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LAKE COUNTY ADULT ACTIVITY CENTER, INC.

LAKE COUNTY ADULT ACTIVITY CENTER, INC.

Company Details

Entity Name:	LAKE COUNTY ADULT ACTIVITY CENTER, INC.
Jurisdiction:	FLORIDA
Filing Type:	Florida Profit Corporation
Status:	Active
Date Filed:	27 Feb 2009 (16 years ago)
Document Number:	P09000019126
FEI/EIN Number	26-4370446
Address:	355 Citrus Tower Blvd, Suite 102, CLERMONT, FL 34711
Mail Address:	355 Citrus Tower Blvd, Suite 102, CLERMONT, FL 34711
ZIP code:	34711
County:	Lake
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1447603303

2016-07-15

1934 N DONNELLY ST, SUITE B, MOUNT DORA, FL, 32757, US

Contacts

Phone	+1 352-404-6098
Fax	3524046475

Authorized person

Name	MRS. CAROLINA MARIA GARCIA
Role	FACILITY DIRECTOR
Phone	3524046098

Taxonomy

Taxonomy Code	385H00000X - Respite Care
License Number	9285
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LAKE COUNTY ADULT ACTIVITY CENTER INC 401K PROFIT SHARING PLAN TRUST

2015

264370446

2016-08-01

LAKE COUNTY ADULT ACTIVITY CENTER INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	623000
Sponsor’s telephone number	3524046098
Plan sponsor’s DBA name	ADULT DAY CARE
Plan sponsor’s address	248 MOHAWK RD, CLERMONT, FL, 347157433

Signature of

Role	Plan administrator
Date	2016-08-01
Name of individual signing	CAROLINA GARCIA
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Address
GARCIA, CAROLINA M	Agent	355 Citrus Tower Blvd, Suite 102, CLERMONT, FL 34711

President

Name	Role	Address
GARCIA, CAROLINA M	President	355 Citrus Tower Blvd, Suite 102 CLERMONT, FL 34711

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2017-02-21	355 Citrus Tower Blvd, Suite 102, CLERMONT, FL 34711	No data
CHANGE OF MAILING ADDRESS	2017-02-21	355 Citrus Tower Blvd, Suite 102, CLERMONT, FL 34711	No data
REGISTERED AGENT ADDRESS CHANGED	2017-02-21	355 Citrus Tower Blvd, Suite 102, CLERMONT, FL 34711	No data

Documents

Name	Date
ANNUAL REPORT	2025-01-21
ANNUAL REPORT	2024-02-21
ANNUAL REPORT	2023-01-20
ANNUAL REPORT	2022-01-26
ANNUAL REPORT	2021-02-02
ANNUAL REPORT	2020-01-16
ANNUAL REPORT	2019-04-02
ANNUAL REPORT	2018-01-29
ANNUAL REPORT	2017-02-21
ANNUAL REPORT	2016-01-15
ANNUAL REPORT	2015-03-03
ANNUAL REPORT	2014-04-10
ANNUAL REPORT	2013-04-15
ANNUAL REPORT	2012-04-15
ANNUAL REPORT	2011-04-30
ANNUAL REPORT	2010-04-19
Domestic Profit	2009-02-27

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

5432648404

2021-02-08

0491

PPS

355 Citrus Tower Blvd Ste 102, Clermont, FL, 34711-6501

Loan Status Date	2021-10-16
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	39202
Loan Approval Amount (current)	39202
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	9551
Servicing Lender Name	Bank of America, National Association
Servicing Lender Address	100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Clermont, LAKE, FL, 34711-6501
Project Congressional District	FL-11
Number of Employees	5
NAICS code	561499
Borrower Race	White
Borrower Ethnicity	Hispanic or Latino
Business Type	Corporation
Originating Lender ID	9551
Originating Lender Name	Bank of America, National Association
Originating Lender Address	CHARLOTTE, NC
Gender	Female Owned
Veteran	Non-Veteran
Forgiveness Amount	39421.1
Forgiveness Paid Date	2021-09-01

Date of last update: 24 Feb 2025

Sources: Florida Department of State