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12 KEYS REHAB INC. - Florida Company Profile

Company Details

Entity Name: 12 KEYS REHAB INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

12 KEYS REHAB 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: 21 May 2008 (17 years ago)
Date of dissolution: 30 Apr 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 30 Apr 2020 (5 years ago)
Document Number: P08000050932
FEI/EIN Number 262661527

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

Address: 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957, US
Mail Address: 624 Grassmere Park, Suite 11, Nashville, TN, 37211, US
ZIP code: 34957
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598036691 2012-01-20 2014-02-03 3203 NE MAPLE AVE, JENSEN BEACH, FL, 349577261, US 3203 NE MAPLE AVE, JENSEN BEACH, FL, 349577261, US

Contacts

Phone +1 954-746-8232

Authorized person

Name MRS. MAUREEN KOOL
Role DIRECTOR
Phone 9546780078

Taxonomy

Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
License Number 1943AD158702
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
12 KEYS REHAB INC. 401(K) PLAN 2015 262661527 2016-09-23 12 KEYS REHAB INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 7722252200
Plan sponsor’s address 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957

Signature of

Role Plan administrator
Date 2016-09-23
Name of individual signing BARBARA GRANT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-23
Name of individual signing BARBARA GRANT
Valid signature Filed with authorized/valid electronic signature
12 KEYS REHAB INC. 401(K) PLAN 2014 262661527 2015-07-23 12 KEYS REHAB INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 7722252200
Plan sponsor’s address 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957

Signature of

Role Plan administrator
Date 2015-07-23
Name of individual signing BARBARA GRANT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-23
Name of individual signing BARBARA GRANT
Valid signature Filed with authorized/valid electronic signature
12 KEYS REHAB INC. 401(K) PLAN 2013 262661527 2014-07-28 12 KEYS REHAB INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621420
Sponsor’s telephone number 7722252200
Plan sponsor’s address 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing BARBARA GRANT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-28
Name of individual signing BARBARA GRANT
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MACMASTER SAMUEL Secretary 5500 Maryland Way, Brentwood, TN, 37027
LEE KEVIN D President 5500 Maryland Way, Brentwood, TN, 37027
Lee Kevin D Agent 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000092519 12 KEYS REHAB INC EXPIRED 2013-09-18 2018-12-31 - 618 NE MAPLE AVE, JENSEN BEACH, FL, 34957

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-04-30 - -
CHANGE OF MAILING ADDRESS 2018-04-27 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957 -
CHANGE OF PRINCIPAL ADDRESS 2017-03-22 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957 -
REGISTERED AGENT NAME CHANGED 2017-03-22 Lee, Kevin D -
REGISTERED AGENT ADDRESS CHANGED 2017-03-22 618 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957 -
MERGER 2015-04-22 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000150765
NAME CHANGE AMENDMENT 2013-09-30 12 KEYS REHAB INC. -

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-04-30
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-03-30
Merger 2015-04-22
ANNUAL REPORT 2015-01-15
ANNUAL REPORT 2014-02-28
Name Change 2013-09-30
ANNUAL REPORT 2013-01-17

Date of last update: 01 Apr 2025

Sources: Florida Department of State