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  5. SAMUELSON COMPANION CARE, LLC

SAMUELSON COMPANION CARE, LLC - Florida Company Profile

Company Details

Entity Name: SAMUELSON COMPANION CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SAMUELSON COMPANION CARE, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
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: 24 Aug 2005 (20 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: L05000083884
FEI/EIN Number 203356520

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 606 S.W. 3rd Avenue, OCALA, FL, 34471, US
Mail Address: 606 S.W. 3rd Avenue, OCALA, FL, 34471, US
ZIP code: 34471
County: Marion
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAMUELSON COMPANION CARE, LLC 401(K) PLAN 2021 203356520 2022-04-28 SAMUELSON COMPANION CARE, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621610
Sponsor’s telephone number 3526226447
Plan sponsor’s address 606 SW 3RD AVENUE, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2022-04-28
Name of individual signing JIM SAMUELSON
Valid signature Filed with authorized/valid electronic signature
SAMUELSON COMPANION CARE, LLC 401(K) PLAN 2020 203356520 2021-10-15 SAMUELSON COMPANION CARE, LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621610
Sponsor’s telephone number 3526226447
Plan sponsor’s address 606 SW 3RD AVENUE, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing JAMES SAMUELSON
Valid signature Filed with authorized/valid electronic signature
SAMUELSON COMPANION CARE, LLC 401(K) PLAN 2019 203356520 2020-10-13 SAMUELSON COMPANION CARE, LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621610
Sponsor’s telephone number 3526226447
Plan sponsor’s address 606 SW 3RD AVENUE, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing JAMES SAMUELSON
Valid signature Filed with authorized/valid electronic signature
SAMUELSON COMPANION CARE, LLC 401(K) PLAN 2018 203356520 2019-09-24 SAMUELSON COMPANION CARE, LLC 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621610
Sponsor’s telephone number 3526226447
Plan sponsor’s address 606 SW 3RD AVENUE, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2019-09-24
Name of individual signing JAMES SAMUELSON
Valid signature Filed with authorized/valid electronic signature
SAMUELSON COMPANION CARE, LLC 401(K) PLAN 2017 203356520 2018-10-12 SAMUELSON COMPANION CARE, LLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621610
Sponsor’s telephone number 3526226447
Plan sponsor’s address 606 SW 3RD AVENUE, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing JAMES SAMUELSON
Valid signature Filed with authorized/valid electronic signature
SAMUELSON COMPANION CARE, LLC 401(K) PLAN 2016 203356520 2018-05-29 SAMUELSON COMPANION CARE, LLC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621610
Sponsor’s telephone number 3526226447
Plan sponsor’s address 606 SW 3RD AVENUE, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2018-05-29
Name of individual signing JAMES SAMUELSON
Valid signature Filed with authorized/valid electronic signature
SAMUELSON COMPANION CARE, LLC 401(K) PLAN 2016 262114797 2017-10-03 SAMUELSON COMPANION CARE, LLC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621610
Sponsor’s telephone number 3526226447
Plan sponsor’s address 606 SW 3RD AVENUE, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2017-10-03
Name of individual signing JAMES SAMUELSON
Valid signature Filed with authorized/valid electronic signature
SAMUELSON COMPANION CARE LLC 401(K) PLAN 2015 203356520 2016-07-28 SAMUELSON COMPANION CARE, LLC 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621610
Sponsor’s telephone number 3526226447
Plan sponsor’s address 606 SW 3RD AVE, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing JAMES SAMUELSON
Valid signature Filed with authorized/valid electronic signature
SAMUELSON COMPANION CARE LLC 401(K) PLAN 2014 203356520 2015-09-10 SAMUELSON COMPANION CARE, LLC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621610
Sponsor’s telephone number 3526226447
Plan sponsor’s address 606 SW 3RD AVENUE, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2015-09-10
Name of individual signing JAMES SAMUELSON
Valid signature Filed with authorized/valid electronic signature
SAMUELSON COMPANION CARE LLC 401(K) PLAN 2013 203356520 2014-06-10 SAMUELSON COMPANION CARE LLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621610
Sponsor’s telephone number 3526226447
Plan sponsor’s address 606 SW 3RD AVENUE, OCALA, FL, 34471

Signature of
Role Plan administrator
Date 2014-06-10
Name of individual signing BETH VALENTIN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Samuelson James M Manager 606 S.W. 3rd Avenue, OCALA, FL, 34471
Samuelson Mary P Manager 606 S.W. 3rd Avenue, OCALA, FL, 34471
SAMUELSON JAMES M Agent 606 S.W. 3rd Avenue, OCALA, FL, 34471

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000097296 HOME INSTEAD SENIOR CARE FRANCHISE EXPIRED 2019-09-05 2024-12-31 - 606 S.W. 3RD AVENUE, OCALA, FL, 34471

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2013-02-18 606 S.W. 3rd Avenue, OCALA, FL 34471 -
CHANGE OF MAILING ADDRESS 2013-02-18 606 S.W. 3rd Avenue, OCALA, FL 34471 -
REGISTERED AGENT ADDRESS CHANGED 2013-02-18 606 S.W. 3rd Avenue, OCALA, FL 34471 -
REGISTERED AGENT NAME CHANGED 2010-02-01 SAMUELSON, JAMES M -

Documents

Name Date
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-02-23
ANNUAL REPORT 2019-01-15
ANNUAL REPORT 2018-01-29
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-02-23
ANNUAL REPORT 2015-02-21
ANNUAL REPORT 2014-02-03
ANNUAL REPORT 2013-02-18
ANNUAL REPORT 2012-01-29

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Samuelson Mary P

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SAMUELSON JAMES M

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Companies related by address

606 S.W. 3rd Avenue, OCALA, FL, 34471, US

SAMUELSON PERSONAL CARE, LLC

606 S.W. 3rd Avenue, OCALA, FL, 34471, US

SAMUELSON PERSONAL CARE, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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