| Entity Name: | PEE JAY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PEE JAY, 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: | 29 Aug 1977 (48 years ago) |
| Document Number: | 544053 |
| FEI/EIN Number |
591770709
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2521 13TH STREET, SUITE A, ST. CLOUD, FL, 34769, US |
| Mail Address: | 2521 13TH STREET, SUITE A, ST. CLOUD, FL, 34769, US |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225256084 | 2007-04-24 | 2022-08-18 | 2521 13TH ST, SUITE A, SAINT CLOUD, FL, 347694119, US | 2521 13TH ST, SUITE A, SAINT CLOUD, FL, 347694119, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-892-7166 |
| Fax | 4078927339 |
Authorized person
| Name | MR. ERIC J LARSON |
| Role | OWNER/PRESIDENT |
| Phone | 4078927166 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH0006842 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103859102 |
| State | FL |
| Issuer | MEDICAID |
| Number | 103859100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 019986000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEE JAY, INC. DBA PRESCRIPTION UNLIMITED PROFIT SHARING PLAN | 2015 | 591770709 | 2016-11-15 | PEE JAY, INC. | 20 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2016-11-15 |
| Name of individual signing | CLIFF BLANCHARD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1987-07-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 4078927166 |
| Plan sponsor’s address | 2521 13TH ST. SUITE A, ST. CLOUD, FL, 347694103 |
Signature of
| Role | Plan administrator |
| Date | 2015-11-27 |
| Name of individual signing | CLIFF BLANCHARD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LARSON ERIC J | President | 2521 13TH STREET, SUITE A, ST. CLOUD, FL, 34769 |
| CIPPARONE & CIPPARONE, P.A. | Agent | 1525 INTERNATIONAL PARKWAY, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-31 | 1525 INTERNATIONAL PARKWAY, SUITE 1011, LAKE MARY, FL 32746 | - |
| AMENDMENT | 2017-04-11 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-04-11 | CIPPARONE & CIPPARONE, P.A. | - |
| CHANGE OF PRINCIPAL ADDRESS | 1990-02-08 | 2521 13TH STREET, SUITE A, ST. CLOUD, FL 34769 | - |
| CHANGE OF MAILING ADDRESS | 1990-02-08 | 2521 13TH STREET, SUITE A, ST. CLOUD, FL 34769 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-31 |
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-01-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7809387707 | 2020-05-01 | 0455 | PPP | 2521 13TH ST, SAINT CLOUD, FL, 34769-4103 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
