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HAILES BOARDING HOME, INC. - Florida Company Profile

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Company Details

Entity Name: HAILES BOARDING HOME, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 09 Mar 2015 (10 years ago)
Date of dissolution: 25 Sep 2020 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (5 years ago)
Document Number: P15000023324
FEI/EIN Number 47-3080379
Address: 1009 NORTH WILLOW AVENUE, TAMPA, FL, 33607
Mail Address: 1009 NORTH WILLOW AVENUE, TAMPA, FL, 33607
ZIP code: 33607
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JONES ANDREA President 1009 NORTH WILLOW AVENUE, TAMPA, FL, 33607
CAUFMAN THOMAS W Agent 1410 North Westshore Blvd. #200, TAMPA, FL, 33607

Unique Entity ID

CAGE Code:
8DE60
UEI Expiration Date:
2020-08-11

Business Information

Division Name:
HAILES BOARDING HOME INC
Activation Date:
2019-08-27
Initial Registration Date:
2019-08-12

Commercial and government entity program

CAGE number:
8DE60
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-08-28
CAGE Expiration:
2024-08-27

Contact Information

POC:
NICHOLAS LEMONS

National Provider Identifier

NPI Number:
1154572246

Authorized Person:

Name:
ADRIANNE R WILSON
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
8132599928

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2016-08-16 1410 North Westshore Blvd. #200, TAMPA, FL 33607 -

Documents

Name Date
ANNUAL REPORT 2019-03-12
ANNUAL REPORT 2018-02-01
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-08-16
Domestic Profit 2015-03-09

USAspending Awards / Financial Assistance

Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 02 Aug 2025

Sources: Florida Department of State