| Entity Name: | ONE SOURCE MEDICAL SUPPLY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ONE SOURCE MEDICAL SUPPLY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 10 May 2004 (21 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | L04000035443 |
| FEI/EIN Number |
201144297
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1829 PARK LANE SOUTH, SUITE 8 & 9, JUPITER, FL, 33458, US |
| Mail Address: | 1829 PARK LANE SOUTH, SUITE 8 & 9, JUPITER, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205123874 | 2011-07-05 | 2011-07-05 | 1829 PARK LN S, SUITE 8 & 9, JUPITER, FL, 334588086, US | 1829 PARK LN S, SUITE 8 & 9, JUPITER, FL, 334588086, US | |||||||||||||||
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| Phone | +1 888-258-7080 |
| Fax | 8888815950 |
Authorized person
| Name | MS. LINDA CHAN |
| Role | PRESIDENT |
| Phone | 8882587080 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ONE SOURCE MEDICAL SUPPLY LLC 401(K) PROFIT SHARING PLAN AND TRUST | 2018 | 201144297 | 2019-08-20 | ONE SOURCE MEDICAL SUPPLY LLC | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-08-20 |
| Name of individual signing | LINDA YUN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 9177573793 |
| Plan sponsor’s address | 1829 PARK LANE SOUTH STE. 8, JUPITER, FL, 33458 |
Signature of
| Role | Plan administrator |
| Date | 2019-04-26 |
| Name of individual signing | LINDA YUN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 9177573793 |
| Plan sponsor’s address | 1829 PARK LANE SOUTH STE. 8, JUPITER, FL, 33458 |
Signature of
| Role | Plan administrator |
| Date | 2018-04-27 |
| Name of individual signing | LINDA YUN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 9177573793 |
| Plan sponsor’s address | 1829 PARK LANE SOUTH STE. 8, JUPITER, FL, 33458 |
Signature of
| Role | Plan administrator |
| Date | 2017-04-07 |
| Name of individual signing | LINDA YUN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 9177573793 |
| Plan sponsor’s address | 1829 PARK LANE SOUTH STE. 8, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| YUN LINDA CHAN | Managing Member | 1829 PARK LANE SOUTH, STE 8 & 9, JUPITER, FL, 33458 |
| SEMPLICINO SHERRIE | Manager | 1829 PARK LANE SOUTH, STE 8 & 9, JUPITER, FL, 33458 |
| Semplicino Sherrie | Agent | 1829 PARK LANE SOUTH, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-01-30 | Semplicino, Sherrie | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-30 | 1829 PARK LANE SOUTH, SUITE 8, JUPITER, FL 33458 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-06 | 1829 PARK LANE SOUTH, SUITE 8 & 9, JUPITER, FL 33458 | - |
| CHANGE OF MAILING ADDRESS | 2012-01-06 | 1829 PARK LANE SOUTH, SUITE 8 & 9, JUPITER, FL 33458 | - |
| LC AMENDMENT | 2011-01-10 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-02-01 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-01-07 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-01-24 |
| MISC - INDIVIDUAL NAME CHANGE | 2012-05-04 |
| ANNUAL REPORT | 2012-01-06 |
| ANNUAL REPORT | 2011-01-14 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
