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AJD MEDICAL LLC

Company Details

Entity Name: AJD MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Dec 2012 (12 years ago)
Last Event: CONVERSION
Event Date Filed: 18 Dec 2012 (12 years ago)
Document Number: L12000159044
FEI/EIN Number 26-3347931
Address: 823 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL, 32127, US
Mail Address: 823 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL, 32127, US
ZIP code: 32127
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE AJD MEDICAL, LLC 401(K) PLAN 2023 263347931 2024-11-13 AJD MEDICAL, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864270390
Plan sponsor’s address 1722 SR 44, NEW SMYRNA BEACH, FL, 32168

Signature of

Role Plan administrator
Date 2024-11-13
Name of individual signing MAI LOAN GRAHAM
Valid signature Filed with authorized/valid electronic signature
THE AJD MEDICAL, LLC 401(K) PLAN 2022 263347931 2023-10-13 AJD MEDICAL, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864270390
Plan sponsor’s address 1722 SR 44, NEW SMYRNA BEACH, FL, 32168

Signature of

Role Plan administrator
Date 2023-10-13
Name of individual signing MAI LOAN GRAHAM
Valid signature Filed with authorized/valid electronic signature
THE AJD MEDICAL, LLC 401(K) PLAN 2021 263347931 2022-10-14 AJD MEDICAL, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864270390
Plan sponsor’s address 1722 SR 44, NEW SMYRNA BEACH, FL, 32168

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing MAI LOAN GRAHAM
Valid signature Filed with authorized/valid electronic signature
THE AJD MEDICAL, LLC 401(K) PLAN 2020 263347931 2021-10-14 AJD MEDICAL, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864270390
Plan sponsor’s address 1722 SR 44, NEW SMYRNA BEACH, FL, 32168

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing MAI LOAN GRAHAM
Valid signature Filed with authorized/valid electronic signature
THE AJD MEDICAL, LLC 401(K) PLAN 2019 263347931 2020-09-03 AJD MEDICAL, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864270390
Plan sponsor’s address 1722 SR 44, NEW SMYRNA BEACH, FL, 32168

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing MAI LOAN GRAHAM
Valid signature Filed with authorized/valid electronic signature
THE AJD MEDICAL, LLC 401(K) PLAN 2018 263347931 2019-09-18 AJD MEDICAL, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3864270390
Plan sponsor’s address 1722 SR 44, NEW SMYRNA BEACH, FL, 32168

Signature of

Role Plan administrator
Date 2019-09-18
Name of individual signing MAI LOAN GRAHAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DECARLI ANTONIO Agent 1844 OLD MISSION RD, EDGEWATER, FL, 32132

Managing Member

Name Role Address
DECARLI ANTONIO Managing Member 823 DUNLAWTON AVE, PORT ORANGE, FL, 32127

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000135062 EVOLVE MD ACTIVE 2017-12-11 2027-12-31 No data 832 DUNLAWTON SUITE E, PORT ORANGE, FL, 32127
G16000087221 GASTRO CENTER OF FLORIDA ACTIVE 2016-08-16 2026-12-31 No data PO BOX 2616, NEW SMYRNA BEACH, FL, 32170

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-15 823 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL 32127 No data
CHANGE OF MAILING ADDRESS 2022-04-15 823 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL 32127 No data
REGISTERED AGENT NAME CHANGED 2022-04-15 DECARLI, ANTONIO No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-15 1844 OLD MISSION RD, EDGEWATER, FL 32132 No data
CONVERSION 2012-12-18 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P12000005405. CONVERSION NUMBER 300000127563

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-07-16
ANNUAL REPORT 2022-04-15
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-03-13
ANNUAL REPORT 2016-03-31
ANNUAL REPORT 2015-01-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State