| Entity Name: | SUPPORT INDEPENDENT LIVING INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SUPPORT INDEPENDENT LIVING 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 20 Feb 2003 (22 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P03000020982 |
| FEI/EIN Number |
562515419
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11 RACETRACK RD, SUITE C2, FORT WALTON BEACH, FL, 32547 |
| Mail Address: | 11 RACETRACK RD, SUITE C2, FORT WALTON BEACH, FL, 32547 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306590260 | 2022-02-09 | 2022-02-09 | 11 RACETRACK RD NE STE C2, FORT WALTON BEACH, FL, 325471867, US | 11 RACETRACK RD NE STE C2, FORT WALTON BEACH, FL, 325471867, US | |||||||||||||||||||||
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| Phone | +1 850-259-7190 |
| Fax | 8508624849 |
Authorized person
| Name | BRENDA F MARRIER |
| Role | OWNER |
| Phone | 8502597190 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 684509696 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARRIER BRENDA | President | 2276 SALAMANCA STREET, NAVARRE, FL, 32566 |
| MARRIER BRENDA | Director | 2276 SALAMANCA STREET, NAVARRE, FL, 32566 |
| MARRIER BRENDA | Agent | 2276 SALAMANCA STREET, NAVARRE, FL, 32566 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-14 | 11 RACETRACK RD, SUITE C2, FORT WALTON BEACH, FL 32547 | - |
| CHANGE OF MAILING ADDRESS | 2011-04-14 | 11 RACETRACK RD, SUITE C2, FORT WALTON BEACH, FL 32547 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-15 | 2276 SALAMANCA STREET, NAVARRE, FL 32566 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-05-03 |
| ANNUAL REPORT | 2015-04-16 |
| ANNUAL REPORT | 2014-04-09 |
| ANNUAL REPORT | 2013-04-12 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-14 |
| ANNUAL REPORT | 2010-04-21 |
| ANNUAL REPORT | 2009-04-15 |
| ANNUAL REPORT | 2008-04-10 |
| ANNUAL REPORT | 2007-04-27 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
