| Entity Name: | EAGLE EYE GROUP HOME INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
EAGLE EYE GROUP HOME 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: | 12 Oct 2006 (18 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 15 Dec 2007 (17 years ago) |
| Document Number: | P06000132562 |
| FEI/EIN Number |
205745501
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 415 EAGLE DRIVE, KISSIMMEE, FL, 34759 |
| Mail Address: | 415 EAGLE DRIVE, KISSIMMEE, FL, 34759 |
| ZIP code: | 34759 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336894393 | 2022-02-18 | 2022-02-18 | 415 EAGLE DR, KISSIMMEE, FL, 347594432, US | 415 EAGLE EYE GROUP HOME, INC, KISSIMMEE, FL, 34759, US | |||||||||||||||||||||||||||||
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| Phone | +1 863-547-4886 |
| Fax | 8635474993 |
Authorized person
| Name | PAULETTE ANNMARIE ANNIKEY |
| Role | CEO |
| Phone | 3219786509 |
Taxonomy
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Is Primary | Yes |
| Taxonomy Code | 320800000X - Mental Illness Community Based Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 692345396 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EAGLE EYE GROUP HOME INC - 401K PLAN | 2019 | 205745501 | 2020-07-21 | EAGLE EYE GROUP HOME INC | 10 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2020-07-21 |
| Name of individual signing | PAULETTE ANNIKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 8635474886 |
| Plan sponsor’s address | 415 EAGLE DR, KISSIMMEE, FL, 34759 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-30 |
| Name of individual signing | PAULETTE ANNIKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 8635474886 |
| Plan sponsor’s address | 415 EAGLE DR, KISSIMMEE, FL, 34759 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-30 |
| Name of individual signing | PAULETTE ANNIKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ANNIKEY PAULETTE | President | 415 EAGLE DRIVE, KISSIMMEE, FL, 34759 |
| THOMPSON EUGENE N | Vice President | 616 Mercado Ct, KISSIMMEE, FL, 34758 |
| Thompson Shamar S | Exec | 240 AbbotsBury Drive, Kissimmee, FL, 34758 |
| ANNIKEY PAULETTE | Agent | 415 EAGLE DRIVE, KISSIMMEE, FL, 34744 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000050634 | EAGLE EYE GROUP HOME, INC. #2 | EXPIRED | 2014-05-23 | 2019-12-31 | - | 415 EAGLE DRIVE, KISSIMMEE, FL, 34758 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CANCEL ADM DISS/REV | 2007-12-15 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000057076 | TERMINATED | 1000000447127 | POLK | 2012-12-26 | 2033-01-02 | $ 305.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-03-02 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-04-03 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
