| Entity Name: | LIBERTY AMBULANCE SERVICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LIBERTY AMBULANCE SERVICE, 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: | 11 May 1984 (41 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 17 Dec 2007 (17 years ago) |
| Document Number: | H03231 |
| FEI/EIN Number |
592407555
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1626 ATLANTIC UNIVERSITY CIR., JACKSONVILLE, FL, 32207 |
| Mail Address: | 1626 ATLANTIC UNIVERSITY CIR., JACKSONVILLE, FL, 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407850159 | 2005-06-10 | 2011-05-12 | 1626 ATLANTIC UNIVERSITY CIR, JACKSONVILLE, FL, 322072227, US | 1626 ATLANTIC UNIVERSITY CIR, JACKSONVILLE, FL, 322072227, US | |||||||||||||||||||||||||
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| Phone | +1 904-805-0293 |
| Fax | 9047240226 |
Authorized person
| Name | MR. MICHAEL A ASSAF |
| Role | PRESIDENT |
| Phone | 9047210008 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 002470 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 099501100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIBERTY AMBULANCE SERVICE, INC. 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 592407555 | 2024-10-08 | LIBERTY AMBULANCE SERVICE, INC. | 84 | |||||||||||||
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| LIBERTY AMBULANCE SERVICE, INC. 401(K) PROFIT SHARING PLAN & TRUST | 2022 | 592407555 | 2023-09-26 | LIBERTY AMBULANCE SERVICE, INC. | 86 | |||||||||||||
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| LIBERTY AMBULANCE SERVICE, INC. 401(K) PROFIT SHARING PLAN & TRUST | 2021 | 592407555 | 2022-10-06 | LIBERTY AMBULANCE SERVICE, INC. | 89 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| ASSAF, ROBERT A. | Agent | 1626 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FL, 32207 |
| ASSAF ROBERT A | Director | 1626 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FL, 32207 |
| ASSAF ROBERT A | Chief Executive Officer | 1626 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FL, 32207 |
| ASSAF MICHAEL A | President | 1626 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FL, 32207 |
| ASSAF BARBARA J | Director | 1626 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FL, 32207 |
| ASSAF BARBARA J | Vice President | 1626 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FL, 32207 |
| ASSAF BARBARA J | President | 1626 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FL, 32207 |
| ASSAF BARBARA J | Secretary | 1626 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FL, 32207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000052807 | LIBERTY AMBULANCE SERVICE | EXPIRED | 2010-06-11 | 2015-12-31 | - | 1614 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-17 | 1626 ATLANTIC UNIVERSITY CIRCLE, JACKSONVILLE, FL 32207 | - |
| MERGER | 2007-12-17 | - | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000070335 |
| CHANGE OF MAILING ADDRESS | 2001-04-09 | 1626 ATLANTIC UNIVERSITY CIR., JACKSONVILLE, FL 32207 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2000-04-20 | 1626 ATLANTIC UNIVERSITY CIR., JACKSONVILLE, FL 32207 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000146911 | TERMINATED | 1000000441824 | DUVAL | 2013-01-02 | 2033-01-16 | $ 3,643.12 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-02-01 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3597555009 | Small Business Administration | 59.041 - 504 CERTIFIED DEVELOPMENT LOANS | - | - | TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR | |||||||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5156288602 | 2021-03-20 | 0491 | PPS | 1626 Atlantic University Cir, Jacksonville, FL, 32207-2227 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1230417304 | 2020-04-28 | 0491 | PPP | 1626 Atlantic University Cir, JACKSONVILLE, FL, 32207-2227 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P2954699 | LIBERTY AMBULANCE SERVICE INC | LIBERTY AMBULANCE SERVICE INC | NBJSAQMXLW54 | 1626 ATLANTIC UNIVERSITY CIR, JACKSONVILLE, FL, 32207-2227 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | Michael Assaf |
| Role | COO |
SBA Federal Certifications
| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | $0 |
| Description | Construction Bonding Level (aggregate) |
| Level | $0 |
| Description | Service Bonding Level (per contract) |
| Level | $0 |
| Description | Service Bonding Level (aggregate) |
| Level | $0 |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621910 |
| NAICS Code's Description | Ambulance Services |
| Buy Green | Yes |
| Code | 485999 |
| NAICS Code's Description | All Other Transit and Ground Passenger Transportation |
| Buy Green | Yes |
| Code | 488999 |
| NAICS Code's Description | All Other Support Activities for Transportation |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | No |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 01 May 2025
Sources: Florida Department of State
