| Entity Name: | A.L. PANTAGES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Sep 1996 (28 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P96000080584 |
| FEI/EIN Number | 59-3402994 |
| Address: | 1321 RIDGEWOOD AVE, HOLLY HILL, FL 32117 |
| Mail Address: | 341 GREENWOOD AVENUE, ORMOND BEACH, FL 32174 |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487893095 | 2009-02-05 | 2009-02-05 | 1321 RIDGEWOOD AVE, HOLLY HILL, FL, 321172319, US | 1321 RIDGEWOOD AVE, HOLLY HILL, FL, 321172319, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 386-673-3255 |
Authorized person
| Name | MS. AMY LOU PANTAGES |
| Role | CEO |
| Phone | 3866733255 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | AD8854 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 675582896 |
| State | FL |
| Issuer | MEDICAID |
| Number | 675582898 |
| State | FL |
| Issuer | MEDICAID |
| Number | 675582800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PANTAGES, AMY L | Agent | 341 GREENWOOD AVENUE, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| PANTAGES, AMY L | President | 341 GREENWOOD AVENUE, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| PANTAGES, AMY L | Secretary | 341 GREENWOOD AVENUE, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| PANTAGES, AMY L | Treasurer | 341 GREENWOOD AVENUE, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| PANTAGES, AMY L | Director | 341 GREENWOOD AVENUE, ORMOND BEACH, FL 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-30 | 1321 RIDGEWOOD AVE, HOLLY HILL, FL 32117 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-14 | 341 GREENWOOD AVENUE, ORMOND BEACH, FL 32174 | No data |
| REINSTATEMENT | 2003-11-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-11-24 | 1321 RIDGEWOOD AVE, HOLLY HILL, FL 32117 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
| REINSTATEMENT | 2001-03-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-03-06 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-03 |
| ANNUAL REPORT | 2012-06-04 |
| ANNUAL REPORT | 2011-03-31 |
| ANNUAL REPORT | 2010-04-06 |
| ANNUAL REPORT | 2009-03-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
