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SHADY OAKS REST HOME, INC. - Florida Company Profile

Company Details

Entity Name: SHADY OAKS REST HOME, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SHADY OAKS REST 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: 27 Jul 2010 (15 years ago)
Document Number: P10000061622
FEI/EIN Number 46-5453621

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

Address: 1208 KENNEDY ROAD, DAYTONA BEACH, FL, 32117
Mail Address: 1208 KENNEDY ROAD, DAYTONA BEACH, FL, 32117
ZIP code: 32117
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699036285 2012-05-31 2014-10-27 1208 KENNEDY RD, DAYTONA BEACH, FL, 32117, US 1208 KENNEDY RD, DAYTONA BEACH, FL, 32117, US

Contacts

Phone +1 386-253-6993

Authorized person

Name MR. JAMES HAM
Role MANAGER
Phone 3865620870

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL10293
State FL
Is Primary No
Taxonomy Code 310400000X - Assisted Living Facility
License Number 10293
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHADY OAKS REST HOME INC. 401 K PROFIT SHARING PLAN TRUST 2015 465453621 2016-06-14 SHADY OAKS REST HOME INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 3865620870
Plan sponsor’s address 1208 KENNEDY RD, DAYTONA BEACH, FL, 32117

Signature of

Role Plan administrator
Date 2016-06-14
Name of individual signing JAMES HAM
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
HAM CHI President 1208 KENNEDY ROAD, DAYTONA BEACH, FL, 32117
Ham Chi y Agent 1208 KENNEDY ROAD, DAYTONA BEACH, FL, 32117

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2013-01-24 Ham, Chi y -
REGISTERED AGENT ADDRESS CHANGED 2013-01-24 1208 KENNEDY ROAD, DAYTONA BEACH, FL 32117 -

Documents

Name Date
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-02-17
ANNUAL REPORT 2021-03-23
ANNUAL REPORT 2020-03-04
ANNUAL REPORT 2019-02-19
ANNUAL REPORT 2018-04-12
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-29
ANNUAL REPORT 2015-01-02

Date of last update: 01 Apr 2025

Sources: Florida Department of State