| Entity Name: | CLUB STAFFING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 31 Oct 2001 (23 years ago) |
| Date of dissolution: | 05 Dec 2011 (13 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 05 Dec 2011 (13 years ago) |
| Document Number: | F01000005706 |
| FEI/EIN Number |
582655851
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 524 E. LAMAR BLVD., STE. 300, ARLINGTON, TX, 76011, US |
| Mail Address: | ATTN: LEGAL, 12400 HIGH BLUFF DR STE 100, SAN DIEGO, CA, 92130 |
| Place of Formation: | DELAWARE |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | CLUB STAFFING, INC., ALASKA | 67717F | ALASKA |
| Headquarter of | CLUB STAFFING, INC., MISSISSIPPI | 686561 | MISSISSIPPI |
| Headquarter of | CLUB STAFFING, INC., ALABAMA | 000-915-848 | ALABAMA |
| Headquarter of | CLUB STAFFING, INC., MINNESOTA | 39cab97d-add4-e011-a886-001ec94ffe7f | MINNESOTA |
| Headquarter of | CLUB STAFFING, INC., KENTUCKY | 0474109 | KENTUCKY |
| Headquarter of | CLUB STAFFING, INC., CONNECTICUT | 0624183 | CONNECTICUT |
| Headquarter of | CLUB STAFFING, INC., IDAHO | 408501 | IDAHO |
| Headquarter of | CLUB STAFFING, INC., ILLINOIS | CORP_60500185 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568652972 | 2007-08-01 | 2007-08-01 | 307 ELIZABETH LN, GRIFFIN, GA, 302234694, US | 5901 BROKEN SOUND PKWY, SUITE 500, BOCA RATON, FL, 334872773, US | |||||||||||||||||||
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| Phone | +1 800-875-8999 |
| Fax | 5614177443 |
Authorized person
| Name | MS. B ENSHEBRA REYNOLDS |
| Role | SONOGRAPHER |
| Phone | 4044449992 |
Taxonomy
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| License Number | 14796 |
| State | GA |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SALKA SUSAN D | Director | 12400 HIGH BLUFF DR. STE. 100, SAN DIEGO, CA, 92130 |
| JACKSON DENISE D | Director | 12400 HIGH BLUFF DR. STE. 100, SAN DIEGO, CA, 92130 |
| HENDERSON RALPH P | President | 12400 HIGH BLUFF DR. STE. 100, SAN DIEGO, CA, 92130 |
| BAILEY BARY | Chief Financial Officer | 12400 HIGH BLUFF DR. STE. 100, SAN DIEGO, CA, 92130 |
| FALLER MARCIA | Vice President | 12400 HIGH BLUFF DR. STE. 100, SAN DIEGO, CA, 92130 |
| FLETCHER JULIE D | Vice President | 12400 HIGH BLUFF DR. STE. 100, SAN DIEGO, CA, 92130 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2011-12-05 | - | - |
| CHANGE OF MAILING ADDRESS | 2011-12-05 | 524 E. LAMAR BLVD., STE. 300, ARLINGTON, TX 76011 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-08-29 | 524 E. LAMAR BLVD., STE. 300, ARLINGTON, TX 76011 | - |
| NAME CHANGE AMENDMENT | 2001-11-14 | CLUB STAFFING, INC. | - |
| Name | Date |
|---|---|
| Withdrawal | 2011-12-05 |
| ANNUAL REPORT | 2011-01-11 |
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-03-06 |
| Reg. Agent Change | 2009-02-05 |
| ANNUAL REPORT | 2008-04-03 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-03-03 |
| ANNUAL REPORT | 2005-04-22 |
| ANNUAL REPORT | 2004-08-09 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DO | AWARD | V630C10568 | 2010-10-01 | 2011-09-30 | 2011-09-30 | |||||||||||||||||||||||
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| Title | PT, OT, PTA, OTA |
| NAICS Code | 621340: OFFICES OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, AND AUDIOLOGISTS |
| Product and Service Codes | Q518: PHYSICAL MEDICINE & REHABILITATION |
Recipient Details
| Recipient | CLUB STAFFING, INC. |
| UEI | Z568V8EK5DB3 |
| Legacy DUNS | 058134474 |
| Recipient Address | 5901 BROKEN SOUND PKWY NW STE 500, BOCA RATON, 334872791, UNITED STATES |
| Unique Award Key | CONT_AWD_HHSI244201000488P_7527_-NONE-_-NONE- |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Description
| Title | TAS::75 0390::TAS BFSU/FY-2008/PROVIDE LICENSED RADIOGRAPHIC EXAMINATION TECHNOLOGY SERVICES/ /CLUB STAFFING/UNAUTHORIZED COMMITMENT |
| NAICS Code | 561320: TEMPORARY HELP SERVICES |
| Product and Service Codes | R699: OTHER ADMINISTRATIVE SUPPORT SVCS |
Recipient Details
| Recipient | CLUB STAFFING, INC. |
| UEI | Z568V8EK5DB3 |
| Legacy DUNS | 058134474 |
| Recipient Address | 5901 BROKEN SOUND PKWY NW STE 500, BOCA RATON, 334872791, UNITED STATES |
| Unique Award Key | CONT_AWD_VA663C90367_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | VA663C90367 | V797P-7023A | TEMP STAFFING LAB TECH | CLUB STAFFING INC |
| NAICS Code | 561320: TEMPORARY HELP SERVICES |
| Product and Service Codes | Q301: LABORATORY TESTING SERVICES |
Recipient Details
| Recipient | CLUB STAFFING, INC. |
| UEI | Z568V8EK5DB3 |
| Legacy DUNS | 058134474 |
| Recipient Address | 5901 BROKEN SOUND PKWY NW STE 500, BOCA RATON, 334872791, UNITED STATES |
| Unique Award Key | CONT_IDV_VA243BO0061_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 632.00 |
| Potential Award Amount | 632.00 |
Description
| Title | PO# 630-C90594 |
| NAICS Code | 621340: OFFICES OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, AND AUDIOLOGISTS |
| Product and Service Codes | Q518: PHYSICAL MEDICINE & REHABILITATION |
Recipient Details
| Recipient | CLUB STAFFING, INC. |
| UEI | Z568V8EK5DB3 |
| Recipient Address | 5901 BROKEN SOUND PKWY NW STE 500, BOCA RATON, PALM BEACH, FLORIDA, 334872791, UNITED STATES |
| Unique Award Key | CONT_AWD_HHSI244200827900P_7500_-NONE-_-NONE- |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Description
| Title | RADIOLOGY SERVICES |
| NAICS Code | 561320: TEMPORARY HELP SERVICES |
| Product and Service Codes | Q999: OTHER MEDICAL SERVICES |
Recipient Details
| Recipient | CLUB STAFFING, INC. |
| UEI | Z568V8EK5DB3 |
| Legacy DUNS | 058134474 |
| Recipient Address | 5901 BROKEN SOUND PKWY NW STE 500, BOCA RATON, 334872791, UNITED STATES |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
