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GHOST RX INC. - Florida Company Profile

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Company Details

Entity Name: GHOST RX INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Active
Date Filed: 23 Nov 2016 (9 years ago)
Last Event: AMENDMENT
Event Date Filed: 26 Feb 2020 (5 years ago)
Document Number: F16000005259
FEI/EIN Number 731536407
Address: 1561 s. Alafaya Tr, Orlando, FL, 32828, US
Mail Address: 1561 S Alafaya Tr., Orlando, FL, 32828, US
ZIP code: 32828
City: Orlando
County: Orange
Place of Formation: DELAWARE

Links between entities

Type:
Headquarter of
Company Number:
5232363
State:
IDAHO
IDAHO profile:

Key Officers & Management

Name Role Address
Myers Jake Chief Executive Officer 530 rodeo dr, columbia falls, MT, 59912
Clericuzio Lori Chief Operating Officer 1561 s. Alafaya Tr, Orlando, FL, 32828
Myers Mike Vice President 1561 s. Alafaya Tr, Orlando, FL, 32828
MYERS JUSTIN Agent 1561 s. Alafaya Tr, Orlando, FL, 32828

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
833-528-6509
Contact Person:
JUSTIN MYERS
Ownership and Self-Certifications:
Service-Disabled Veteran, Veteran
User ID:
P0372660
Trade Name:
GHOST RX INC

Commercial and government entity program

CAGE number:
8EYW7
Status:
Active With Restraint
Type:
Non-Manufacturer
CAGE Update Date:
2024-01-18
CAGE Expiration:
2028-07-21

Contact Information

POC:
JUSTIN MYERS
Corporate URL:
www.ghostrx.com

National Provider Identifier

NPI Number:
1689347064
Certification Date:
2021-06-29

Authorized Person:

Name:
JAKE MYERS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
171W00000X - Contractor
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
731536407
Plan Year:
2018
Number Of Participants:
12
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2020-03-12 1561 s. Alafaya Tr, Suite 200, Orlando, FL 32828 -
CHANGE OF MAILING ADDRESS 2020-03-10 1561 s. Alafaya Tr, Suite 200, Orlando, FL 32828 -
CHANGE OF PRINCIPAL ADDRESS 2020-03-09 1561 s. Alafaya Tr, Suite 200, Orlando, FL 32828 -
AMENDMENT 2020-02-26 - -

Documents

Name Date
ANNUAL REPORT 2024-03-08
ANNUAL REPORT 2023-07-10
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-03-12
Amendment 2020-02-26
ANNUAL REPORT 2019-01-15
ANNUAL REPORT 2018-06-26
ANNUAL REPORT 2017-03-15
Foreign Profit 2016-11-23

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C10G19A0018
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
5000000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-10-01
Description:
BPA FOR SERVICES UNDER SAC BPA INITIATIVE
Naics Code:
621991: BLOOD AND ORGAN BANKS
Product Or Service Code:
R499: SUPPORT- PROFESSIONAL: OTHER
Procurement Instrument Identifier:
36C26319C0177
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
157963.52
Base And Exercised Options Value:
157963.52
Base And All Options Value:
315927.04
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-09-15
Description:
2 FTE - DIAGNOSTIC RADIATION TECHNICIANS
Naics Code:
561320: TEMPORARY HELP SERVICES
Product Or Service Code:
Q522: MEDICAL- RADIOLOGY
Procurement Instrument Identifier:
36C26219P0549
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
-49474.56
Base And Exercised Options Value:
-49474.56
Base And All Options Value:
-49474.56
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-07-03
Description:
GENETIC COUNSELOR
Naics Code:
621330: OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)
Product Or Service Code:
Q999: MEDICAL- OTHER

Paycheck Protection Program

Jobs Reported:
36
Initial Approval Amount:
$321,300
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$321,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$325,396.58
Servicing Lender:
Fairwinds CU
Use of Proceeds:
Payroll: $321,300

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Date of last update: 03 Aug 2025

Sources: Florida Department of State