764 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-10-17 | 2331 PEMBROOK DRIVE, CLEARWATER, FL 33764 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-13 | MONTECLARO, MICHAEL L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-13 | 2723 VIA CAPRI UNIT 815, CLEARWATER, FL 33764 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-04-19 | 2331 PEMBROOK DRIVE, CLEARWATER, FL 33764 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-13 |
| ANNUAL REPORT | 2010-04-05 |
| ANNUAL REPORT | 2009-04-27 |
| ANNUAL REPORT | 2008-02-15 |
| ANNUAL REPORT | 2007-04-02 |
| ANNUAL REPORT | 2006-04-12 |
| ANNUAL REPORT | 2005-03-07 |
| ANNUAL REPORT | 2004-04-09 |
| ANNUAL REPORT | 2003-09-02 |
| ANNUAL REPORT | 2002-04-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
