| Entity Name: | HAMPTON MANOR, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
HAMPTON MANOR, 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: | 16 Oct 2003 (22 years ago) |
| Date of dissolution: | 25 Sep 2015 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (10 years ago) |
| Document Number: | P03000115399 |
| FEI/EIN Number |
061711309
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1810 SE 16TH AVE, OCALA, FL, 34471, US |
| Mail Address: | 1810 SE 16TH AVE, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114184512 | 2008-05-22 | 2008-05-22 | 1731 SW 2ND AVE, SUIT C, OCALA, FL, 34471, US | 1731 SW 2ND AVE, SUIT C, OCALA, FL, 34471, US | |||||||||||||||||||||||||
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| Phone | +1 352-387-1830 |
| Fax | 3528730237 |
Authorized person
| Name | MR. PEDER L JOHNSEN |
| Role | PRESIDENT |
| Phone | 3523871830 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10647 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 14400801 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSEN PEDER | President | 1810 SE 16TH AVE, OCALA, FL, 34471 |
| JOHNSEN PEDER L | Agent | 1810 SE 16TH AVE, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-30 | 1810 SE 16TH AVE, OCALA, FL 34471 | - |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 1810 SE 16TH AVE, OCALA, FL 34471 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-30 | 1810 SE 16TH AVE, OCALA, FL 34471 | - |
| REGISTERED AGENT NAME CHANGED | 2010-04-30 | JOHNSEN, PEDER L | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000495143 | LAPSED | 08 CA 00896 | MARION CO | 2015-03-26 | 2023-07-16 | $22,000.00 | JOYCE FORTNER, 525 SE 35TH STREET, OCALA, FLAORIDA 34471 |
| J18000495184 | LAPSED | 08 CA 00896 | MARION CO | 2013-06-07 | 2023-07-16 | $295,000.00 | JOYCE FORTNER, 525 SE 35TH STREET, OCALA, FLORIDA 34471 |
| J12000218662 | LAPSED | 08-CA-00896 | CIRCUIT COURT FIFTH CIRCUIT | 2012-03-26 | 2017-03-27 | $250,676.00 | JOYCE FORTNER, 525 SE 35TH STREET, OCALA, FLORIDA 34471 |
| J10000945268 | LAPSED | 08-683-CC | MARION CNTY CRT | 2010-07-16 | 2015-09-28 | $110287.21 | FELDMAN, FO & MORGADO, P.A., 2701 N. ROCKY POINT DRIVE, SUITE 1000, TAMPA, FL 33607 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-26 |
| ANNUAL REPORT | 2011-04-27 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-21 |
| ANNUAL REPORT | 2008-03-03 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-04-28 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
