| Entity Name: | U.S. PREVENTIVE MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 17 Jul 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Nov 2017 (7 years ago) |
| Document Number: | F14000003153 |
| FEI/EIN Number | 20-0907635 |
| Mail Address: | 13245 Atlantic Blvd, JACKSONVILLE, FL, 32225, US |
| Address: | 13245 Atlantic Blvd., JACKSONVILLE, FL, 32225, US |
| ZIP code: | 32225 |
| County: | Duval |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881838084 | 2009-05-01 | 2019-01-30 | 12724 GRAN BAY PKWY W STE 150, JACKSONVILLE, FL, 322589486, US | 12740 GRAN BAY PKWY W, SUITE 2400, JACKSONVILLE, FL, 322585487, US | |||||||||||||||||
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| Phone | +1 904-562-6308 |
| Phone | +1 904-281-0006 |
| Fax | 9046650097 |
Authorized person
| Name | JAMES EVANS |
| Role | C.O.O. |
| Phone | 9045626308 |
Taxonomy
| Taxonomy Code | 261QC1800X - Corporate Health Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| U. S. PREVENTIVE MEDICINE 401(K) PLAN | 2014 | 200907635 | 2015-09-02 | U. S. PREVENTIVE MEDICINE, INC | 74 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-09-02 |
| Name of individual signing | LOGAN THOMPSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2015-09-02 |
| Name of individual signing | DONALD DUMOND |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 9046724806 |
| Plan sponsor’s address | 12740 GRAN BAY PKWY, SUITE 2400, JACKSONVILLE, FL, 32258 |
Signature of
| Role | Plan administrator |
| Date | 2014-08-06 |
| Name of individual signing | THOMAS YOUNG |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Kyle Aylor | Agent | 13245 Atlantic Blvd, JACKSONVILLE, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| Underwood David M | Chairman | 13245 Atlantic Blvd, JACKSONVILLE, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| Loeppke Ronald Dr. | Vice Chairman | 13245 Atlantic Blvd., JACKSONVILLE, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| Aylor Kyle | Corp | 13245 Atlantic Blvd., JACKSONVILLE, FL, 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-26 | 13245 Atlantic Blvd., SUITE 4, JACKSONVILLE, FL 32225 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-26 | 13245 Atlantic Blvd., SUITE 4, JACKSONVILLE, FL 32225 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-26 | Kyle, Aylor | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-26 | 13245 Atlantic Blvd, SUITE 4, JACKSONVILLE, FL 32225 | No data |
| REINSTATEMENT | 2017-11-08 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-05-09 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-02 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-01-25 |
| REINSTATEMENT | 2017-11-08 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
