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FLORIDA SHORES OF MELBOURNE ASSISTED LIVING, INC. - Florida Company Profile

Company Details

Entity Name: FLORIDA SHORES OF MELBOURNE ASSISTED LIVING, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FLORIDA SHORES OF MELBOURNE ASSISTED 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 22 Jul 2004 (21 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 14 Oct 2005 (20 years ago)
Document Number: P04000108907
FEI/EIN Number 010817974

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2155 KEYSTONE AVENUE, WEST MELBOURNE, FL, 32904
Mail Address: 2155 KEYSTONE AVENUE, WEST MELBOURNE, FL, 32904
ZIP code: 32904
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710229976 2013-03-26 2017-04-06 2155 KEYSTONE AVE, MELBOURNE, FL, 329046146, US 2155 KEYSTONE AVE, MELBOURNE, FL, 329046146, US

Contacts

Phone +1 646-541-5552
Fax 3219510896

Authorized person

Name MR. IRENE MERCADO
Role SECRETARY
Phone 6465415552

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL7324
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
MERCADO RONEL President 2155 KEYSTONE AVE., MELBOURNE, FL, 32904
MERCADO RONEL Director 2155 KEYSTONE AVE., MELBOURNE, FL, 32904
MERCADO IRENE Secretary 2155 KEYSTONE AVENUE, WEST MELBOURNE, FL, 32904
MERCADO RONEL Agent 2155 KEYSTONE AVE., MELBOURNE, FL, 32904

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000075268 FLORIDA SHORES OF MELBOURNE 1 ALF ACTIVE 2018-07-10 2028-12-31 - 2155 KEYSTONE AVE., MELBOURNE, FL, 32904
G06324700181 SMILES AND LOVING CARE ASSISTED LIVING FACILITY ACTIVE 2006-11-20 2026-12-31 - 2155 KEYSTONE AVE, MELBOURNE, FL, 32904

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2006-04-28 2155 KEYSTONE AVE., MELBOURNE, FL 32904 -
CANCEL ADM DISS/REV 2005-10-14 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-01-31
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-03-13
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-03-13
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-01-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5983718604 2021-03-20 0455 PPS 2155 Keystone Ave 2155 Keystone Ave, W Melbourne, FL, 32904-6146
Loan Status Date 2021-11-11
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 27365
Loan Approval Amount (current) 27365
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address W Melbourne, BREVARD, FL, 32904-6146
Project Congressional District FL-08
Number of Employees 4
NAICS code 623312
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 27526.15
Forgiveness Paid Date 2021-10-25
6754057710 2020-05-01 0455 PPP 2155 KEYSTONE AVE, W MELBOURNE, FL, 32904
Loan Status Date 2021-08-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 18500
Loan Approval Amount (current) 18500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 44449
Servicing Lender Name PNC Bank, National Association
Servicing Lender Address 222 Delaware Ave, WILMINGTON, DE, 19801-1621
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address W MELBOURNE, BREVARD, FL, 32904-1000
Project Congressional District FL-08
Number of Employees 3
NAICS code -
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 44449
Originating Lender Name PNC Bank, National Association
Originating Lender Address WILMINGTON, DE
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 18728.17
Forgiveness Paid Date 2021-07-23

Date of last update: 02 Apr 2025

Sources: Florida Department of State