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AT HOME CARE ASSISTED LIVING FACILITY, INC. - Florida Company Profile

Company Details

Entity Name: AT HOME CARE ASSISTED LIVING FACILITY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

AT HOME CARE ASSISTED LIVING FACILITY, 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: 20 Jun 2011 (14 years ago)
Document Number: P11000057153
FEI/EIN Number 452573334

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

Mail Address: 40105 French Rd, Lady Lake, FL, 32159, US
Address: 42042 CHINABERRY STREET, EUSTIS, FL, 32736
ZIP code: 32736
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669759015 2011-11-14 2011-11-14 42042 CHINABERRY ST, EUSTIS, FL, 327368358, US 42042 CHINABERRY ST, EUSTIS, FL, 327368358, US

Contacts

Phone +1 407-948-0723
Fax 3212565193

Authorized person

Name MRS. KEISHA LATOYA GIST
Role ADMINISTRATOR
Phone 4079480723

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes
Taxonomy Code 311500000X - Alzheimer Center (Dementia Center)
Is Primary No

Key Officers & Management

Name Role Address
GIST KEISHA L President 42042 CHINABERRY STREET, EUSTIS, FL, 32736
GIST STANLEY X Vice President 42042 CHINABERRY STREET, EUSTIS, FL, 32736
GIST KEISHA L Agent 40105 French Rd, Lady Lake, FL, 32159

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-30 42042 CHINABERRY STREET, EUSTIS, FL 32736 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 40105 French Rd, Lady Lake, FL 32159 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J24000721702 TERMINATED 1000001019264 LAKE 2024-11-05 2044-11-13 $ 990.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 900 N 14TH ST STE 201, LEESBURG FL347483829

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-07-15
ANNUAL REPORT 2020-06-03
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-09
ANNUAL REPORT 2017-01-24
ANNUAL REPORT 2016-03-10
ANNUAL REPORT 2015-04-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4376718510 2021-02-25 0491 PPS 42042 Chinaberry St, Eustis, FL, 32736-8358
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 36727.5
Loan Approval Amount (current) 36727.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 529471
Servicing Lender Name Itria Ventures LLC
Servicing Lender Address One Penn Plaza, Suite 4530, New York, NY, 10119
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Eustis, LAKE, FL, 32736-8358
Project Congressional District FL-06
Number of Employees 9
NAICS code 623312
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 529471
Originating Lender Name Itria Ventures LLC
Originating Lender Address New York, NY
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 37042.74
Forgiveness Paid Date 2022-01-06
9375517209 2020-04-28 0491 PPP 42042 Chinaberry Street, EUSTIS, FL, 32736
Loan Status Date 2021-03-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 26700
Loan Approval Amount (current) 26700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19595
Servicing Lender Name Ameris Bank
Servicing Lender Address 3490 Piedmont Rd NE, Ste 124, ATLANTA, GA, 30305
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address EUSTIS, LAKE, FL, 32736-0001
Project Congressional District FL-06
Number of Employees 7
NAICS code 623312
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 19595
Originating Lender Name Ameris Bank
Originating Lender Address ATLANTA, GA
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 26891.65
Forgiveness Paid Date 2021-02-02

Date of last update: 01 Apr 2025

Sources: Florida Department of State