| Entity Name: | CINNAMON COVE ALF, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Sep 2010 (14 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 17 Dec 2012 (12 years ago) |
| Document Number: | P10000079800 |
| FEI/EIN Number | 273594222 |
| Address: | 5641 MONTANA AVENUE, NEW PORT RICHEY, FL, 34652 |
| Mail Address: | 5641 MONTANA AVENUE, NEW PORT RICHEY, FL, 34652, US |
| ZIP code: | 34652 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295179802 | 2013-04-25 | 2020-07-31 | 5641 MONTANA AVE, NEW PORT RICHEY, FL, 346522643, US | 5641 MONTANA AVE, NEW PORT RICHEY, FL, 346522643, US | |||||||||||||||||||||||
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| Phone | +1 727-842-2340 |
Authorized person
| Name | CHRISTOPHER JOHANNUS KRASTER |
| Role | OWNER/ADMINISTRATOR |
| Phone | 7278422340 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10949 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105788100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CINNAMON COVE ALF, INC 401K PLAN | 2023 | 273594222 | 2024-06-26 | CINNAMON COVE ALF, INC | 14 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-26 |
| Name of individual signing | CHRIS KRASTER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 3526311962 |
| Plan sponsor’s address | 5641 MONTANA AV, NEW PORT RICHEY, FL, 34652 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-08 |
| Name of individual signing | CHRIS KRASTER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 3526311962 |
| Plan sponsor’s address | 5641 MONTANA AV, NEW PORT RICHEY, FL, 34652 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-09 |
| Name of individual signing | CHRISTOPHER KRASTER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 3526311962 |
| Plan sponsor’s address | 5641 MONTANA AV, NEW PORT RICHEY, FL, 34652 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-03 |
| Name of individual signing | CHRIS KRASTER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Kraster Christopher J | Agent | 8636 Inwood Dr., HUDSON, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| Kraster Christopher J | President | 8636 Inwood Dr., HUDSON, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| KRASTER Diana | Treasurer | 8636 Inwood Dr., HUDSON, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| Kraster Christopher J | Secretary | 8636 Inwood Dr., HUDSON, FL, 34667 |
| Name | Role | Address |
|---|---|---|
| Penfold-Christian Kathleen A | Director | 5641 MONTANA AVENUE, NEW PORT RICHEY, FL, 34652 |
| Fielder Bobby J | Director | 5641 MONTANA AVENUE, NEW PORT RICHEY, FL, 34652 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-01-02 | 5641 MONTANA AVENUE, NEW PORT RICHEY, FL 34652 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-15 | Kraster, Christopher J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-15 | 8636 Inwood Dr., HUDSON, FL 34667 | No data |
| AMENDMENT | 2012-12-17 | No data | No data |
| AMENDMENT | 2012-08-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-01-02 |
| AMENDED ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-02-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
