| Entity Name: | FORM FIVE SUPPLY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Aug 2013 (12 years ago) |
| Date of dissolution: | 12 Sep 2019 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Sep 2019 (5 years ago) |
| Document Number: | L13000109508 |
| FEI/EIN Number | 46-3443491 |
| Address: | 14603 Beach Blvd, JACKSONVILLE, FL, 32250, US |
| Mail Address: | 14603 Beach Blvd, JACKSONVILLE, FL, 32250, US |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| FORM FIVE SUPPLY, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| MUSKEWITZ SEAN P | Manager | 14603 Beach Blvd, JACKSONVILLE, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| Muskewitz Rick L | mana | 14603 Beach Blvd, JACKSONVILLE, FL, 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-09-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-29 | Form Five Supply, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-29 | 14603 Beach Blvd, 900, JACKSONVILLE, FL 32250 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-30 | 14603 Beach Blvd, 900, JACKSONVILLE, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 14603 Beach Blvd, 900, JACKSONVILLE, FL 32250 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-09-12 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-30 |
| Florida Limited Liability | 2013-08-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
