| Entity Name: | LAKESHORE LIVING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Apr 2004 (21 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: | P04000069106 |
| FEI/EIN Number | 201055926 |
| Address: | 10919 MISTLETOE DR, THONOTOSASSA, FL, 33592 |
| Mail Address: | 10919 MISTLETOE DR, THONOTOSASSA, FL, 33592 |
| ZIP code: | 33592 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154556876 | 2009-05-26 | 2009-05-26 | 10919 MISTLETOE DR, THONOTOSASSA, FL, 335922801, US | 10919 MISTLETOE DR, THONOTOSASSA, FL, 335922801, US | |||||||||||||||||||
|
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| Phone | +1 813-982-1050 |
| Fax | 8139821070 |
Authorized person
| Name | MR. DAVID CALDWELL |
| Role | OWNER |
| Phone | 8139821050 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10832 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CALDWELL DAVID | President | 10919 Mistletoe Drive, THONOTOSASSA, FL, 33592 |
| Name | Role | Address |
|---|---|---|
| Caldwell David W | EX | 10919 MISTLETOE DR, THONOTOSASSA, FL, 33592 |
| Name | Role | Address |
|---|---|---|
| Caldwell David W | Director | 10919 MISTLETOE DR, THONOTOSASSA, FL, 33592 |
| Name | Role | Address |
|---|---|---|
| COHEN ROBERT | Treasurer | 10919 MISTLETOE DR, THONOTOSASSA, FL, 33592 |
| Name | Role | Address |
|---|---|---|
| MORROW LUAN | B | 10919 MISTLETOE DR, THONOTOSASSA, FL, 33592 |
| Name | Role | Address |
|---|---|---|
| MORROW LUAN | Secretary | 10919 MISTLETOE DR, THONOTOSASSA, FL, 33592 |
| CALDWELL DAVID | Secretary | 10919 MISTLETOE DR, THONOTSASSA, FL, 33592 |
| Name | Role | Address |
|---|---|---|
| ROMANER HARRIS | Vice President | 10919 MISTLETOE DR, THONOTOSASSA, FL, 33592 |
| Name | Role | Address |
|---|---|---|
| ROMANER HARRIS | Manager | 10919 MISTLETOE DR, THONOTOSASSA, FL, 33592 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000040396 | LAKESHORE ASSISTED LIVING | EXPIRED | 2012-05-01 | 2017-12-31 | No data | 10919 MISTLETOE DR, THONOTOSASSA, FL, 33592 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-30 | 10919 MISTLETOE DR, THONOTOSASSA, FL 33592 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-30 | 10919 MISTLETOE DR, THONOTOSASSA, FL 33592 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000210718 | ACTIVE | 1000000739531 | HILLSBOROU | 2017-04-04 | 2027-04-12 | $ 1,087.69 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J14000398825 | LAPSED | 1000000598898 | HILLSBOROU | 2014-03-19 | 2024-03-28 | $ 890.58 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J13000208109 | LAPSED | 1000000446073 | HILLSBOROU | 2013-01-16 | 2023-01-23 | $ 930.51 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| J13000098088 | LAPSED | 1000000334262 | HILLSBOROU | 2013-01-11 | 2023-01-16 | $ 1,316.88 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-02-10 |
| Reg. Agent Resignation | 2015-01-15 |
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-03-26 |
| ANNUAL REPORT | 2012-07-05 |
| ANNUAL REPORT | 2012-04-27 |
| Off/Dir Resignation | 2012-03-14 |
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-03-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
