| Entity Name: | WESTBROOKE MANOR, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WESTBROOKE 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: | 09 Dec 2005 (19 years ago) |
| Date of dissolution: | 25 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Apr 2022 (3 years ago) |
| Document Number: | P05000161478 |
| FEI/EIN Number |
204787867
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 800 Hamilton Dr, St Simons, GA, 31522, US |
| Address: | 6701 DAIRY RD, ZEPHRYHILLS, FL, 33542-6618 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528245875 | 2008-01-29 | 2011-03-11 | 6701 DAIRY RD, ZEPHYRHILLS, FL, 335426618, US | 6701 DAIRY RD, ZEPHYRHILLS, FL, 335426618, US | |||||||||||||||||||||||||
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| Phone | +1 813-782-4417 |
| Fax | 8137828781 |
Authorized person
| Name | MR. DOUGLAS MATTHEW KLINOWSKI |
| Role | PRESIDENT |
| Phone | 8137824417 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL6061 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 693714400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Klinowski Douglas M | Chief Executive Officer | 800 Hamilton Dr, St Simons, GA, 31522 |
| Klinowski Cynthia | President | 900 Rose Cottage Rd, St Simons, GA, 31522 |
| KLINOWSKI DOUGLAS M | Agent | 800 Hamilton Dr, St Simons, FL, 31522 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-25 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-17 | 800 Hamilton Dr, St Simons, FL 31522 | - |
| CHANGE OF MAILING ADDRESS | 2021-03-17 | 6701 DAIRY RD, ZEPHRYHILLS, FL 33542-6618 | - |
| REINSTATEMENT | 2015-10-06 | - | - |
| REGISTERED AGENT NAME CHANGED | 2015-10-06 | KLINOWSKI, DOUGLAS M | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-05-01 | 6701 DAIRY RD, ZEPHRYHILLS, FL 33542-6618 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000752835 | TERMINATED | 1000000345970 | PASCO | 2012-10-11 | 2032-10-25 | $ 6,641.68 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PORT RICHEY SERVICE CENTER, 6709 RIDGE RD STE 300, PORT RICHEY FL346686842 |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2022-04-25 |
| ANNUAL REPORT | 2021-03-17 |
| AMENDED ANNUAL REPORT | 2020-10-26 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-03-07 |
| REINSTATEMENT | 2015-10-06 |
| ANNUAL REPORT | 2014-04-25 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3005686006 | Small Business Administration | 59.041 - 504 CERTIFIED DEVELOPMENT LOANS | - | - | TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR | |||||||||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5576357207 | 2020-04-27 | 0455 | PPP | 6701 DAIRY RD, ZEPHYRHILLS, FL, 33542-6618 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
