| Entity Name: | SOUTHERN HOME ASSISTED LIVING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Oct 2003 (21 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P03000113772 |
| FEI/EIN Number | 571194811 |
| Address: | 3854 HWY. 2, GRACEVILLE, FL, 32440, US |
| Mail Address: | 3854 HWY. 2, GRACEVILLE, FL, 32440, US |
| ZIP code: | 32440 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174691646 | 2006-12-01 | 2020-08-22 | 3854 HWY 2, GRACEVILLE, FL, 32440, US | 3854 HIGHWAY 2, GRACEVILLE, FL, 324407406, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-263-7999 |
| Fax | 8502636555 |
Authorized person
| Name | MRS. KAREN CECILE STOE |
| Role | PRESIDENT |
| Phone | 8502637999 |
Taxonomy
| Taxonomy Code | 372600000X - Adult Companion |
| License Number | AL10417 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STOE KAREN | Agent | 3854 HWY. 2, GRACEVILLE, FL, 32440 |
| Name | Role | Address |
|---|---|---|
| STOE KAREN | President | 3854 HWY. 2, GRACEVILLE, FL, 32440 |
| STOE BENJAMIN D | President | 3856 HWY 2, GRACEVILLE, FL, 32440 |
| Name | Role | Address |
|---|---|---|
| STOE BENJAMIN D | Vice President | 3856 HWY 2, GRACEVILLE, FL, 32440 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2007-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2007-10-06 |
| ANNUAL REPORT | 2006-04-24 |
| ANNUAL REPORT | 2005-04-27 |
| ANNUAL REPORT | 2004-04-27 |
| Domestic Profit | 2003-10-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
