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JAYVI CAPITAL LLC

Company Details

Entity Name: JAYVI CAPITAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Aug 2016 (9 years ago)
Document Number: L16000146600
FEI/EIN Number 81-5447763
Address: 28707 Tavira Ct, Wesley Chapel, FL, 33543, US
Mail Address: 28707 Tavira Ct, Wesley Chapel, FL, 33543, US
ZIP code: 33543
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194570721 2024-04-18 2024-04-18 28707 TAVIRA CT, WESLEY CHAPEL, FL, 335436441, US 2455 US HIGHWAY 98 N, LAKELAND, FL, 338052418, US

Contacts

Phone +1 570-780-5309
Phone +1 863-603-8104

Authorized person

Name JAYMISH N PATEL
Role OWNER
Phone 5707805309

Taxonomy

Taxonomy Code 3336L0003X - Long Term Care Pharmacy
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAYVI CAPITAL LLC 401(K) P/S PLAN 2023 815447763 2024-08-20 JAYVI CAPITAL LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 446110
Sponsor’s telephone number 8636038104
Plan sponsor’s address 2455 US HIGHWAY 98 N, LAKELAND, FL, 33805

Signature of

Role Plan administrator
Date 2024-08-20
Name of individual signing JAYMISH N PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-20
Name of individual signing JAYMISH N PATEL
Valid signature Filed with authorized/valid electronic signature
JAYVI CAPITAL LLC 401(K) P/S PLAN 2022 815447763 2023-06-06 JAYVI CAPITAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 446110
Sponsor’s telephone number 8636038104
Plan sponsor’s address 2455 US HIGHWAY 98 N, LAKELAND, FL, 33805

Plan administrator’s name and address

Administrator’s EIN 815447763
Plan administrator’s name JAYVI CAPITAL LLC
Plan administrator’s address 2455 US HIGHWAY 98 N, LAKELAND, FL, 33805
Administrator’s telephone number 8636038104

Signature of

Role Plan administrator
Date 2023-06-06
Name of individual signing JAYMISH PATEL
Valid signature Filed with authorized/valid electronic signature
JAYVI CAPITAL LLC 401(K) P/S PLAN 2021 815447763 2022-06-29 JAYVI CAPITAL LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 446110
Sponsor’s telephone number 8636038104
Plan sponsor’s address 2455 US HIGHWAY 98 N, LAKELAND, FL, 33805

Plan administrator’s name and address

Administrator’s EIN 815447763
Plan administrator’s name JAYVI CAPITAL LLC
Plan administrator’s address 2455 US HIGHWAY 98 N, LAKELAND, FL, 33805
Administrator’s telephone number 8636038104

Signature of

Role Plan administrator
Date 2022-06-29
Name of individual signing JAYMISH PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PATEL JAYMISH N Agent 28707 Tavira Ct, Wesley Chapel, FL, 33543

Chief Executive Officer

Name Role Address
PATEL JAYMISH N Chief Executive Officer 28707 Tavira Ct, Wesley Chapel, FL, 33543

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000086536 LAKELAND PHARMACY ACTIVE 2020-07-22 2025-12-31 No data 2455 US HWY 98N, LAKELAND, FL, 33805
G17000100982 PIPKIN PHARMACY EXPIRED 2017-09-05 2022-12-31 No data 5131 S FLORIDA AVE, STE 3, LAKELAND, FL, 33813

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-06-11 28707 Tavira Ct, Wesley Chapel, FL 33543 No data
CHANGE OF MAILING ADDRESS 2020-06-11 28707 Tavira Ct, Wesley Chapel, FL 33543 No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-11 28707 Tavira Ct, Wesley Chapel, FL 33543 No data

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-06-11
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-03-04
ANNUAL REPORT 2017-03-30
Florida Limited Liability 2016-08-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State