| Entity Name: | FLORIDA ASSISTED LIVING MANAGEMENT PROVIDER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FLORIDA ASSISTED LIVING MANAGEMENT PROVIDER, 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: | 26 Jan 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2016 (9 years ago) |
| Document Number: | P12000008728 |
| FEI/EIN Number |
30-0779708
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4901 NW 17th Way, Suite 303, Ft Lauderdale, FL, 33309, US |
| Mail Address: | 4901 NW 17th Way, Suite 303, Ft Lauderdale, FL, 33309, US |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | FLORIDA ASSISTED LIVING MANAGEMENT PROVIDER, INC., MISSISSIPPI | 1247292 | MISSISSIPPI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA ASSISTED LIVING MANAGEMENT PROVIDER, INC. 401(K) PLAN | 2021 | 300779708 | 2022-10-17 | FLORIDA ASSISTED LIVING MANAGEMENT PROVIDER, INC. | 62 | |||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2022-10-17 |
| Name of individual signing | DMITRIY SHIRGANOV |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-10-17 |
| Name of individual signing | DMITRIY SHIRGANOV |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-04-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 9542831048 |
| Plan sponsor’s address | 200 S ROSEMARY AVE., WEST PALM BEACH, FL, 33401 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-17 |
| Name of individual signing | DMITRIY SHIRGANOV |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-10-17 |
| Name of individual signing | DMITRIY SHIRGANOV |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-04-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 9542831048 |
| Plan sponsor’s address | 200 S ROSEMARY AVE, WEST PALM BEACH, FL, 33401 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-15 |
| Name of individual signing | DMITRY SHIRGANOV |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KANETI RICKI | President | 4901 NW 17th Way, Suite 303, Ft Lauderdale, FL, 33309 |
| ITSKOVICH DAVID | Agent | 4901 NW 17th Way, Fort Lauderdale, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL 33309 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-21 | 4901 NW 17th Way, Suite 303, Ft Lauderdale, FL 33309 | - |
| CHANGE OF MAILING ADDRESS | 2023-04-21 | 4901 NW 17th Way, Suite 303, Ft Lauderdale, FL 33309 | - |
| REGISTERED AGENT NAME CHANGED | 2019-05-01 | ITSKOVICH, DAVID | - |
| REINSTATEMENT | 2016-09-28 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000487107 | TERMINATED | 1000000600815 | BROWARD | 2014-03-20 | 2024-05-01 | $ 528.42 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-05-01 |
| CORLCRACHG | 2018-12-13 |
| ANNUAL REPORT | 2018-04-02 |
| Reg. Agent Change | 2017-11-02 |
| ANNUAL REPORT | 2017-04-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8118677205 | 2020-04-28 | 0455 | PPP | 100 NE 3rd Avenue, Suite #620, FORT LAUDERDALE, FL, 33301-1138 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 03 Apr 2025
Sources: Florida Department of State
