| Entity Name: | MAGNOLIA RETIREMENT HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MAGNOLIA RETIREMENT HOME, 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: | 08 May 1996 (29 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | P96000041172 |
| FEI/EIN Number |
650672055
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 149 MAGNOLIA AVE, SEBRING, FL, 33870 |
| Mail Address: | 149 MAGNOLIA AVE, SEBRING, FL, 33870 |
| ZIP code: | 33870 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922307586 | 2011-03-22 | 2011-03-22 | 149 MAGNOLIA AVE, SEBRING, FL, 338703613, US | 149 MAGNOLIA AVE, SEBRING, FL, 338703613, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 863-382-2116 |
| Fax | 8633822117 |
Authorized person
| Name | MR. MANUEL M DOMISIW |
| Role | OWNER/ADMINISTRATOR |
| Phone | 8633822116 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL4947 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL4947 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140646900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DOMISIW MANUEL M | Director | 17040 BRIDLEPATH CT, LUTZ, FL, 33558 |
| DOMISIW PRISCILLA C | Director | 17040 BRIDLEPATH CT, LUTZ, FL, 33558 |
| DOMISIW DENNIS C | Officer | 149 MAGNOLIA AVENUE, SEBRING, FL, 33870 |
| DOMISIW MANUEL M | Agent | 149 MAGNOLIA AVE, SEBRING, FL, 33870 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-07-31 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-03-18 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-13 |
| ANNUAL REPORT | 2011-03-22 |
| ANNUAL REPORT | 2010-04-28 |
| ANNUAL REPORT | 2009-03-25 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
