| Entity Name: | TIMBERLANE LODGE ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Aug 2010 (14 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P10000070088 |
| FEI/EIN Number | 273393117 |
| Address: | 415 S. TIMBERLANE DR., NEW SMYRNA BEACH, FL, 32168, US |
| Mail Address: | 260 SPRING FOREST, NEW SMYRNA BEACH, FL, 32168, US |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578993127 | 2013-11-19 | 2013-11-19 | 415 S TIMBERLANE DR, NEW SMYRNA BEACH, FL, 321688261, US | 415 S TIMBERLANE DR, NEW SMYRNA BEACH, FL, 321688261, US | |||||||||||||||||
|
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| Phone | +1 386-428-7442 |
Authorized person
| Name | TAMELA OWENS |
| Role | PRESIDENT |
| Phone | 3864287442 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11914 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OWENS TAMELA S | Agent | 260 SPRING FOREST DR., NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| OWENS TAMELA S | President | 260 SPRING FOREST DR., NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| WELBORN GARY S | Vice President | 260 SPRING FOREST DR., NEW SMYRNA BEACH, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-07-02 | 415 S. TIMBERLANE DR., NEW SMYRNA BEACH, FL 32168 | No data |
| CHANGE OF MAILING ADDRESS | 2012-07-02 | 415 S. TIMBERLANE DR., NEW SMYRNA BEACH, FL 32168 | No data |
| NAME CHANGE AMENDMENT | 2010-09-02 | TIMBERLANE LODGE ASSISTED LIVING FACILITY, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-03-02 |
| ANNUAL REPORT | 2013-03-20 |
| ANNUAL REPORT | 2012-07-02 |
| ANNUAL REPORT | 2011-03-17 |
| Name Change | 2010-09-02 |
| Domestic Profit | 2010-08-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
