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PSYCHOLOGICAL SERVICES OF JACKSONVILLE, LLC - Florida Company Profile

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Company Details

Entity Name: PSYCHOLOGICAL SERVICES OF JACKSONVILLE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Feb 2006 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Oct 2018 (7 years ago)
Document Number: L06000016161
FEI/EIN Number 743160597
Address: 358 STILES AVENUE, SUITE B, ORANGE PARK, FL, 32073, US
Mail Address: 358 STILES AVENUE, SUITE B, ORANGE PARK, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FOX DAWN K Managing Member 358 STILES AVENUE, SUITE B, ORANGE PARK, FL, 32073
FOX ERIC Agent 965 BUNKER AVENUE, GREEN COVE SPRINGS, FL, 32043

National Provider Identifier

NPI Number:
1528005311

Authorized Person:

Name:
DR. DAWN K FOX
Role:
CLINICAL PSYCHOLOGIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
9042648377

Form 5500 Series

Employer Identification Number (EIN):
743160597
Plan Year:
2024
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
0
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REINSTATEMENT 2018-10-30 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
REGISTERED AGENT NAME CHANGED 2015-04-30 FOX, ERIC -
REINSTATEMENT 2015-04-30 - -
CHANGE OF PRINCIPAL ADDRESS 2015-04-30 358 STILES AVENUE, SUITE B, ORANGE PARK, FL 32073 -
CHANGE OF MAILING ADDRESS 2015-04-30 358 STILES AVENUE, SUITE B, ORANGE PARK, FL 32073 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -
REGISTERED AGENT ADDRESS CHANGED 2012-04-23 965 BUNKER AVENUE, GREEN COVE SPRINGS, FL 32043 -

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-03-29
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-19
ANNUAL REPORT 2019-02-03
REINSTATEMENT 2018-10-30
ANNUAL REPORT 2017-01-21
ANNUAL REPORT 2016-04-21
REINSTATEMENT 2015-04-30

USAspending Awards / Financial Assistance

Date:
2020-06-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-06-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-83460.00
Total Face Value Of Loan:
0.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
83460.00
Total Face Value Of Loan:
0.00
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$83,500
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$83,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$84,543.75
Servicing Lender:
SouthState Bank, National Association
Use of Proceeds:
Payroll: $83,500

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Date of last update: 01 Aug 2025

Sources: Florida Department of State