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  5. JACKSONVILLE UNIVERSITY

JACKSONVILLE UNIVERSITY

Headquarter

Company Details

Entity Name: JACKSONVILLE UNIVERSITY
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 13 Sep 1961 (63 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 13 Jun 1995 (30 years ago)
Document Number: 703043
FEI/EIN Number 59-0624412
Address: 2800 UNIVERSITY BLVD NORTH, FINANCIAL AFFAIRS, JACKSONVILLE, FL 32211
Mail Address: 2800 UNIVERSITY BLVD NORTH, FINANCIAL AFFAIRS, JACKSONVILLE, FL 32211
ZIP code: 32211
County: Duval
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of JACKSONVILLE UNIVERSITY, COLORADO 20151063626 COLORADO

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881145100 2016-10-21 2016-10-21 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321, US 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321, US

Contacts
Phone +1 904-924-3049

Authorized person
Name MR. ROBERT SEFCIK
Role DIRECTOR OF JSMP
Phone 9042024332

Taxonomy
Taxonomy Code 251K00000X - Public Health or Welfare Agency
Is Primary Yes

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
54930005QUJQGV9DJI43 703043 US-FL GENERAL ACTIVE No data

Addresses
Legal C/O Corporate Creations Network Inc., 11380 Prosperity Farms Road, Suite 221E, Palm Beach Gardens, US-FL, US, 33410
Headquarters C/O Corporate Creations Network Inc., 11380 Prosperity Farms Road, Suite 221E, Palm Beach Gardens, US-FL, US, 33410

Registration details
Registration Date 2013-06-24
Last Update 2023-08-04
Status LAPSED
Next Renewal 2014-06-24
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 703043

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLEXIBLE COMPENSATION PLAN OF JACKSONVILLE UNIVERSITY 2019 590624412 2020-07-16 JACKSONVILLE UNIVERSITY 206
Three-digit plan number (PN) 504
Effective date of plan 2007-01-01
Business code 611000
Sponsor’s telephone number 9042567025
Plan sponsor’s mailing address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321
Plan sponsor’s address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321

Number of participants as of the end of the plan year
Active participants 213

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing JAMES WILLIAMS
Valid signature Filed with authorized/valid electronic signature
FLEXIBLE COMPENSATION PLAN OF JACKSONVILLE UNIVERSITY 2019 590624412 2020-07-16 JACKSONVILLE UNIVERSITY 364
Three-digit plan number (PN) 504
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 9042567025
Plan sponsor’s DBA name HUMAN RESOURCES
Plan sponsor’s mailing address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321
Plan sponsor’s address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321

Number of participants as of the end of the plan year
Active participants 348

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing JAMES WILLIAMS
Valid signature Filed with authorized/valid electronic signature
FLEXIBLE COMPENSATION PLAN OF JACKSONVILLE UNIVERSITY 2019 590624412 2020-07-16 JACKSONVILLE UNIVERSITY 612
Three-digit plan number (PN) 504
Effective date of plan 2007-01-01
Business code 611000
Sponsor’s telephone number 9042567025
Plan sponsor’s mailing address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321
Plan sponsor’s address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321

Number of participants as of the end of the plan year
Active participants 619

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing JAMES WILLIAMS
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE UNIVERSITY GROUP LONG TERM DISABILITY 2019 590624412 2020-07-16 JACKSONVILLE UNIVERSITY 596
Three-digit plan number (PN) 502
Effective date of plan 1963-09-01
Business code 611000
Sponsor’s telephone number 9042567025
Plan sponsor’s mailing address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321
Plan sponsor’s address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321

Number of participants as of the end of the plan year
Active participants 611

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing JAMES WILLIAMS
Valid signature Filed with authorized/valid electronic signature
FLEXIBLE COMPENSATION PLAN OF JACKSONVILLE UNIVERSITY 2019 590624412 2020-07-16 JACKSONVILLE UNIVERSITY 539
Three-digit plan number (PN) 504
Effective date of plan 2000-01-01
Business code 611000
Sponsor’s telephone number 9042567025
Plan sponsor’s mailing address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321
Plan sponsor’s address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321

Number of participants as of the end of the plan year
Active participants 546

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing JAMES WILLIAMS
Valid signature Filed with authorized/valid electronic signature
FLEXIBLE COMPENSATION PLAN OF JACKSONVILLE UNIVERSITY 2019 590624412 2020-07-20 JACKSONVILLE UNIVERSITY 448
Three-digit plan number (PN) 504
Effective date of plan 1999-01-01
Business code 611000
Sponsor’s telephone number 9042567025
Plan sponsor’s DBA name HUMAN RESOURCES
Plan sponsor’s mailing address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321
Plan sponsor’s address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321

Plan administrator’s name and address
Administrator’s EIN 590624412
Plan administrator’s name JACKSONVILLE UNIVERSITY
Plan administrator’s address 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321
Administrator’s telephone number 9042567025

Number of participants as of the end of the plan year
Active participants 461

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing JAMES WILLIAMS
Valid signature Filed with authorized/valid electronic signature
FLEXIBLE COMPENSATION PLAN OF JACKSONVILLE UNIVERSITY 2018 590624412 2019-05-02 JACKSONVILLE UNIVERSITY 495
Three-digit plan number (PN) 504
Effective date of plan 2000-01-01
Business code 611000
Sponsor’s telephone number 9042567025
Plan sponsor’s mailing address HUMAN RESOURCES, 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321
Plan sponsor’s address HUMAN RESOURCES, 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321

Number of participants as of the end of the plan year
Active participants 522

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing JAMES WILLIAMS
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE UNIVERSITY GROUP LONG TERM DISABILITY 2018 590624412 2019-05-02 JACKSONVILLE UNIVERSITY 584
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1963-09-01
Business code 611000
Sponsor’s telephone number 9042567025
Plan sponsor’s mailing address HUMAN RESOURCES, 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321
Plan sponsor’s address HUMAN RESOURCES, 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321

Number of participants as of the end of the plan year
Active participants 587

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing JAMES WILLIAMS
Valid signature Filed with authorized/valid electronic signature
FLEXIBLE COMPENSATION PLAN OF JACKSONVILLE UNIVERSITY 2018 590624412 2019-05-02 JACKSONVILLE UNIVERSITY 192
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2007-01-01
Business code 611000
Sponsor’s telephone number 9042567025
Plan sponsor’s mailing address HUMAN RESOURCES, 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321
Plan sponsor’s address HUMAN RESOURCES, 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321

Number of participants as of the end of the plan year
Active participants 204

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing JAMES WILLIAMS
Valid signature Filed with authorized/valid electronic signature
FLEXIBLE COMPENSATION PLAN OF JACKSONVILLE UNIVERSITY 2018 590624412 2019-05-02 JACKSONVILLE UNIVERSITY 579
Three-digit plan number (PN) 504
Effective date of plan 2007-01-01
Business code 611000
Sponsor’s telephone number 9042567025
Plan sponsor’s mailing address HUMAN RESOURCES, 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321
Plan sponsor’s address HUMAN RESOURCES, 2800 UNIVERSITY BLVD N, JACKSONVILLE, FL, 322113321

Number of participants as of the end of the plan year
Active participants 590

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing JAMES WILLIAMS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CORPORATE CREATIONS NETWORK INC. Agent

Board of Trustees

Name Role Address
Kane, Matt Board of Trustees 2800 UNIVERSITY BLVD NORTH, FINANCIAL AFFAIRS JACKSONVILLE, FL 32211
Shelton, Jamie Board of Trustees 2800 UNIVERSITY BLVD NORTH, JACKSONVILLE, FL 32211

Chair

Name Role Address
Kane, Matt Chair 2800 UNIVERSITY BLVD NORTH, FINANCIAL AFFAIRS JACKSONVILLE, FL 32211

President

Name Role Address
COST, TIMOTHY P President 2800 UNIVERSITY BLVD. N., JACKSONVILLE, FL 32211

Treasurer

Name Role Address
MARTIRE, FRANK R Treasurer 2800 UNIVERSITY BLVD NORTH, JACKSONVILLE, FL 32211

Secretary

Name Role Address
Shelton, Jamie Secretary 2800 UNIVERSITY BLVD NORTH, JACKSONVILLE, FL 32211

Chief Financial Officer

Name Role Address
Freebourn, Randal Chief Financial Officer 2800 UNIVERSITY BLVD. N., JACKSONVILLE, FL 32211

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2020-03-25 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 No data
CHANGE OF PRINCIPAL ADDRESS 2009-02-17 2800 UNIVERSITY BLVD NORTH, FINANCIAL AFFAIRS, JACKSONVILLE, FL 32211 No data
CHANGE OF MAILING ADDRESS 2009-02-17 2800 UNIVERSITY BLVD NORTH, FINANCIAL AFFAIRS, JACKSONVILLE, FL 32211 No data
REGISTERED AGENT NAME CHANGED 2008-02-01 CORPORATE CREATIONS NETWORK INC. No data
AMENDED AND RESTATEDARTICLES 1995-06-13 No data No data
AMENDMENT 1993-03-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-03-18
AMENDED ANNUAL REPORT 2020-07-22
ANNUAL REPORT 2020-02-03
AMENDED ANNUAL REPORT 2019-05-22
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-01-12

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD 49100418P1311 2018-09-01 2023-08-31 2023-08-31
Unique Award Key CONT_AWD_49100418P1311_4900_-NONE-_-NONE-
Awarding Agency National Science Foundation
Link View Page

Award Amounts
Obligated Amount 70252.66
Current Award Amount 112977.00
Potential Award Amount 112977.00

Description
Title UPDATE COR
NAICS Code 561990: ALL OTHER SUPPORT SERVICES
Product and Service Codes R499: SUPPORT- PROFESSIONAL: OTHER

Recipient Details
Recipient JACKSONVILLE UNIVERSITY
UEI CHZKP2RC6HA7
Recipient Address UNITED STATES, 2800 UNIVERSITY BLVD N, JACKSONVILLE, DUVAL, FLORIDA, 322113394

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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