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  5. ATKINSON'S MART, INC.

ATKINSON'S MART, INC. - Florida Company Profile

Company Details

Entity Name: ATKINSON'S MART, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ATKINSON'S MART, 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 01 Aug 1969 (56 years ago)
Last Event: AMENDMENT
Event Date Filed: 18 Jun 2018 (7 years ago)
Document Number: 350227
FEI/EIN Number 591275590

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1994-A KINGSLEY AVE, ORANGE PARK, FL, 32073, US
Mail Address: 1994-A KINGSLEY AVE, ORANGE PARK, FL, 32073, US
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265500672 2006-12-01 2015-02-02 1994 KINGSLEY AVE STE A, ORANGE PARK, FL, 320734465, US 1994 KINGSLEY AVE, ORANGE PARK, FL, 320734442, US

Contacts
Phone +1 904-298-0873

Authorized person
Name MR. KEVIN WILEY DAVIS
Role OWNER
Phone 9042980873

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PH17156
State FL
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
License Number PH28421
State FL
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 101585100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ATKINSON'S MART, INC. PROFIT SHARING 401(K) PLAN 2023 591275590 2024-06-11 ATKINSON'S MART, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 446110
Sponsor’s telephone number 9042980873
Plan sponsor’s address 1994-A KINGSLEY AVENUE, ORANGE PARK, FL, 320733003

Signature of
Role Plan administrator
Date 2024-06-11
Name of individual signing KIMBERLY DEAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-11
Name of individual signing KIMBERLY DEAL
Valid signature Filed with authorized/valid electronic signature
ATKINSON'S MART, INC. PROFIT SHARING 401(K) PLAN 2022 591275590 2023-06-21 ATKINSON'S MART, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 446110
Sponsor’s telephone number 9042647578
Plan sponsor’s address 1994-A KINGSLEY AVENUE, ORANGE PARK, FL, 320733003

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing KIMBERLY D DEAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-21
Name of individual signing KIMBERLY D DEAL
Valid signature Filed with authorized/valid electronic signature
ATKINSON'S MART, INC. PROFIT SHARING 401(K) PLAN 2021 591275590 2022-06-15 ATKINSON'S MART, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 446110
Sponsor’s telephone number 9042647578
Plan sponsor’s address 1994-A KINGSLEY AVENUE, ORANGE PARK, FL, 320733003

Signature of
Role Plan administrator
Date 2022-06-15
Name of individual signing KIMBERLY DEAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-15
Name of individual signing KIMBERLY DEAL
Valid signature Filed with authorized/valid electronic signature
ATKINSON'S MART, INC. PROFIT SHARING 401(K) PLAN 2020 591275590 2021-06-11 ATKINSON'S MART, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 446110
Sponsor’s telephone number 9042647578
Plan sponsor’s address 100 OLD ORANGE PARK RD., ORANGE PARK, FL, 320733003

Signature of
Role Plan administrator
Date 2021-06-11
Name of individual signing KIMBERLY DEAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-11
Name of individual signing KIMBERLY DEAL
Valid signature Filed with authorized/valid electronic signature
ATKINSON'S MART, INC. PROFIT SHARING 401(K) PLAN 2019 591275590 2020-06-18 ATKINSON'S MART, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 446110
Sponsor’s telephone number 9042647578
Plan sponsor’s address 100 OLD ORANGE PARK RD., ORANGE PARK, FL, 320733003

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing KIMBERLY DEAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-18
Name of individual signing KIMBERLY DEAL
Valid signature Filed with authorized/valid electronic signature
ATKINSON'S MART, INC. PROFIT SHARING 401(K) PLAN 2018 591275590 2019-05-23 ATKINSON'S MART, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 446110
Sponsor’s telephone number 9042647578
Plan sponsor’s address 100 OLD ORANGE PARK RD, ORANGE PARK, FL, 320733003

Signature of
Role Plan administrator
Date 2019-05-23
Name of individual signing ROBERT ALLEN
Valid signature Filed with authorized/valid electronic signature
ATKINSON'S MART, INC. PROFIT SHARING 401(K) PLAN 2017 591275590 2018-05-31 ATKINSON'S MART, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 446110
Sponsor’s telephone number 9042647578
Plan sponsor’s address 100 OLD ORANGE PARK RD, ORANGE PARK, FL, 320733003

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing ROBERT ALLEN
Valid signature Filed with authorized/valid electronic signature
ATKINSON'S MART, INC. PROFIT SHARING 401(K) PLAN 2016 591275590 2017-04-25 ATKINSON'S MART, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 446110
Sponsor’s telephone number 9042647578
Plan sponsor’s address 100 OLD ORANGE PARK ROAD, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2017-04-25
Name of individual signing ROBERT ALLEN
Valid signature Filed with authorized/valid electronic signature
ATKINSON'S MART, INC. PROFIT SHARING 401(K) PLAN 2015 591275590 2016-08-02 ATKINSON'S MART, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 446110
Sponsor’s telephone number 9042647578
Plan sponsor’s address 100 OLD ORANGE PARK ROAD, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2016-08-02
Name of individual signing ROBERT ALLEN
Valid signature Filed with authorized/valid electronic signature
ATKINSON'S MART, INC. PROFIT SHARING 401(K) PLAN 2014 591275590 2015-07-15 ATKINSON'S MART, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 446110
Sponsor’s telephone number 9042647578
Plan sponsor’s address 100 OLD ORANGE PARK ROAD, ORANGE PARK, FL, 32073

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing ROBERT ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing ROBERT ALLEN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ALLEN ROBERT EJr. Director 1994-A KINGSLEY AVE, ORANGE PARK, FL, 32073
DAVIS KELLY Director 1994-A KINGSLEY AVE., ORANGE PARK, FL, 32073
DEAL KIMBERLY D Director 1994-A KINGSLEY AVE, ORANGE PARK, FL, 32073
Scott William A Agent 462 KINGSLEY AVENUE, ORANGE PARK, FL, 32073

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000035802 ATKINSON'S HEALTHCARE ACTIVE 2021-03-15 2026-12-31 - 1994-A KINGSLEY AVENUE, ORANGE PARK, FL, 32073
G21000035812 ATKINSON'S HEALTHCARE PROVIDERS ACTIVE 2021-03-15 2026-12-31 - 1994-A KINGSLEY AVENUE, ORANGE PARK, FL, 32073
G21000017942 ATKINSON'S HOSPITAL PHARMACY ACTIVE 2021-02-05 2026-12-31 - 1994-A KINGSLEY AVENUE, ORANGE PARK, FL, 32073
G15000012782 ATKINSON'S HOSPITAL PHARMACY EXPIRED 2015-02-05 2020-12-31 - 1994-A KINGSLEY AVENUE, ORANGE PARK, FL, 32073

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-04-09 1994-A KINGSLEY AVE, ORANGE PARK, FL 32073 -
CHANGE OF MAILING ADDRESS 2020-04-09 1994-A KINGSLEY AVE, ORANGE PARK, FL 32073 -
AMENDMENT 2018-06-18 - -
REGISTERED AGENT NAME CHANGED 2014-04-17 Scott, William A -
REGISTERED AGENT ADDRESS CHANGED 2004-07-20 462 KINGSLEY AVENUE, SUITE 101, ORANGE PARK, FL 32073 -
MERGER 2003-12-24 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000047403

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-01-12
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-02-05
AMENDED ANNUAL REPORT 2020-04-09
ANNUAL REPORT 2020-02-18
ANNUAL REPORT 2019-02-19
Amendment 2018-06-18
ANNUAL REPORT 2018-02-20
ANNUAL REPORT 2017-02-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3112118008 2020-06-24 0491 PPP 1944-A Kingsley Ave, ORANGE PARK, FL, 32073-4442
Loan Status Date 2021-03-10
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 84200
Loan Approval Amount (current) 84200
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 ORANGE PARK, CLAY, FL, 32073-4442
Project Congressional District FL-04
Number of Employees 10
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 19595
Originating Lender Name Ameris Bank
Originating Lender Address ATLANTA, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 84723.65
Forgiveness Paid Date 2021-02-22

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Companies related by address

No other companies in our directory share the same address as ATKINSON'S MART, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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