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  5. AMERICAN INFUSION, LLC.

AMERICAN INFUSION, LLC.

Headquarter

Company Details

Entity Name: AMERICAN INFUSION, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Jun 2012 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 24 Oct 2018 (6 years ago)
Document Number: L12000082106
FEI/EIN Number 455539838
Address: 4625 Halder Lane, SUITE A, ORLANDO, FL, 32814, US
Mail Address: 4625 Halder Lane, SUITE A, ORLANDO, FL, 32814, US
ZIP code: 32814
County: Orange
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of AMERICAN INFUSION, LLC., ALABAMA 000-284-367 ALABAMA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063767333 2012-07-23 2023-08-31 4625 HALDER LN STE A, ORLANDO, FL, 328146416, US 4625 HALDER LN STE A, ORLANDO, FL, 328146416, US

Contacts
Phone +1 855-652-2163
Fax 8556652439

Authorized person
Name MARK DANIEL BROWN
Role CEO
Phone 4074212274

Taxonomy
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN INFUSION 401K 2022 455539838 2023-09-19 AMERICAN INFUSION LLC 10
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621399
Sponsor’s telephone number 4074212274
Plan sponsor’s address 4625 HALDER LN STREET SUITE A, ORLANDO, FL, 32814

Signature of
Role Plan administrator
Date 2023-09-18
Name of individual signing MARK BROWN
Valid signature Filed with authorized/valid electronic signature
AMERICAN INFUSION 401K 2021 455539838 2022-10-17 AMERICAN INFUSION LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621399
Sponsor’s telephone number 4072199163
Plan sponsor’s address 1215 E LIVINGSTON STREET SUITE A, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing MARK BROWN
Valid signature Filed with authorized/valid electronic signature
AMERICAN INFUSION 401K 2020 455539838 2021-10-11 AMERICAN INFUSION LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621399
Sponsor’s telephone number 4072199163
Plan sponsor’s address 1215 E LIVINGSTON STREET SUITE A, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing MARK BROWN
Valid signature Filed with authorized/valid electronic signature
AMERICAN INFUSION 401K 2019 455539838 2021-01-15 AMERICAN INFUSION LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621399
Sponsor’s telephone number 4072199163
Plan sponsor’s address 1215 E LIVINGSTON STREET SUITE A, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2021-01-15
Name of individual signing MARK BROWN
Valid signature Filed with authorized/valid electronic signature
AMERICAN INFUSION 401K 2019 455539838 2020-12-02 AMERICAN INFUSION LLC 8
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621399
Sponsor’s telephone number 4072199163
Plan sponsor’s address 1215 E LIVINGSTON STREET SUITE A, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2020-12-02
Name of individual signing MARK BROWN
Valid signature Filed with authorized/valid electronic signature
AMERICAN INFUSION 401K 2018 455539838 2019-10-15 AMERICAN INFUSION LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621399
Sponsor’s telephone number 4072199163
Plan sponsor’s address 1215 E LIVINGSTON STREET SUITE A, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing MARK BROWN
Valid signature Filed with authorized/valid electronic signature
AMERICAN INFUSION 401K 2017 455539838 2018-10-15 AMERICAN INFUSION LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621399
Sponsor’s telephone number 4072199163
Plan sponsor’s address 1215 E LIVINGSTON STREET SUITE A, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MARK BROWN
Valid signature Filed with authorized/valid electronic signature
AMERICAN INFUSION 401K 2016 455539838 2017-09-21 AMERICAN INFUSION LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-04-01
Business code 621399
Sponsor’s telephone number 4072199163
Plan sponsor’s address 1215 E LIVINGSTON STREET SUITE A, ORLANDO, FL, 32803

Signature of
Role Plan administrator
Date 2017-09-21
Name of individual signing MARK BROWN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BROWN MARK Agent 4625 Halder Lane, SUITE A, ORLANDO, FL, 32814

Manager

Name Role Address
BROWN MARK Manager 4625 Halder Lane, SUITE A, ORLANDO, FL, 32814

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000027633 PRIORITY HEALTH RX ACTIVE 2013-03-20 2028-12-31 No data 4625 HALDER LANE, SUITE A, ORLANDO, FL, 32814

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-14 4625 Halder Lane, SUITE A, ORLANDO, FL 32814 No data
CHANGE OF MAILING ADDRESS 2023-03-14 4625 Halder Lane, SUITE A, ORLANDO, FL 32814 No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-14 4625 Halder Lane, SUITE A, ORLANDO, FL 32814 No data
REINSTATEMENT 2018-10-24 No data No data
REGISTERED AGENT NAME CHANGED 2018-10-24 BROWN, MARK No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-04-07
ANNUAL REPORT 2019-09-10
REINSTATEMENT 2018-10-24
ANNUAL REPORT 2017-07-06
ANNUAL REPORT 2016-05-12
ANNUAL REPORT 2015-04-28

Related by officers

BROWN MARK

OCEAN 29A, LLC BUSINESS CONSULTING AUTOMOTIVE GROUP, INC. CONEY ISLAND CONCESSIONS, LLC 4 GEN CONSTRUCTION, LLC CORAL HARBOUR G-4, LLC BROWN'S PRESSURE WASHING & PAINTING,LLC WRD BRAND HOLDINGS, LLC MEDICAL MODULAR COMPANY FLORIDA LENDING CORP HOME PRO REALTY CORP

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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