| Entity Name: | COMMUNITY-BASED OPTIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Feb 2003 (22 years ago) |
| Document Number: | P03000017116 |
| FEI/EIN Number | 542096037 |
| Address: | 282 Forest Park Circle, PANAMA CITY, FL, 32405, US |
| Mail Address: | 282 Forest Park Cir, PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376701722 | 2008-05-31 | 2008-05-31 | PO BOX 438, PANAMA CITY, FL, 324020438, US | 435 W OAK AVE, PANAMA CITY, FL, 324012737, US | |||||||||||||||||||||
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| Phone | +1 850-215-7688 |
| Fax | 8507692088 |
Authorized person
| Name | MR. GLENN FREDERICK LORD JR. |
| Role | CEO/PRESIDENT |
| Phone | 8502496195 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 686106796 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LordShiver GLENN F | Agent | 282 Forest Park Circle, PANAMA CITY, FL, 32405 |
| Name | Role | Address |
|---|---|---|
| LordShiver GLENN F | President | 282 Forest Park Circle, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-03 | 282 Forest Park Circle, PANAMA CITY, FL 32405 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-03 | LordShiver, GLENN F | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-17 | 282 Forest Park Circle, PANAMA CITY, FL 32405 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-17 | 282 Forest Park Circle, PANAMA CITY, FL 32405 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000371597 | TERMINATED | 1000000867640 | BAY | 2020-11-12 | 2040-11-18 | $ 2,098.54 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PANAMA CITY SERVICE CENTER, 2480 SAINT ANDREWS BLVD, PANAMA CITY FL324052169 |
| J15000521704 | TERMINATED | 1000000674374 | BAY | 2015-04-22 | 2035-04-27 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PANAMA CITY SERVICE CENTER, 210 N TYNDALL PKWY, PANAMA CITY FL324046432 |
| J13001264614 | TERMINATED | 1000000441200 | BAY | 2012-12-20 | 2023-08-16 | $ 4,880.12 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PANAMA CITY SERVICE CENTER, 210 N TYNDALL PKWY, PANAMA CITY FL324046432 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-04-17 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-07 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5101178302 | 2021-01-25 | 0491 | PPS | 284 Forest Park Cir, Panama City, FL, 32405-4921 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7703417204 | 2020-04-28 | 0491 | PPP | 284 Forest Park Cir,, Panama City, FL, 32405 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
