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STATSOURCE MEDICAL, LLC - Florida Company Profile

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Company Details

Entity Name: STATSOURCE MEDICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 22 Dec 2016 (9 years ago)
Date of dissolution: 09 Feb 2022 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 09 Feb 2022 (4 years ago)
Document Number: L16000230753
FEI/EIN Number 81-4980863
Address: 8907 REGENTS PARK DRIVE, TAMPA, FL, 33647, US
Mail Address: 8907 REGENTS PARK DRIVE, TAMPA, FL, 33647, US
ZIP code: 33647
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
LLC_06475418
State:
ILLINOIS

Key Officers & Management

Name Role Address
BODART DEREK President 19035 WEATHERSTONE DR, TAMPA, FL, 33647
JONES TONY Manager 14651 CANOPY DRIVE, TAMPA, FL, 33626
BODART DEREK Agent 8907 REGENTS PARK DRIVE, TAMPA, FL, 33647

Unique Entity ID

CAGE Code:
7SKU2
UEI Expiration Date:
2020-10-15

Business Information

Activation Date:
2019-10-16
Initial Registration Date:
2017-01-24

Commercial and government entity program

CAGE number:
7SKU2
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-07-27
CAGE Expiration:
2025-08-26
SAM Expiration:
2022-02-20

Contact Information

POC:
DEREK BODART

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-02-09 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
LC AMENDMENT AND NAME CHANGE 2017-06-12 STATSOURCE MEDICAL, LLC -
CHANGE OF PRINCIPAL ADDRESS 2017-06-12 8907 REGENTS PARK DRIVE, SUITE 310 UNIT 4, TAMPA, FL 33647 -
CHANGE OF MAILING ADDRESS 2017-06-12 8907 REGENTS PARK DRIVE, SUITE 310 UNIT 4, TAMPA, FL 33647 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-02-09
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-02-28
LC Amendment and Name Change 2017-06-12
ANNUAL REPORT 2017-01-17
Florida Limited Liability 2016-12-22

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C26022N0044
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
120000.00
Base And Exercised Options Value:
120000.00
Base And All Options Value:
120000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2021-10-01
Description:
PROVISION OF EYEGLASS FRAMES
Naics Code:
339115: OPHTHALMIC GOODS MANUFACTURING
Product Or Service Code:
6540: OPHTHALMIC INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
36C26021N0036
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
-300000.00
Base And Exercised Options Value:
-300000.00
Base And All Options Value:
-300000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2020-10-01
Description:
IDIQ CONTRACT FOR SPECIALTY&CONTINGENCY LENSES
Naics Code:
339115: OPHTHALMIC GOODS MANUFACTURING
Product Or Service Code:
6540: OPHTHALMIC INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
36C26020N0045
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
135000.00
Base And Exercised Options Value:
135000.00
Base And All Options Value:
135000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-10-01
Description:
IDIQ CONTRACT FOR SPECIALTY&CONTINGENCY LENSES
Naics Code:
339115: OPHTHALMIC GOODS MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

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Date of last update: 02 Aug 2025

Sources: Florida Department of State