| Entity Name: | GENESIS I ASSISTED LIVING FACILITY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Jan 2021 (4 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P21000005594 |
| FEI/EIN Number | 86-2676526 |
| Address: | 324 MINE ROAD, MIDWAY, FL, 32343, US |
| Mail Address: | 324 MINE ROAD, MIDWAY, FL, 32343, US |
| ZIP code: | 32343 |
| County: | Gadsden |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255904231 | 2021-07-19 | 2021-07-19 | 324 MINE RD, MIDWAY, FL, 323432710, US | 324 MINE RD, MIDWAY, FL, 323432710, US | |||||||||||||
|
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| Phone | +1 850-510-1757 |
Authorized person
| Name | TRACY FRANKLIN |
| Role | VICE PRESIDENT |
| Phone | 8505101757 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARRIS DANIELLE | Agent | 355 MINE ROAD, MIDWAY, FL, 32343 |
| Name | Role | Address |
|---|---|---|
| OWENS VERDA | Chief Executive Officer | PO BOX 491, MIDWAY, FL, 32343 |
| Name | Role | Address |
|---|---|---|
| HARRIS DANIELLE | Chief Operating Officer | 5652 MOSSY TOP WAY, TALLAHASSEE, FL, 32303 |
| Name | Role | Address |
|---|---|---|
| HEREFORD TRACY | Chief Financial Officer | 9726 SPRINGHILL RD., TALLAHASSEE, FL, 32305 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-17 | 324 MINE ROAD, MIDWAY, FL 32343 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-17 | 324 MINE ROAD, MIDWAY, FL 32343 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-02-28 |
| Domestic Profit | 2021-01-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
