| Entity Name: | COASTAL SENIOR HEALTHCARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
COASTAL SENIOR HEALTHCARE, 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: | 18 Apr 2017 (8 years ago) |
| Document Number: | P17000035303 |
| FEI/EIN Number |
82-1239619
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3914 East State Road 64, BRADENTON, FL, 34208, US |
| Mail Address: | 3914 East State Road 64, BRADENTON, FL, 34208, US |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497289110 | 2017-04-19 | 2023-03-22 | 3914 E STATE ROAD 64, BRADENTON, FL, 342089059, US | 3914 E STATE ROAD 64, BRADENTON, FL, 342089059, US | |||||||||||||||
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| Phone | +1 941-216-3800 |
| Fax | 9412163703 |
Authorized person
| Name | MR. JOHN K MCDERMOTT |
| Role | PRESIDENT |
| Phone | 9412163800 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COASTAL SENIOR HEALTHCARE, INC. 401(K) PLAN | 2023 | 821239619 | 2024-10-01 | COASTAL SENIOR HEALTHCARE, INC. | 6 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 621874769 |
| Plan administrator’s name | ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2024-10-01 |
| Name of individual signing | JOHN MCDERMOTT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 9412163800 |
| Plan sponsor’s address | 3914 E STATE ROAD 64, BRADENTON, FL, 34208 |
Plan administrator’s name and address
| Administrator’s EIN | 621874769 |
| Plan administrator’s name | ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s address | 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number | 8656701844 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-06 |
| Name of individual signing | TARA EVANS, FOR TAG RESOURCES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MCDERMOTT JOHN K | President | 615 DREAM ISLAND RD, LONGBOAT KEY, FL, 34228 |
| MCDERMOTT CATHERINE I | Vice President | 615 DREAM ISLAND RD, LONGBOAT KEY, FL, 34228 |
| MCDERMOTT JOHN K | Agent | 3914 East State Road 64, BRADENTON, FL, 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-10 | 3914 East State Road 64, BRADENTON, FL 34208 | - |
| CHANGE OF MAILING ADDRESS | 2019-02-10 | 3914 East State Road 64, BRADENTON, FL 34208 | - |
| REGISTERED AGENT NAME CHANGED | 2019-02-10 | MCDERMOTT, JOHN K | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-10 | 3914 East State Road 64, BRADENTON, FL 34208 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-15 |
| Domestic Profit | 2017-04-18 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1148607205 | 2020-04-15 | 0455 | PPP | 3914 E STATE ROAD 64, BRADENTON, FL, 34208-9059 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
