| Entity Name: | ACTIVE SENIOR LIVING RESIDENCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 27 Feb 1998 (27 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P98000019348 |
| FEI/EIN Number | 65-0834058 |
| Address: | 9057 NW 57TH STREET, TAMARAC, FL 33351 |
| Mail Address: | 9057 NW 57TH STREET, TAMARAC, FL 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417371857 | 2014-02-05 | 2014-02-05 | 9057 NW 57TH ST, TAMARAC, FL, 333514305, US | 9057 NW 57TH ST, TAMARAC, FL, 333514305, US | |||||||||||||||||
|
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| Phone | +1 954-721-1115 |
Authorized person
| Name | MRS. BETH BESU |
| Role | ADMINISTRATOR |
| Phone | 9546294734 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 9969 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TOKARZ-BESU, BETH | Agent | 13826 NW 23RD STREET, PEMBROKE PINES, FL 33028 |
| Name | Role | Address |
|---|---|---|
| TOKARZ, JANINA | Director | 14450 STIRLING RD, FT LAUDERDALE, FL 33330 |
| BESU, BETH T | Director | 13826 NW 23RD STREET, PEMBROKE PINES, FL 33028 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-13 | 13826 NW 23RD STREET, PEMBROKE PINES, FL 33028 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-02-23 | TOKARZ-BESU, BETH | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-03-15 | 9057 NW 57TH STREET, TAMARAC, FL 33351 | No data |
| CHANGE OF MAILING ADDRESS | 2001-03-15 | 9057 NW 57TH STREET, TAMARAC, FL 33351 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-03-15 |
| ANNUAL REPORT | 2013-02-11 |
| ANNUAL REPORT | 2012-03-18 |
| ANNUAL REPORT | 2011-04-10 |
| ANNUAL REPORT | 2010-04-13 |
| ANNUAL REPORT | 2009-04-13 |
| ANNUAL REPORT | 2008-02-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
