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  5. AUTUMN VILLAGE, INC.

AUTUMN VILLAGE, INC. - Florida Company Profile

Company Details

Entity Name: AUTUMN VILLAGE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

AUTUMN VILLAGE, 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 03 May 1996 (29 years ago)
Date of dissolution: 01 Jul 2020 (5 years ago)
Last Event: CONVERSION
Event Date Filed: 01 Jul 2020 (5 years ago)
Document Number: P96000039627
FEI/EIN Number 593380417

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: 9150 FORT CAROLINE ROAD, JACKSONVILLE, FL, 32225
Address: 1103 BARRS STREET, JACKSONVILLE, FL, 32204
ZIP code: 32204
County: Duval
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HER HEART ASSISTED LIVING 401(K) PLAN 2023 593380417 2024-05-10 AUTUMN VILLAGE, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 9047433315
Plan sponsor’s address 1103 BARRS STREET, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2024-05-10
Name of individual signing DANIEL CANO
Valid signature Filed with authorized/valid electronic signature
HER HEART ASSISTED LIVING 401(K) PLAN 2022 593380417 2023-10-13 AUTUMN VILLAGE, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 9047433315
Plan sponsor’s address 1103 BARRS STREET, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing DANIEL CANO
Valid signature Filed with authorized/valid electronic signature
HER HEART ASSISTED LIVING 401(K) PLAN 2021 593380417 2022-10-18 AUTUMN VILLAGE, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 9047433315
Plan sponsor’s address 1103 BARRS STREET, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2022-10-18
Name of individual signing DANIEL CANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-18
Name of individual signing DANIEL CANO
Valid signature Filed with authorized/valid electronic signature
HER HEART ASSISTED LIVING 401(K) PLAN 2020 593380417 2021-10-14 AUTUMN VILLAGE, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 9047433315
Plan sponsor’s address 1103 BARRS STREET, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing DANIEL CANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing DANIEL CANO
Valid signature Filed with authorized/valid electronic signature
HER HEART ASSISTED LIVING 401(K) PLAN 2019 593380417 2020-10-08 AUTUMN VILLAGE, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 9047433315
Plan sponsor’s address 1103 BARRS STREET, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing DANIEL CANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-08
Name of individual signing DANIEL CANO
Valid signature Filed with authorized/valid electronic signature
HER HEART ASSISTED LIVING 401(K) PLAN 2018 593380417 2019-10-14 AUTUMN VILLAGE, INC. 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 623000
Sponsor’s telephone number 9047433315
Plan sponsor’s address 1103 BARRS STREET, JACKSONVILLE, FL, 32204

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing DANIEL CANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing DANIEL CANO
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GRAHAM ALCIRA E President 5314 Oak Bay Dr E, JACKSONVILLE, FL, 32277
CANO DANIEL Vice President 13050 Highland Glen Way S, JACKSONVILLE, FL, 32224
CARPENTER ALEXANDRA Treasurer 3610 SHAWNEE SHORES DRIVE, JACKSONVILLE, FL, 32225
GRAHAM ALCIRA Agent 9150 FORT CAROLINE ROAD, JACKSONVILLE, FL, 32225

Events

Event Type Filed Date Value Description
CONVERSION 2020-07-01 - CONVERSION MEMBER. RESULTING CORPORATION WAS L20000178699. CONVERSION NUMBER 700000203867
CHANGE OF PRINCIPAL ADDRESS 2011-03-03 1103 BARRS STREET, JACKSONVILLE, FL 32204 -
REGISTERED AGENT NAME CHANGED 2010-02-22 GRAHAM, ALCIRA -
CHANGE OF MAILING ADDRESS 2009-01-21 1103 BARRS STREET, JACKSONVILLE, FL 32204 -
REGISTERED AGENT ADDRESS CHANGED 2009-01-21 9150 FORT CAROLINE ROAD, JACKSONVILLE, FL 32225 -
NAME CHANGE AMENDMENT 2000-07-11 AUTUMN VILLAGE, INC. -

Documents

Name Date
ANNUAL REPORT 2020-04-08
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-02-02
ANNUAL REPORT 2015-03-17
ANNUAL REPORT 2014-03-21
ANNUAL REPORT 2013-03-13
ANNUAL REPORT 2012-06-29
ANNUAL REPORT 2012-03-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1648697108 2020-04-10 0491 PPP 1103 Barrs St, JACKSONVILLE, FL, 32204-4220
Loan Status Date 2021-05-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 177900
Loan Approval Amount (current) 177900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19595
Servicing Lender Name Ameris Bank
Servicing Lender Address 3490 Piedmont Rd NE, Ste 124, ATLANTA, GA, 30305
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32204-4220
Project Congressional District FL-04
Number of Employees 40
NAICS code 623312
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 19595
Originating Lender Name Ameris Bank
Originating Lender Address ATLANTA, GA
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 179630.26
Forgiveness Paid Date 2021-04-19

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CANO DANIEL

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Florida Limited Liability Co. (2014 )
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CLEAN AND GREEN EXTERIOR SERVICES LLC - Active
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CANO & ASSOCIATES, INC. - Inactive
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A&D PROPERTY 1, LLC - Inactive
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FORT CAROLINE GARDENS, INC. - Inactive
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HER HEART VILLAGE LLC - Active
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CARPENTER ALEXANDRA

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2H HOLDING COMPANY, LLC - Active
Foreign Limited Liability Co. (2020 )

GRAHAM ALCIRA

HIS GRACE PROPERTIES LLC - Active
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2H HOLDING COMPANY, LLC - Active
Foreign Limited Liability Co. (2020 )

Companies related by address

9150 FORT CAROLINE ROAD, JACKSONVILLE, FL, 32225

H2TRANSPORT, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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