| Entity Name: | LAKE BENNETT, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 28 Sep 2009 (15 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P09000080567 |
| FEI/EIN Number | 27-1010411 |
| Address: | 16215 Panama City Beach Parkway, Panama City Bch, FL 32413 |
| Mail Address: | 16215 Panama City Beach Parkway, Panama City Bch, FL 32413 |
| ZIP code: | 32413 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740514496 | 2009-09-29 | 2009-09-29 | 1091 KELTON AVE, OCOEE, FL, 347613162, US | 1091 KELTON AVE, OCOEE, FL, 347613162, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 850-258-0316 |
| Fax | 8503920000 |
Authorized person
| Name | MR. JOHN EARL WARREN |
| Role | PRESIDENT |
| Phone | 8502580316 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Burke, Mike, Esq. | Agent | 16215 Panama City Beach Parkway, PANAMA CITY BCH, FL 32413 |
| Name | Role | Address |
|---|---|---|
| WARREN, JOHN | Director | PO BOX 28330, PANAMA CITY BEACH, FL 32411 |
| Name | Role | Address |
|---|---|---|
| WARREN, JOHN | President | PO BOX 28330, PANAMA CITY BEACH, FL 32411 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000180114 | LAKE BENNETT HEALTH AND REHABILITATION CENTER | EXPIRED | 2009-12-15 | 2014-12-31 | No data | 1091 KELTON AVE., OCOEE, FL, 34761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-26 | 16215 Panama City Beach Parkway, Panama City Bch, FL 32413 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-26 | 16215 Panama City Beach Parkway, Panama City Bch, FL 32413 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-10 | Burke, Mike, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-10 | 16215 Panama City Beach Parkway, PANAMA CITY BCH, FL 32413 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000167380 | TERMINATED | 1000000255424 | LEON | 2012-03-01 | 2022-03-07 | $ 531.94 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 5050 W TENNESSEE ST, TALLAHASSEE FL323996586 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-26 |
| AMENDED ANNUAL REPORT | 2014-04-10 |
| ANNUAL REPORT | 2014-03-17 |
| ANNUAL REPORT | 2013-04-18 |
| ANNUAL REPORT | 2012-03-22 |
| ANNUAL REPORT | 2011-01-25 |
| ANNUAL REPORT | 2010-01-05 |
| Domestic Profit | 2009-09-28 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
