Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Duval
    4. ›
  4. 32204
    5. ›
  5. AUTUMN VILLAGE, INC.

AUTUMN VILLAGE, INC.

Company Details

Entity Name: AUTUMN VILLAGE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 May 1996 (29 years ago)
Document Number: P96000039627
FEI/EIN Number 593380417
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

Agent

Name Role Address
GRAHAM ALCIRA Agent 9150 FORT CAROLINE ROAD, JACKSONVILLE, FL, 32225

President

Name Role Address
GRAHAM ALCIRA E President 5314 Oak Bay Dr E, JACKSONVILLE, FL, 32277

Vice President

Name Role Address
CANO DANIEL Vice President 13050 Highland Glen Way S, JACKSONVILLE, FL, 32224

Treasurer

Name Role Address
CARPENTER ALEXANDRA Treasurer 3610 SHAWNEE SHORES DRIVE, JACKSONVILLE, FL, 32225

Events

Event Type Filed Date Value Description
CONVERSION 2020-07-01 No data CONVERSION MEMBER. RESULTING CORPORATION WAS L20000178699. CONVERSION NUMBER 700000203867
NAME CHANGE AMENDMENT 2000-07-11 AUTUMN VILLAGE, INC. No data

Related by officers

GRAHAM ALCIRA E

INGLESIDE RETIREMENT HOME INC. FORT CAROLINE GARDENS, INC.

CANO DANIEL

FORT CAROLINE GARDENS, INC.

CARPENTER ALEXANDRA

FORT CAROLINE GARDENS, INC.

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated