| Entity Name: | ZION'S ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Oct 2009 (15 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 Aug 2021 (4 years ago) |
| Document Number: | P09000081414 |
| FEI/EIN Number | 270873859 |
| Address: | 1531 GARDENTON ST NW, PALM BAY, FL, 32907, US |
| Mail Address: | 1531 GARDENTON ST NW, PALM BAY, FL, 32907, US |
| ZIP code: | 32907 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023351996 | 2013-03-29 | 2013-03-29 | 2029 JUPITER BLVD SW, PALM BAY, FL, 329083330, US | 2029 JUPITER BLVD SW, PALM BAY, FL, 32908, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 321-727-8811 |
Authorized person
| Name | SHERON PATRICIA WHYNE |
| Role | ADMINISTRATOR |
| Phone | 3217278811 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11719 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WHYNE SHERON | Agent | 1531 GARDENTON ST NW, PALM BAY, FL, 32907 |
| Name | Role | Address |
|---|---|---|
| WHYNE SHERON | President | 2940 FISHER AVE SE, PALM BAY, FL, 32909 |
| Name | Role | Address |
|---|---|---|
| WHYNE SHERON | Secretary | 2940 FISHER AVE SE, PALM BAY, FL, 32909 |
| Name | Role | Address |
|---|---|---|
| WHYNE SHERON | Treasurer | 2940 FISHER AVE SE, PALM BAY, FL, 32909 |
| Name | Role | Address |
|---|---|---|
| WHYNE SHERON | Director | 2940 FISHER AVE SE, PALM BAY, FL, 32909 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000039082 | ABIDE N LOVE | ACTIVE | 2020-04-07 | 2025-12-31 | No data | 2029 JUPITER BLVD SW, PALM BAY, FL, 32908 |
| G20000039092 | ZION'S II ASSISTED LIVING FACILITY | ACTIVE | 2020-04-07 | 2025-12-31 | No data | 2029 JUPITER BLVD SW, PALM BAY, FL, 32908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-02 | 1531 GARDENTON ST NW, PALM BAY, FL 32907 | No data |
| AMENDMENT | 2021-08-02 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-02 | 1531 GARDENTON ST NW, PALM BAY, FL 32907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-08-02 | 1531 GARDENTON ST NW, PALM BAY, FL 32907 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-19 | WHYNE, SHERON | No data |
| REINSTATEMENT | 2019-10-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000994070 | TERMINATED | 1000000513476 | BREVARD | 2013-05-16 | 2033-05-22 | $ 660.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, COCOA SERVICE CENTER, 2428 CLEARLAKE RD STE M, COCOA FL329225731 |
| J13000994088 | TERMINATED | 1000000513477 | BREVARD | 2013-05-16 | 2023-05-22 | $ 415.79 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, COCOA SERVICE CENTER, 2428 CLEARLAKE RD STE M, COCOA FL329225731 |
| J12000776776 | TERMINATED | 1000000392892 | BREVARD | 2012-10-15 | 2022-10-25 | $ 897.06 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, COCOA SERVICE CENTER, 2428 CLEARLAKE RD STE M, COCOA FL329225731 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-29 |
| Amendment | 2021-08-02 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-02-10 |
| REINSTATEMENT | 2019-10-25 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-03-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
