| Entity Name: | FORM FIVE SUPPLY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FORM FIVE SUPPLY, 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. |
| 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: | 02 Aug 2013 (12 years ago) |
| Date of dissolution: | 12 Sep 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Sep 2019 (6 years ago) |
| Document Number: | L13000109508 |
| FEI/EIN Number |
46-3443491
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 | Address |
|---|---|---|
| MUSKEWITZ SEAN P | Manager | 14603 Beach Blvd, JACKSONVILLE, FL, 32250 |
| Muskewitz Rick L | mana | 14603 Beach Blvd, JACKSONVILLE, FL, 32250 |
| FORM FIVE SUPPLY, LLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-09-12 | - | - |
| REGISTERED AGENT NAME CHANGED | 2015-04-29 | Form Five Supply, LLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-29 | 14603 Beach Blvd, 900, JACKSONVILLE, FL 32250 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-30 | 14603 Beach Blvd, 900, JACKSONVILLE, FL 32250 | - |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 14603 Beach Blvd, 900, JACKSONVILLE, FL 32250 | - |
| 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: 03 Apr 2025
Sources: Florida Department of State
