| Entity Name: | GRACE HOUSE OF TAMPA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Feb 2012 (13 years ago) |
| Date of dissolution: | 01 Mar 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Mar 2022 (3 years ago) |
| Document Number: | P12000013694 |
| FEI/EIN Number | 45-4522195 |
| Address: | 13315 ORANGE GROVE DR, TAMPA, FL 33618 |
| Mail Address: | 13315 ORANGE GROVE DR, TAMPA, FL 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184032567 | 2014-07-29 | 2014-07-29 | 13315 ORANGE GROVE DR, TAMPA, FL, 336182915, US | 13315 ORANGE GROVE DR, TAMPA, FL, 336182915, US | |||||||||||||||||
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| Phone | +1 727-709-1215 |
Authorized person
| Name | MRS. CARRIE DAMASKA |
| Role | PRESIDENT |
| Phone | 7277091215 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12472 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GRACE HOUSE OF TAMPA INC 401K | 2020 | 454522195 | 2021-11-12 | GRACE HOUSE OF TAMPA INC | 1 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-11-12 |
| Name of individual signing | CARRIE DAMASKA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-10-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 7275603066 |
| Plan sponsor’s address | 13315 ORANGE GROVE DR, TAMPA, FL, 33618 |
Signature of
| Role | Plan administrator |
| Date | 2021-11-19 |
| Name of individual signing | CARRIE DAMASKA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DAMASKA, DAVID | Agent | 13315 ORANGE GROVE DR, TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| DAMASKA, DAVID | Vice President | 13315 ORANGE GROVE DR, TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| DAMASKA, DAVID | Director | 13315 ORANGE GROVE DR, TAMPA, FL 33618 |
| DAMASKA, CARRIE | Director | 13315 ORANGE GROVE DR, TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| DAMASKA, CARRIE | President | 13315 ORANGE GROVE DR, TAMPA, FL 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-01 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-01 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-02-23 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-04-15 |
| ANNUAL REPORT | 2014-03-06 |
| ANNUAL REPORT | 2013-04-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8011418509 | 2021-03-08 | 0455 | PPS | 13315 Orange Grove Dr, Tampa, FL, 33618-2915 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 22 Feb 2025
Sources: Florida Department of State
