| Entity Name: | TRAUMATIC BRAIN EDUCATION ADULT COMMUNITY HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Jun 2005 (20 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P05000090018 |
| FEI/EIN Number | 203050423 |
| Address: | 5115 CR 675, MYAKKA CITY, FL, 34251-9079, US |
| Mail Address: | PO BOX 1347, WAUCHULA, FL, 33873-1347, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114052933 | 2007-02-22 | 2020-08-22 | PO BOX 1722, WAUCHULA, FL, 338731722, US | 3858 W MAIN ST, WAUCHULA, FL, 338739395, US | |||||||||||||||||||
|
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| Phone | +1 863-773-2857 |
| Fax | 8637732041 |
Authorized person
| Name | MR. JASON TRAVIS BONE |
| Role | ADMINISTRATOR |
| Phone | 8637732857 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL0008514 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRENNICK JOSEPH | Agent | 5115 CR 675, MYAKKA CITY, FL, 342519079 |
| Name | Role | Address |
|---|---|---|
| BRENNICK JOSEPH | Director | PO BOX 1347, WAUCHULA, FL, 338731347 |
| Name | Role | Address |
|---|---|---|
| BRENNICK JOSEPH | Vice President | PO BOX 1347, WAUCHULA, FL, 338731347 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-12 | 5115 CR 675, MYAKKA CITY, FL 34251-9079 | No data |
| CHANGE OF MAILING ADDRESS | 2017-10-12 | 5115 CR 675, MYAKKA CITY, FL 34251-9079 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-12 | BRENNICK, JOSEPH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-10-12 | 5115 CR 675, MYAKKA CITY, FL 34251-9079 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2017-10-12 |
| ANNUAL REPORT | 2017-03-24 |
| ANNUAL REPORT | 2016-01-21 |
| ANNUAL REPORT | 2015-02-18 |
| ANNUAL REPORT | 2014-03-05 |
| ANNUAL REPORT | 2013-03-13 |
| ANNUAL REPORT | 2012-01-18 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-01-21 |
| ANNUAL REPORT | 2009-01-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
